2010 Newsletter

 

THE BLESSING OF BRACES!

By Dr. Presley-Nelson
When a visit to an orthodontist is suggested, many questions arise in the patient’s mind or the parent’s mind, if the patient is a child or adolescent. One question often asked is if braces are just for cosmetics or are there health benefits as well?. The answer to this is yes, there are more benefits than just straight teeth.
PROTECTION OF THE TEETH: When teeth come together traumatically, wear, chipping, fractures, and even tooth loss can occur. For example, front teeth were meant to pass each other in biting to “incise” food or cut it, as the bottom teeth pass behind the front teeth. These teeth are thin and not meant to grind food, like the wider back teeth. These “incisors” are meant only to pass, bottom behind top, to cut what enters the mouth. So when the bite is improper and they hit together, instead of passing, they wear or break. Braces used to correct this are used for health, but cosmetics may be a side benefit. Other examples of traumatic occlusion include crossbite (when teeth hit opposite of where their anatomy was fashioned to guide them), tipping, rotating, and discrepancies between what the jaws line up for, in a bite, and what the jaws have to do to bring mal-aligned teeth together.
PREVENTION OF JOINT PROBLEMS: That last example is called C/O, C/R discrepancy, meaning the Centric Relation of the two jaws (the way the jaw bones, muscles and joints “want to come together”) is different than the Centric Occlusion of the teeth (the place where the most teeth come together all at once to chew). When the jaw joint (TMJ) has to stretch or work out of the normal range to get all the teeth together, jaw joint problems may develop over time. So braces and procedures correcting this C/O, C/R discrepancy are done for the health of the TMJ (Temporo-Mandibular Joint).

A 1999 Swedish study (Henrikson, Nilner, and Kurol) followed 65 patients whose malocclusion had been corrected with braces, and found that TMJ Disorder symptoms abated and that ALL of the participants benefitted in improved joint function, from orthodontic bite correction. San Francisco orthodontist, Dr. Janice Tam, cautions, however, that there are many studies that show equal amounts of TMJ problems among populations that both had, and did not have, braces. “I feel proper bite is beneficial to the TMJ and I strive to create proper occlusion and function, such as cuspid rise for disclusion, but due to these studies, we as orthodontists cannot claim that braces can cure or prevent TMJ problems,” she cautions.
GUM HEALTH: When teeth are crowded, they are difficult to maintain with good oral hygiene. It is very hard to keep crowded teeth clean. Bacteria can be harbored and cause periodontal disease, which can lead to tooth loss. Crowding can also squeeze teeth out of the bony crest meant to surround them, hence a tooth may not have proper bone support all around it to carry it forward in health through a long life. So braces can help maintain gum health and bone support over the long run. Here again, a nice straight smile may just be a side benefit of braces that alleviate crowding, and aid in avoiding a life of periodontal disease.
Sometimes parents ask about starting braces so young, and taking braces off, then putting them back on again. Why drag it out for so long now-a-days? According to Dr. Janice Tam, who taught orthodontics at the University of the Pacific after finishing her residency there, “The main purpose of multi-phase orthodontics, called interceptive orthodontic-orthopedics, is not to straighten teeth, but to be able to manipulate the growing jaws, harnessing the growth phase, in order to correct jaw problems.” Conditions such as “buck teeth”, crossbite, big teeth in a small jaw, jaws that don’t match (i.e. small upper-big lower), and narrow arch can be helped by harnessing the growth phase with appliances. “The ideal age for Phase 1 Interceptive Orthodontics is 7 ½ to 9 years, for the duration of 1 to 1 ½ years. Then around age 12-14, when all the permanent teeth are in, Phase 2 can begin in order to finish alignment,” says Dr. Tam, who practices interceptively when needed.
What about braces for adults? It is never too late to do the right thing for your health and your smile. Teeth can be moved at any age, though it is a bit slower with adults. Gingival irritation and swelling can occur with kids and adults if oral hygiene is lacking around the brackets and wires. With kids it usually resolves easily but with adults, there is a slight chance that gum problems during braces may stay around when they are taken off. This is why stepped up home care and frequent professional cleanings are recommended during orthodontics, for both kids and adults, but especially adults.
What kind of cases are best for Invisalign-type appliances? Invisalign and similar systems are clear plastic shims or trays that are milled with a computer and come on and off, gradually moving teeth. It is costly and best used, according to orthodontist, Dr. Tam, on cases with mild or moderate crowding or cases with gaps and spaces. “We remind patients that Invisalign is not for severe problems and does not align teeth as well as regular braces,” Dr. Tam relates.
What is new in orthodontics? MINI-SCREWS have been used in some other countries for 15 years, and in the U.S. for 5 years. They are like placing a small pin in the jaw bone to use as leverage to move teeth. In order to move, all teeth must have leverage or torque off other teeth or the head bones with head gear, but sometimes choices are sparse. Placing a Mini-Screw can provide this anchorage where there might not have been other good choices.
Other new vistas include scanning to replace impressions, and computerizing the set-up and wire bending of braces. All new technology has a waiting period to come down in cost to make it affordable to patients.
When patients rush debanding, what are the consequences? Sometimes when patients see the front teeth starting to line up cosmetically, they can become anxious to get the braces off, and may set their own social deadlines such as prom or senior portraits. The orthodontist is not just looking at cosmetics but is aiming at function. The orthodontist should be the “goal setter”, as they are looking, with a lot of knowledge and training, at how all the teeth are working together. It is for the patient’s benefit to let the orthodontist work until the best outcome has been achieved. Remember, it would be to the orthodontist’s advantage, business-wise, to stop. It is to the patient’s advantage to retain the doctor’s efforts and expertise as long as they are offered.
What if I am unsure of the whole process, and concerned about costs? The best advice is to get advice. A consult is not greatly expensive, and educates without commitment. Go to the orthodontist and find out what is recommended, what would be involved, how long it would take, and how much it would cost. Then you can make up your mind, armed with real information, intelligently. Remember, the informed choice is always the best choice.

UNEARTHING DENTISTRY’S ORIGINS

As reported some time ago in Reuters and the Associated Press, researchers discovered evidence of an attempted dental implant while exploring a Gallo-Roman cemetery south of Paris. “Gallo” derives from “Gaul”, which was part of ancient France. From about 50 BC to 490 AD the 2 cultures melded to some extent, Rome and Gaul. A Gallo-Roman man’s remains who lived about 1900 years ago, revealed a tooth replacement of sorts, made of iron, imbedded in his maxilla (upper jaw). It was thought to be fashioned by a blacksmith, moonlighting as a dentist, a common combo-profession into the 1800’s, entwining “barber” into the mix sometimes too. If you saw Dr. Presley-Nelson or Dr. Fung melting metals with an acetylene torch and readying the centrifuge for casting, as they did back when they created their own lab work, you would conjure the image of “blacksmith” pretty easily. Now the barber thing… well maybe not in their time.
Considering this “find” as evidence of advanced health care in ancient times, is a romanticized view at best. Iron would not integrate into the human physiology well, and aside from rust, infection of a great magnitude would likely occur. Perhaps that is what killed the fellow. Or was it Tetanus? Still, the effort is to be admired in such early times. It is interesting that even implants in the 1970s (such as the blade type) and 1980s and into the early 1990s had a large failure rate. The use of Titanium and the regimen of burying for total healing, then uncovering after boney integration, furthered the success of dental implants greatly. Today the success rate of implants may be better than saving a compromised tooth with traditional methods in many cases. Yes, we’ve come a long way. Today we may see a tooth in trouble and actually say “take it out! We’ve got something better!!”

YOUR MEDICAL HISTORY IS IMPORTANT TO US

By Kathleen O’Connor Hanley, RDH

Why do we need to know your medical history and what medications you are taking? Many patients can’t understand why we ask about medications or what difference it makes to dental professionals if you have, for example, a heart condition or a hip replacement. Strange as it may seem, conditions like these can make a big difference in choices we make regarding your dental treatment. Some conditions dictate which anesthesia and the amount of epinephrine we can use. Some conditions, like joint or valve replacements could require that we pre-medicate the patient with an antibiotic. Pregnancy can affect our treatment choices in different ways and it is prudent to inform us even if you only suspect you could be pregnant. It is always best to share all medical information with us and let us decide if we need to alter our treatment plan in any way.
Some medications affect oral health and we must be aware of what you take so we can make accommodations for the side effects some meds can cause. Many medications and medical treatments cause dry mouth syndrome, which can have devastating dental consequences. There are many things we can teach patients to help prevent problems when we are aware of this medical situation. Please let us know if you are experiencing dry mouth symptoms or if you have been prescribed any radiations treatments, especially of the head and/or neck region. Various heart and anti-seizure meds can cause severe gingival hyperplasia and special care must be taken of these patients to help manage the swelling. Some anti-depressant medications may contribute to bruxism (grinding teeth). This can have negative affects on the tempro-mandibular joint (TMJ) and on the teeth themselves. We can recommend some interventive treatments to help deal with TMJ problems.
Some medications have been around so long and seem so innocuous that patients don’t see the need to even mention they take them. These include baby aspirin and asthma inhalers. Even taking a baby aspirin should be reported to us because of increased bleeding and clotting time, which can be important, especially during procedures such as root planning and extractions. Asthma inhalers are sometimes associated with oral yeast infections and irritation of the oral tissues. We should be aware of the use of inhalers and the frequency with which you have to use them. Another example is blood pressure medication. It may seem like everyone is taking blood pressure medication and it shouldn’t have any affect on anything that we might do at the dental office but, again, this information can direct some decisions being made about your treatment. These are just a few examples of medications that affect dentistry; there are many others.
Please report all medications that you take, all medical conditions or any changes in either to us. It is in your best interest that we know….even for a dental cleaning. We are not being nosy…we really do need to have this information in order to make the best decisions for your health. Of course, all medical information is confidential and kept private.

PSST!!! WHAT TO KNOW THE SECRET TO A LIFE TIME OF ORAL HEALTH

By Dr. Wendy Fung

Ever hear that the three most important things in real estate are location, location, and location? Well, similarly, the three most important things you can do for your oral health are: maintenance, maintenance, and maintenance!
Your mouth is one of the hardest working parts of the body. Several times a day, every day of your life, foods and fluids go into the mouth, creating the potential for bacterial buildup and wear and tear on your teeth, your muscles, and your jaw joints. Our mouths and teeth take a lot of abuse, and that doesn’t even include the occasional fall or accident or the unconscious clenching or grinding that further traumatize oral structures.
Oral health maintenance means making a conscious effort to keep these valuable structures in good condition, otherwise problems arise and then are able to progress. Anyone who has ever had dental pain knows that the mouth is something you don’t fully appreciate until there is a problem. Patients who have not been diligent about regular home care and/or cleaning visits often need some form of deep cleaning rather than a regular cleaning. Postponing treatment can lead to more extensive and usually more costly treatment.
We all know that those nasty bacterial colonies that accumulate in the mouth are responsible for cavities, gum problems, and oral infections. What can we do to combat these bacteria? Maintenance keeps the levels of bacteria to a minimum. That means daily hygiene maintenance at home and regular hygiene visits at our office. Not only do the cleaning visits give us a chance to help you get rid of the bacteria, they give us a chance to check and make sure everything is stable and healthy.
Remember that lack of pain is usually a poor indicator of oral health. Before discomfort begins, a cavity usually needs to attain a certain size, and infection needs to get to a certain level. These are the types of things we try to catch at your maintenance visits before you experience problems. Our philosophy is: avoiding pain is GOOD!
This idea of prevention of pain and problems is the rationale behind a nightguard. Whenever we see excessive wear and tear on teeth and/or jaw joints, there is usually some unconscious clenching or grinding involved. Our primary concern is the long-term effect that these habits will have. It may seem unnecessary to have an appliance made when there doesn’t seem to be any problem. However, we are concerned about problems that may occur years in the future. The goal of the nightguard is to prevent excessive tooth wear and possible breakage, as well as chronic jaw/joint pain and degradation, a prematurely aged look, and the need for extensive restorations. Prevention of problems and protection of the teeth and jaws are the goal.
If you have achieved oral health, keep up the good work and keep coming for your regular cleanings and checkups! If you still have a few things to take care of before you can get a clean bill of health, le

CHISAKO’S CORNER

Do you have dental insurance? Please remember you, your employer and the insurance company agreed on your insurance coverage. You picked/agreed to your plan and have been paying premiums for what you agreed would be covered. Your booklet describes what is and isn’t covered and how often, and under what circumstances re-imbursement will occur. We are not in any way connected to your plan. We are happy to send claims to your insurance and to help you as best we can. However, ultimately, your dental insurance contract is yours. Please help us help you with your insurance.

The Infamous Joke Box
You jokers really brighten our day!
Walter Meservey…they are getting riper again! We have to schedule you carefully! Michael Novak, keep the “under the door” lists coming. Bianca, you don’t have to bake every time, we’d love you and your humor anyway, and Marilyn Brown with the “brownies” and the jokes (it’s Wednesday, not Thursday), we appreciate you (and husband Steve Cornell too). Jo Moorhouse (and Steve) that Septic Tank joke was a winner. Dr. Reidboard, our motorcycle riding psychiatrist (thanks for the counseling, we are nurturing our inner child) and also thanks for the rigid midget digit story. The Leikams are always on the go and stop in to make us smile, The Yanows, Harold, Danny, and Anne, keep us laughing. Tom Beeks, Siobhan and Bill Ruck, Barry Hanson, Joe Razon, Sharon Cassidy, Jimmy Johnstone, Kathy Trapani, Michael Crotty, and Ski Tostanoski tickle our funny bone. Richard Jann, “Missouri loves company”, yes it does! Laura Mezirka, we don’t know what you came in HERE AFTER!

And now the awards…We are very close to a tie this year…
FIRST RUNNER UP IS……RUTH OATES for:
A charming story about a little old lady who was dared to “streak” the flower show and came away with First Prize for “DRIED ARRANGEMENT”

AND THE FIRST PLACE GRAND PRIZE GOES TO…  (drum roll please)
BARNEY CROTTY for the following:
A prominent speaker was hired for an important meeting, and while he was enjoying the luncheon before his speech he broke his denture right in half! He hurried to the men’s room and took a look at the damage and just couldn’t imagine how he was going to be able to deliver his talk in a few minutes time, when they would announce his name! Another gentleman in the restroom noticed his dilemma and reached in his coat pocket and handed him an upper plate. “Here try these,” he said. The lecturer popped the teeth in and they were too tight so the gentleman produced another denture, and yet another, until the speaker found one that fit and felt he could go on stage. “Gosh,” he said in gratitude, “I’m really lucky to have met a dentist in my time of need.” “Oh, I’m not a dentist,” replied the gentleman, “I’m an undertaker.”
CONGRATULATIONS RUTH AND BARNEY
KEEP THOSE JOKES COMING FOLKS!
YOU ALL MAKE OUR DAY!

Cancellation Policy
Please give us advance notice when rescheduling or canceling appointments. Notifying us less than 48 hours prior to the appointment will incur a charge of $30 per half hour scheduled. This means if your appointment was one hour, there will be a lack of notification charge for $60. We are not trying to be mean, or non-lenient, but overhead is an on-going issue.

2009 BABIES, wonderful little prospective patients! One day they will have teeth…

Greg and Monica Bailey welcomed Dominic Alen Bailey, born April 8th. On October 16th, Christy was born to Julie and Stephen Maguire. Victor Toman and Leah Greenberg had baby Eliades on May 1st. Theresa Lobre welcomed Xavier Luke February 10th. Mady Slater and Ian Zakresewski were blessed with Noah on April 10th. The stork brought little Liam to Bill Haardt and Mary Switzer on September 5th. David and former employee Ailyn Jung were also blessed with a Noah, March 17th. On March 30th Terri Driscoll Law and Ryan Law welcomed baby Connor Ryan (on Doc’s birthday! She can’t wait till he gets his first birthday molars, right on time!)

The “Comes from Afar Box”

Often, when people move away, they still remain as patients in our practice and travel one or more times a year to receive their care from us. We so appreciate their efforts and their loyalty that we want to honor them here.
Bill Bender from Hayward
Carole and Gerald Leikam from north of Marin
Darwin Albers from Paradise, CA
Diane Mibach from Antarctica
Elisabeth O’Connell from London
Helmy Family from Morroco
Lenore Cohen from Sunnyvale
Linden Bader from Big Sky Montana
Lou Zumpano from South San Jose
Mary Johns from Piedmont
Mary Switzer and Bill Haardt from Mill Valley
Melanie Walas from Livermore
Molly Mundell Bass and John Bass from Marin
Pon Piamchon from Thailand
Paul Chamberlain from South Peninsula
Peter & Faaoso Vrana and family from Pittsburg, CA
Rex Golding from South Peninsula
Rob Waring from Palo Alto
Steve and Jo Moorehouse from north of Marin
Tanya Kauffman from Alameda
Theresa and Jeff Pabst from London

The “Comes from Farthest” Award
this year goes to Helena O’Connell from Ireland.

The ONLY automatic toothbrush we approve is the ROTODENT! It has the right size, shape, and type of bristle and motion! Available in dental offices only with a demonstration in proper, safe usage

Our Away-at-College Patients Make Time for Teeth

We enjoy, encourage, and appreciate all you college students who squeeze in a check up and cleaning while you are home on break! Summer, Spring and Winter breaks are when most of you drop in. We love to hear your stories and “catch up”! Call ahead to reserve your spot! This year we enjoyed:
Allie Yu – Rhode Island School of Design
Aly Sneider—Reed, Portland
Andrew Kolchak – Cal Poly, San Luis Obispo
Bambi Seltenrich ¬¬–Loyola, New Orleans
Brenda Wolfe – Tulane University, New Orleans
Gary C. Presley-Nelson—UOP Stockton
Jenna Yu – Rhode Island School of Design
Lauren Brown-Cornell—UC San Diego
Lillie Jeffries—Vassar in New York
Lorenzo Robleto—San Diego
Mari Novak—UC Santa Cruz
Michael C Novak—Santa Barbara
Sergio Robleto – Concordia University Irvine
Simon Snyder—Emory Law, Atlanta Georgia
And more! Let us know who we missed!

Wedding Bells Ring for our Family of Patients

Longtime patient (since toddler-hood) Regina Tuohy tied the knot with Tim Jenkins on May 30th, 2009. Another very long standing patient, William Bender, married sweetheart Lydia in November, 2009. Two patients “joined as one” when Emily Wood and Ryan Dahm enjoyed their lovely wedding on August 1st, 2009.
And we have exciting news…patient Kate McCauley became engaged to fiancé Warren Widener in June, 2009.
Congratulations to our dental patient couples!!

Meter Maid Mania

Those “Parking Police” are on high alert and the tickets are expensive! Please park on side streets when possible and allow time for the long walk! We will try to feed your meters when necessary, but we can’t insure that you won’t get a ticket! We cannot be responsible for ticket costs. We’ll do our best to hear your timer, and run out there, but if you can, use 28th or 27th Avenues.
Thank you so much! The Dental Management

From My Heart to Yours

Many of you patients are still struggling with loss of jobs or reduced pay or work hours, and many live in nervous apprehension for their economic futures. I know some of you are experiencing difficulties and I have tried in many ways to help, with “patching up” to hold for awhile, or deferring treatment by keeping patients “just comfortable.” I have refused “cost-of living” fee raises to the detriment of the “bottom line.” I have treatment planned to delay, defer or stretch out treatment for those in need. I quietly give away a great deal of service. I truly want my patients to have the best dental health, and to be cared for in the most comfortable atmosphere, that science can deliver at a fair cost. I truly believe that if I focus on my patients and concentrate on service, I will come out OK in the end.
I sincerely hope that all of you will “come out OK in the end” and prosper in this New Year. Not a day goes by that I am not thankful for all of you patients and your trust and confidence in me. I look forward to coming to work. I see my day’s roster and smile, anticipating every patient’s cherished visit. It is an honor and a privilege to take care of your oral health and to be your dentist…and your friend.
Dr. Presley-Nelson

 

STAFF PERSONALS

Dr. Presley-Nelson and husband Gary have survived yet another application process, this time with High School senior, son James. It is a family affair with college application materials all over the kitchen and family room. We won’t hear anything until April so that is a long time to keep fingers crossed. James did love the University of Chicago (for economics) on his interview visit but Mom is hoping for closer to home. James is first chair violist at San Francisco School of the Arts High School, involved in everything, and went a second year to State last spring with his Mock Trial team. He is looking forward to graduating in June. Gary Clarke is enjoying his sophomore year at University of the Pacific, recently named 5th most beautiful campus in the nation, just after Harvard and before Yale. He is still having fun as a business major/econ-pre-law minor. He plays cello in the University Orchestra and runs a few sports teams for his dorm’s intramurals. When his mother calls him he seems to always be at a game. Husband, Gary still works for Hewlett-Packard, and is happy to be employed. The big family vacation this past year was a road trip to Whistler Canada, listening to books on tape in the car.

If it’s true that times flies when you’re having fun, Dr. Wendy Fung and husband Steve had a great 2009! As always, she is thankful for a job where she looks forward to seeing all the people she works with, both patients and staff. She and Steve are having the time of their lives watching their daughter, Nora, grow. Her baby is now a little girl with her own opinions and a great sense of humor. She loves going to her language immersion daycare, and she’s even picked up enough to be able to sing “Happy Birthday” to herself in both Spanish and Mandarin! Despite the challenges of teaching Nora that she can’t have everything she wants, every day with her is a fun-filled, fabulous adventure! Dr Fung looks forward to seeing everyone in the coming year and wishes you all health and happiness in 2010!

Kathleen O’Connor-Hanley and her husband, Patrick, went to a family wedding in Ireland this year, taking the kids along to learn about their roots. Pat has enjoyed his new job with Alaska Airlines, and Kath is still head of the Hygiene and Periodontal Department at the dental office. Ryan, 14, is in the Drum Line at Riordan High School and Emily, 12, is in 7th grade. Emily cut her never shorn locks this year and donated about 2 feet of hair to wigs for cancer patients! She is learning to play the trumpet. After a year of many trials and tribulations, of the usual kind, the O’Connor-Hanleys wish everyone, themselves included, a good 2010!

Office Manager, Chisako Tanaka, keeps our appointment book, our accounts, and our insurance issues in good order. She keeps all of us busy and provides insight and leadership that is greatly valued. What would we do without her? The hours it takes for her to research every patient’s insurance and keep their accounts straight is immense and we thank her for it. She burns the “midnight oil” for us all and we are grateful. On her own time, she enjoys her nieces and her extended family, and reading.

Danielle Uttley, our Head Assistant, leads our sterilization, chairside assisting and maintenance team. She keeps the ball rolling and the instruments cooking, and the supplies on order, while delivering chairside aid in each procedure. Her twins, Andreas and Xianna, are 12 now and enjoying their new Middle School experience as 6th graders. Danielle also volunteers/works part time at their new school and is happy with the education and programs offered. They enjoyed time this past year with relatives in Arizona and Texas. They wish you a Happy New Year.

Our college interns keep our late shift young and perking. Usually pre-dental majors, they each may work only a few hours a week to allow Danielle, our main dental assistant, to leave in mid afternoon and pick up her twins from school. The college students are bright, easy to train, entertaining, and a delightful addition to our office. Their “Staff Personals” are as follows:

Daniel Gee is finishing up his last semester at San Francisco State, with only 2 classes left to take. He is keeping up with martial arts and enjoys teaching the younger students. He recently bought a surfboard and is looking forward to taking it out on his free time. He continues to be a great help assisting at the office. In just a couple of short years he has learned many facets of running a dental office and has been very valuable to have around, a shift or 2 a week.

In her third year at San Francisco State, Tessa McGregor is continuing to pursue her degree in Biology. At school, she still enjoys using the practice rooms to play the piano and attending Circle K International’s Community Service Club meetings when she can. At the office, she continues to support Chisako in the many hours and days needed to deal with insurance, type treatment plans, and figure out treatment estimates, enter everything in the computer and keep recall reminders flowing. She puts in about 15 hours a week. Outside of school and the office, Tessa has been learning to surf in Half Moon Bay; though she rarely catches a wave, she still enjoys being in the water every weekend.

Cipriano Gudoy is currently pursuing a degree in Biology with a concentration in Physiology during his fourth-year at SFSU. Anticipating another year at SF State, he plans to continue gaining knowledge, in the dental office and in school.
He has been a dental intern for over a year now and is just so eager to take on anything, that we value him greatly. In his free time, he has taken a liking to wandering the streets of San Francisco and enjoying what this great city has to offer.
Deanna Aguallo is a Junior at San Francisco State University, majoring in Physiology. New to the office she is learning chair side assisting and becoming more familiar with dentistry. She works the late shift a couple of times a week, when you pass by and see the lights on at 9:30 at night, she is in there, sterilizing instruments. She aspires to dental school or dental hygiene school someday, when the bachelor’s degree is done. Outside of school and work she enjoys spending time with her family and friends, watching sports, and staying active.

Jennifer To has graduated with a degree in Microbiology and is ready to join the workforce outside the dental office. She’s currently applying to dental school and will be taking a coronal polishing class this upcoming semester to further her dental assisting skills. Jennifer now acts as a general substitute to keep the dental office moving along and comes in on the weekends for maintenance tasks.

Denise Tong got accepted at several Dental Schools and she chose Tufts in Boston, where she is right now, producing our newsletter from her dorm. After a farewell party in August we proudly sent her on her way. I hope she took Doc’s old bur block that was sentimentally passed on to her (hand made by Doc’s husband Gary long ago). We nurture many aspiring young dentists/hygienists on our late-shift at the office, and we are thrilled to have Denise doing so well on her way to becoming a doctor. She has not worked in the office in several years, but always produces our newsletter for us. She was elected at Tufts, to be the American Student Dental Association Delegate, the same post Doc held in 1979-82 at University of the Pacific. Way to go Denise!

Office Information
Beverly Presley-Nelson D.D.S.
1749 Taraval Street
San Francisco, CA 94116
Contact Information
Office (415) 753-0790 Fax (415) 682-9158
Visit our website www.healthytoothteam.com