1. health and fitness
2. dental care

Welcome
John D.B. Featherstone, MSc, PhD
Professor and Dean
UCSF School of Dentistry
Benjamin Chaffee, DDS, MPH, PhD
Director for Global Oral Health
UCSF School of Dentistry
Welcome to the Fifth Annual UCSF School of Dentistry Global Oral Health Symposium!
Thank you for joining us as we present this year’s Symposium. We hope that the events of today will not only provide
the opportunity to explore a timely and relevant theme in worldwide oral health, but also will serve the education
mission of our Program in Global Oral Health and provide an open forum for discussion, networking, and exchange of
ideas among current and future leaders.
The theme of this year’s event is “Sugar, Nutrition, and Oral Health.” The concept that the foods that we eat have a
direct consequence on our health dates back to the beginning of human civilization. Yet, due in part to a rapidly
evolving and deeply interconnected global food system, for global health scientists, health professionals, and the
public alike, nutrition and diet is as relevant a topic for health today as at any time in history. We believe that our
Symposium brings together a variety of perspectives from an outstanding group of speakers and scientists from the
global health and dentistry communities, both internationally and within UCSF.
We hope that you enjoy today’s program. Please take every opportunity to meet with other participants, to speak with
the presenters, and to share your own experiences, data, and opinions on the topics of today’s discussion. Thank you
once again for joining us at our annual event.
UCSF School of Dentistry Global Oral Health Symposium 2015 Program
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AGENDA
UCSF School of Dentistry Global Oral Health Symposium
May 4, 2015
1:00 – 1.15
Welcome and Opening Remarks
3.45 – 4.35
Benjamin Chaffee, DDS, MPH, PhD
Director for Global Oral Health
Division of Oral Epidemiology &
Dental Public Health
Center to Address Disparities in
Children's Oral Health
Paula Moynihan, BSc, PhD,
RPHNutr, SRD
Professor of Nutrition and Oral Health,
Newcastle University
Sugars: effect on dental caries and
global policy on intake
4:35 – 5.05
Panel Discussion
Moderator, John Greenspan, BSc,
BDS, PhD, FRCPath, ScD[hc],
FDSRCS[Eng]
Haile Debas, MD
Founding Executive Director, Global
Health Sciences
Director, University of California
Global Health Institute
5.05 – 5.15
Discussant/Reflections
George Taylor, DMD, MPH, DrPH
Professor and Chair, Department of
Preventive and Restorative Dental
Sciences
1.20 – 2.10
Riva Touger-Decker, RD, PhD
Professor and Chair of Nutritional
Sciences, Rutgers University
Nutrition, diet, and oral diseases: It
isn't a one-way street
5.15 – 5.20
Final Remarks
Awards for Faculty and
Student/Resident Achievement in
Global Oral Health
2.10 – 2.25
Carol Summerhays, DDS
President, American Dental
Association
John D.B. Featherstone, MSc, PhD
Professor and Dean
2:25 – 3.15
Cristin Kearns, DDS, MBA
Postdoctoral Fellow
Oral and Craniofacial Sciences
UCSF School of Dentistry
Philip R. Lee Institute for Health Policy
Studies
UCSF School of Medicine
Sugar Industry Manipulation of
Research: Implications for Oral
Health
3.15 – 3.30
Break
3.30 – 3.45
Walter Weber, DDS
President, California Dental
Association
Benjamin Chaffee, DDS, MPH, PhD
Director for Global Oral Health
5.20 – 6.00
Reception
Outside N-225
Oscar Reyna-Blanco helps students in Siltepec, Chiapas,
Mexico fill out surveys for a study
UCSF School of Dentistry Global Oral Health Symposium 2015 Program
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Speakers
Riva Touger-Decker, RD, PhD
research policy using internal industry documents. Cristin has published her first
peer-reviewed paper on this research: “Kearns CE, Glantz SA, Schmidt LA (2015)
Sugar Industry Influence on the Scientific Agenda of the National Institute of
Dental Research’s 1971 National Caries Program: A Historical Analysis of Internal
Documents. PLoS Med 12: e1001798.” She is currently conducting a qualitative
analysis of internal sugar industry documents related to heart disease research
and policy..
Abstract: Millions of internal industry documents released through litigation and
whistleblowers revealed that the tobacco industry has carried out a decades-long
conspiracy to deceive the public about the health risks of smoking. Recent
discoveries of internal cane and beet sugar industry documents from the 1960s
and 1970s suggest that, to influence public opinion on the health effects of added
sugars, the sugar industry has used tactics similar to the tobacco industry. This
presentation will describe the activities of the Sugar Research Foundation, a cane
and beet sugar trade organization with ties to today’s World Sugar Research
Organisation, Ltd. in London and the Sugar Association, Inc. in Washington, D.C.
The sugar industry’s dental caries research program of the 1960s and its policy
impact will be discussed. Implications for oral health policy will be considered.
Dr. Touger-Decker is Professor and Chair of the Department of Nutritional
Sciences – School of Health Related Professions and Director of the Division of
Nutrition in the Department of Diagnostic Sciences –School of Dental Medicine at
Rutgers University Biomedical and Health Sciences (formerly University of
Medicine & Dentistry of New Jersey). She is a registered dietitian and is
internationally recognized for her expertise and leadership in nutrition and oral
health/dental education, nutrition focused physical exam of the oral cavity and
advanced practice dietetics education. Her research has explored diet and
orofacial pain, nutrition and tooth loss, nutrition status and head and neck
cancers, worksite wellness, and nutrition focused physical exam practices of
dietitians. She has authored multiple peer reviewed publications on nutrition and
oral health and is the co-author of the Oral Health and Nutrition position of the
Academy of Nutrition and Dietetics. She is on the editorial board of Topics in
Clinical Nutrition and the Journal of the American Dental Association where she
represents the Nutrition Research Group of t the International Association of
Dental Research. Dr. Touger-Decker is the lead editor of the 1st and 2nd eds of
Nutrition and Oral Medicine. She has been awarded both the American Dietetic
Association Medallion Award and Excellence in Dietetic Education Award; the
American Society for Clinical Nutrition Dannon Institute Award for Excellence in
Medical/Dental Nutrition Education and the UMDNJ SHRP Excellence in
Research Award She is also an elected Fellow, New York Academy of Medicine.
Dr. Touger-Decker holds degrees from New York State University College at
Buffalo and New York University.
Abstract: This presentation will address the multifaceted associations between
diet/nutrition and oral health. Proposed relationships among nutritional status and
oral and systemic health and disease will be explored focusing on diabetes,
oropharyngeal cancers, orofacial pain and tooth loss. Approaches to
interprofessional collaboration in screening and care of patients between oral
health and nutrition professionals will be discussed.
Cristin Kearns, DDS, MBA
Dr. Kearns is a second year postdoctoral fellow at the University of California,
San Francisco with a joint appointment in the department of Oral and Craniofacial
Sciences in the School of Dentistry and the Philip R. Lee Institute for Health
Policy Studies in the School of Medicine. She received her DDS from the
University of North Carolina and completed a General Practice Residency at the
University of Colorado. As a general dentist, Dr. Kearns focused on delivering
care to the underserved as Dental Director at Inner City Health Center in Denver.
After completing an MBA in Health Administration, also at the University of
Colorado, she managed dental operations for the Kaiser Permanente Dental Care
Program of the Northwest. In 2009, she left Kaiser to pursue independent
research into the sugar industry's public-relations claims and published her first
paper on the subject in 2012: “Taubes G, Couzens, CK (2012) Big sugar’s sweet
little lies: how the industry kept scientists from asking, does sugar kill? Mother
Jones.” Dr. Kearns is currently working with Stanton Glantz, Ph.D. in the Center
for Tobacco Control Research and Education. Her first project as a postdoctoral
fellow was a qualitative analysis of sugar industry influence on dental caries
Paula Moynihan, BSc, PhD, RPHNutr, SRD
Paula Moynihan is Professor of Nutrition and Oral Health and Director of the
Centre for Oral Health Research at Newcastle University UK. She also is Director
of the WHO Collaborating Centre for Nutrition and Oral Health at Newcastle
University. Her research interests include the interrelationship between nutrition
and oral health throughout the life course, and dietary intervention in older adults.
Being Expert advisor, on sugars and dental health, to the WHO Nutrition
Guideline Advisory Group, she led the recent WHO commissioned systematic
review of evidence relating to amount of sugars and dental caries that has
informed WHO guidelines on dietary sugars. She was also a member of the 2002
WHO Expert Consultation on Diet, Nutrition and the Prevention of Chronic
Diseases.
Professor Moynihan is Vice President of the Geriatric Oral Research Group and a
Past President of the Nutrition Research Group of IADR. She is also a member of
the management committee of the British Society of Oral and Dental Research.
In 2004 she was awarded the UK Nutrition Society’s Silver Medal for ‘Excellence
in Research by a Young Scientist’. In 2010 she was awarded an IADR
Distinguished Scientist Award for ‘Geriatric Oral Research’. Professor Moynihan
has over 100 publications in peer reviewed journals, several book chapters and is
on the editorial board for several scientific journals. She has presented her
research at national and international conferences across the globe. Her current
research is funded by the UK Research Councils, the European Union and a
number of charitable sources.
Abstract: Intake of dietary sugars remains high in industrialized countries and is
increasing in developing countries undergoing economic transition. There is
concern that sugars intake is contributing to the global burden of noncommunicable diseases, including dental caries. In 2010 the WHO launched a
Guideline Development Process defining a protocol for the process of revising
and issuing dietary recommendations for populations. To update the
recommendations for dietary sugars, through this process, WHO commissioned a
systematic literature review of the evidence pertaining to the amount of dietary
sugars and risk of dental caries. The objectives were to systematically review all
available published data relating to the amount of sugars consumption and levels
of dental caries and to report the findings for adults and for children. The Grading
of Recommendations Assessment Development and Evaluation (GRADE) system
was used to assess the quality of the body of evidence and guided the
development of revised WHO guidelines for sugars. This presentation will outline
the review process and outcome of this evaluation. The classification of dietary
sugars, current levels of intake and dietary sources of sugars will be discussed.
Evidence for a role of other dietary carbohydrates in the development of dental
caries will be considered. At the end of this session the participant will be able to:
• describe the guideline development process adopted by the WHO to revise
sugars guidelines;
• be able to outline the body of evidence pertaining to amount of dietary sugars
and the development of dental caries in children and adults;
• describe recommendations for intake of free sugars and provide examples of
amounts of foods providing this level of sugars intake.
UCSF School of Dentistry Global Oral Health Symposium 2015 Program
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Acknowledgements
Global Oral Health Symposium
Support Staff
Global Oral Health
Steering Committee
Kjeld Aamodt, DDS
Baharak Amanzadeh, DDS, MPH
Benjamin Chaffee, DDS, MPH, PhD
Lisa Chung, DDS, MPH
Pamela Cubas, DDS
Gwen Essex, RDH, MS, EdD
John D.B. Featherstone, MSc, PhD
Lauren Frisch
Stuart Gansky, MS, DrPH
Jolie Goodman
Deborah Greenspan, DSc, BDS
John S. Greenspan, BSc, BDS, PhD, FRCPath
Cristin Kearns, DDS, MBA
Brent Lin, DMD
Sneha Oberoi, BDS
Maria Orellana, DDS, PhD
Dorothy Perry, RDH, PhD
Oscar Reyna-Blanco
Sophia Saeed, DMD
Peter Sargent, PhD
Caroline Shiboski, DDS, MPH, PhD
George Taylor, DMD, DrPH
Ling Zhan, DDS, PhD
Terri Sonoda, Coordinator
Roger Mraz, Coordinator
David Hand, Communications
Additional Thanks To
Philip R. Lee Institute for Health Policy Studies
Edwin Peralta
Jessica St. Martin
Caleb Tam
Wilson Tam
Ivana Yi
UCSF School of Dentistry Global Oral Health Symposium 2015 Program
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UCSF Global Oral Health 2015 Award Recipients
Maria Orellana, DDS, PhD
UCSF Faculty Award
for Achievement in
Global Oral Health
Kjeld Aamodt, DDS
UCSF Resident Award
for Achievement in
Global Oral Health
Mona Nejad
UCSF Student Award
for Achievement in
Global Oral Health
UCSF School of Dentistry Global Oral Health Symposium 2015 Program
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July 2014 - Mona Nejad after conducting a dental screening to study the effectiveness of a Promotora
program in rural El Salvador
June 2014—Global Health Fellows: Kjeld Aamodt, Jonathan Nobles, and Shoghi Fareid are greeted by
faculty and residents at the Escuela Profesional De Odontologia, Uladech Catolica, Chimbote, Peru.