The Roanoker - July/August 2017 - 56

DENTISTRY | LOOKING BACK

I DID NOT
WEAR
GLOVES.

But then when I started my dental career in 1983, nobody did.
When I recently told that to a group of young dentists, they looked at me with absolute horror. I understood completely, and it made me feel ancient.
I graduated from Medical College of Virginia Dental
School in 1981 and at that time we wore gloves only in the surgery clinic when performing extractions.
But then it's all sort of relative: When I was a young dentist, the old guys (and they
were all guys) talked about having mixed silver filling by hand. That meant handling
the mercury and alloy in their bare hands.
And they treated patients while standing up and with no assistants. Xrays were
developed by dipping them into a tank of chemicals and hanging them up to dry.
As part of my talk to the young group I asked them to imagine themselves at
the end of their careers and what they might be telling a young group. What they
think is modern now could seem so quaint in 30 years.
As with so many fields, technology has changed the way dentistry is performed
every day. Computers came in to my practice in the early '90s. At first we used
them for the business side. Appointment scheduling programs were soon added.
Now all patient records can be digital.
Today's offices have digital X-rays which are immediately available to read
on the computer. Impressions of the teeth to make models are done digitally.
You scan the teeth and then can order a model of the arch of teeth. You can
even bypass the models and directly make the crown for a tooth from the
scanned digital file with a milling machine. 3D printers are being developed
to make dentures.
Mini CAT scans are available in the office to see the whole oral system
for diagnosis. Implants are used to replace teeth or provide support for
dentures. Dental materials have improved especially for bonding restorations directly to teeth. Teeth can be fixed with resins that mimic
tooth color and provide strength for long-lasting results. Porcelain-like materials give crowns a natural
appearance. Less metal is being used in the mouth due
to these advances.
We now look at the total health of our patients. We
now know periodontal disease affects diabetes and heart
disease. In all, amazing changes and progress over the past
35 years.

Above: Dr. Sandra Andrew recently sold
her dental practice after 34 years.
Left: Sandra Andrew stands with her
parents at her 1981 graduation from
MCV Dental School.

56 | JULY/AUGUST 2017

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Table of Contents for the Digital Edition of The Roanoker - July/August 2017

The Roanoker July/August 2017 Table of Contents
Worth a Click
From the Editor
Lunch With . . .
Streets of Roanoke
The Gist
Events
Top Doctors 2017
Profiles in Medical Excellence (special section)
The Changing Face of Roanoke Dentistry
Amy Trail: A Journey of Education
Roanoke Valley Education: A March Forward
The Two-Wheeled Shepherd
Vinton: Great Little Town (special section)
The Stunning Mangus Home
The Strange Lure of Softball
Dining: Red Jasmine and Fork in the Alley
The Dish
NEW! Then & Now
The Roanoker - July/August 2017 - Intro
The Roanoker - July/August 2017 - Cover1
The Roanoker - July/August 2017 - Cover2
The Roanoker - July/August 2017 - 3
The Roanoker - July/August 2017 - The Roanoker July/August 2017 Table of Contents
The Roanoker - July/August 2017 - 5
The Roanoker - July/August 2017 - 6
The Roanoker - July/August 2017 - 7
The Roanoker - July/August 2017 - Worth a Click
The Roanoker - July/August 2017 - 9
The Roanoker - July/August 2017 - From the Editor
The Roanoker - July/August 2017 - Lunch With . . .
The Roanoker - July/August 2017 - Streets of Roanoke
The Roanoker - July/August 2017 - 13
The Roanoker - July/August 2017 - The Gist
The Roanoker - July/August 2017 - 15
The Roanoker - July/August 2017 - Events
The Roanoker - July/August 2017 - 17
The Roanoker - July/August 2017 - 18
The Roanoker - July/August 2017 - Top Doctors 2017
The Roanoker - July/August 2017 - 20
The Roanoker - July/August 2017 - 21
The Roanoker - July/August 2017 - 22
The Roanoker - July/August 2017 - 23
The Roanoker - July/August 2017 - 24
The Roanoker - July/August 2017 - 25
The Roanoker - July/August 2017 - 26
The Roanoker - July/August 2017 - 27
The Roanoker - July/August 2017 - 28
The Roanoker - July/August 2017 - 29
The Roanoker - July/August 2017 - 30
The Roanoker - July/August 2017 - 31
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The Roanoker - July/August 2017 - 33
The Roanoker - July/August 2017 - 34
The Roanoker - July/August 2017 - 35
The Roanoker - July/August 2017 - 36
The Roanoker - July/August 2017 - 37
The Roanoker - July/August 2017 - Profiles in Medical Excellence (special section)
The Roanoker - July/August 2017 - 39
The Roanoker - July/August 2017 - 40
The Roanoker - July/August 2017 - 41
The Roanoker - July/August 2017 - 42
The Roanoker - July/August 2017 - 43
The Roanoker - July/August 2017 - 44
The Roanoker - July/August 2017 - 45
The Roanoker - July/August 2017 - 46
The Roanoker - July/August 2017 - 47
The Roanoker - July/August 2017 - 48
The Roanoker - July/August 2017 - 49
The Roanoker - July/August 2017 - 50
The Roanoker - July/August 2017 - 51
The Roanoker - July/August 2017 - 52
The Roanoker - July/August 2017 - 53
The Roanoker - July/August 2017 - The Changing Face of Roanoke Dentistry
The Roanoker - July/August 2017 - 55
The Roanoker - July/August 2017 - 56
The Roanoker - July/August 2017 - 57
The Roanoker - July/August 2017 - 58
The Roanoker - July/August 2017 - 59
The Roanoker - July/August 2017 - Amy Trail: A Journey of Education
The Roanoker - July/August 2017 - 61
The Roanoker - July/August 2017 - 62
The Roanoker - July/August 2017 - 63
The Roanoker - July/August 2017 - 64
The Roanoker - July/August 2017 - 65
The Roanoker - July/August 2017 - 66
The Roanoker - July/August 2017 - 67
The Roanoker - July/August 2017 - 68
The Roanoker - July/August 2017 - Roanoke Valley Education: A March Forward
The Roanoker - July/August 2017 - 70
The Roanoker - July/August 2017 - 71
The Roanoker - July/August 2017 - 72
The Roanoker - July/August 2017 - 73
The Roanoker - July/August 2017 - 74
The Roanoker - July/August 2017 - The Two-Wheeled Shepherd
The Roanoker - July/August 2017 - 76
The Roanoker - July/August 2017 - 77
The Roanoker - July/August 2017 - 78
The Roanoker - July/August 2017 - 79
The Roanoker - July/August 2017 - 80
The Roanoker - July/August 2017 - 81
The Roanoker - July/August 2017 - 82
The Roanoker - July/August 2017 - Vinton: Great Little Town (special section)
The Roanoker - July/August 2017 - 84
The Roanoker - July/August 2017 - 85
The Roanoker - July/August 2017 - 86
The Roanoker - July/August 2017 - 87
The Roanoker - July/August 2017 - 88
The Roanoker - July/August 2017 - 89
The Roanoker - July/August 2017 - 90
The Roanoker - July/August 2017 - 91
The Roanoker - July/August 2017 - 92
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The Roanoker - July/August 2017 - 96
The Roanoker - July/August 2017 - 97
The Roanoker - July/August 2017 - 98
The Roanoker - July/August 2017 - 99
The Roanoker - July/August 2017 - 100
The Roanoker - July/August 2017 - 101
The Roanoker - July/August 2017 - 102
The Roanoker - July/August 2017 - 103
The Roanoker - July/August 2017 - 104
The Roanoker - July/August 2017 - 105
The Roanoker - July/August 2017 - 106
The Roanoker - July/August 2017 - 107
The Roanoker - July/August 2017 - 108
The Roanoker - July/August 2017 - 109
The Roanoker - July/August 2017 - 110
The Roanoker - July/August 2017 - 111
The Roanoker - July/August 2017 - 112
The Roanoker - July/August 2017 - 113
The Roanoker - July/August 2017 - 114
The Roanoker - July/August 2017 - The Stunning Mangus Home
The Roanoker - July/August 2017 - 116
The Roanoker - July/August 2017 - 117
The Roanoker - July/August 2017 - 118
The Roanoker - July/August 2017 - 119
The Roanoker - July/August 2017 - 120
The Roanoker - July/August 2017 - 121
The Roanoker - July/August 2017 - 122
The Roanoker - July/August 2017 - 123
The Roanoker - July/August 2017 - 124
The Roanoker - July/August 2017 - 125
The Roanoker - July/August 2017 - 126
The Roanoker - July/August 2017 - 127
The Roanoker - July/August 2017 - The Strange Lure of Softball
The Roanoker - July/August 2017 - 129
The Roanoker - July/August 2017 - 130
The Roanoker - July/August 2017 - 131
The Roanoker - July/August 2017 - 132
The Roanoker - July/August 2017 - 133
The Roanoker - July/August 2017 - 134
The Roanoker - July/August 2017 - Dining: Red Jasmine and Fork in the Alley
The Roanoker - July/August 2017 - 136
The Roanoker - July/August 2017 - 137
The Roanoker - July/August 2017 - 138
The Roanoker - July/August 2017 - 139
The Roanoker - July/August 2017 - 140
The Roanoker - July/August 2017 - 141
The Roanoker - July/August 2017 - 142
The Roanoker - July/August 2017 - 143
The Roanoker - July/August 2017 - 144
The Roanoker - July/August 2017 - The Dish
The Roanoker - July/August 2017 - NEW! Then & Now
The Roanoker - July/August 2017 - Cover3
The Roanoker - July/August 2017 - Cover4
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