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Hello. This is Cameron Cortejano with the Becker's

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Dental and DSO review podcast.

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I'm thrilled to be joined today by doctor

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Marci LaVine, clinical associate professor

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of oral and maxillofacial

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surgery at the NYU College of Dentistry.

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Doctor LaVine, thank you so much for being

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here today.

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Thank you so much for having me.

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Awesome.

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To start us off today, can you just

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introduce yourself and tell us a little bit

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about your background?

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Sure.

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So my name is Marcy LaVine, and as

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you said, I am a clinical associate professor

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at the New York University College of Dentistry.

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I received my dental and medical degrees from

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Harvard,

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and I completed my oral and maxillofacial

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surgery residency training

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at Harvard's Massachusetts General Hospital in Boston.

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This year marks my 17th year at the

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NYU College of Dentistry, and I was in

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private practice in New York City

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before I came to NYU.

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At NYU, I teach dental students and oral

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surgery residents, and I also treat my own

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patients.

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And over the past few years, my work

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has primarily focused on the use of innovative

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and modern technologies

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to improve educational experiences for our students.

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And as part of that work, I developed

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a custom virtual reality simulation

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to help teach and also test

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students'

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skills as they relate to local anesthesia.

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And I am proud to say that my

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simulation has now completely transformed

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how we teach this subject at NYU College

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of Dentistry.

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Great. Thanks so much for that. The first

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question we have today are, what are some

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of the biggest issues that you're following in

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the dental industry this year?

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Mhmm.

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So I think innovation

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is number 1.

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Dentistry right now is really at the forefront

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of the use of technology,

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and I'm really excited

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about the integration

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of modern technology, not only in education,

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but also in everyday

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clinical dental practice.

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Some of the tools that we use to

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teach our students at NYU College of Dentistry

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include simulation,

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web based programs, and also virtual reality.

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And I think it's just a matter of

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time before we even start to add augmented

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reality to this simulation as well.

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You know, many dentists in practice today are

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also using modern technology

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to treat their patients, such as use of

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digital dentistry,

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intraoral

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scanners,

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advanced

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x-ray technology,

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and even some robot assisted procedures,

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such as dental implant surgery,

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are now readily available to patients when they

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see their dentist.

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When I think about

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teaching students, I'm also excited about using different

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strategies

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to address different learning styles.

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NYU College of Dentistry

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is the largest dental school in the country,

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and having such a diverse student population

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really helped me as a teacher

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because I recognize that some of my students

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learn through visual cues,

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some of them prefer

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auditory means, and some of them use both.

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And by developing

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the virtual reality simulation,

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I really have a better understanding

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of how students want to

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learn information

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and also assimilate it into clinical practice

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so that they can be successful dentists when

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they graduate.

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Definitely. I I

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see technology

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really,

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improving and advancing kinda

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each and every day, month,

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and year in in dentistry.

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You talked about VR and AR a little

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bit. What do you kinda see for the

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future of those those kinda techs in in

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the dental space?

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I think that's a great question. I think

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dentistry

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has such a great opportunity

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for students and educators

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and practitioners

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to use modern technology

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that it's just a matter of time before

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it becomes common in every office across the

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country and in the world.

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I see virtual reality as helping not only

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students learn and perfect their ability to understand

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and perform procedures,

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but I see it also as a tool

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in everyday practice.

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I think virtual reality can help dentists

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perform their procedures more efficiently.

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I think virtual reality can also help patients

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with

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anxiety as they approach the dentist and coming

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for dental procedures

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because we know that it's not uncommon for

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most dental patients to be anxious at least

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a little bit. And I think it's also

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interesting for dentists who maybe are older or

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towards the end of their careers

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who wanna learn about new technologies or refresh

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their skills to use things like virtual reality

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and augmented reality.

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So I think VR and AR has a

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wonderful

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promise in the dental space, and I'm really

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excited to see what the future holds.

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Got it. Thanks. That makes a ton of

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sense.

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Something that I'm curious to get your thoughts

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about are on what what are you most

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excited about when it comes to the dental

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space right now, and what are some things

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that are potentially

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making you a little bit nervous about about

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dentistry?

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Mhmm.

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So I'm very excited,

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to expand the use of virtual reality as

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we've been talking about.

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Also, all if you add augmented reality for

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my students, they are my number one priority

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and to give them as much hands on

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experience in dental school

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as they can. I've already seen the direct

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impact

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that the use of simulation

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and VR has on students.

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As they become more confident and they become

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more comfortable,

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they ultimately provide better care for patients, and

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I think that is really the name of

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the game.

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On the other side, as a faculty member,

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I can see my colleagues feeling more comfortable

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as they supervise students and entrust them to

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take care of patients

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knowing

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that their students are as well prepared as

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they possibly can. And, also, I see the

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patients

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as being very excited. So I think it's

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a it's a win win, and I'm excited

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for the use of advanced technology in dental

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education.

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When I think about

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what I'm nervous about,

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yeah, I still have anxiety when I remember

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my own experiences

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as a dental student, and I was learning

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to inject a patient

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for the first time.

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And I remember

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those

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sessions of working on each other. It was

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very common for dental students

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to learn through peer to peer interaction.

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You would see someone, inject a patient

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or a student or a peer, and then

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you would have to do one. And it

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was very anxiety provoking for all of us.

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And I think if you ask

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dentists of a certain age, it's very common

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for people to relay similar experiences.

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So I see

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VR as a possible solution to allaying those

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fears

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because

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it doesn't

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it doesn't allow students to hurt themselves.

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It gives them unlimited environment

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an unlimited practice in a safe environment.

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But my one concern is that when we

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rely

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totally on technology,

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sometimes we forget about the human factor.

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So I'm a little nervous that

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technology should definitely be used as much as

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it can into its full potential,

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but to remember that it does not completely

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erase

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the necessary

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training that students in health care industry and

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also in dental education, of course, need to

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maintain to have the right relationship with patients.

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In other words, it's important for students to

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feel apprehensive

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when they work on patients because I think

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if they were completely comfortable,

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they would forget that it's not just a

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tooth or it's not just an implant or

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it's not just a denture.

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It's a human being.

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And I want my students to not be

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scared,

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but to have a healthy sense of the

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self environment

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so that they don't forget that we still

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are working on people every day.

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Got it. That makes sense. Where do you

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kinda

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draw the line or kinda find that balance

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between, you know, like you were saying, using

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the technology

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as much as possible, but also kinda keeping

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that human factor,

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in it when it comes to dental education

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and training kinda the next generation of dentists.

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Absolutely. You know, I'm happy that we're talking

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about it because people who are very excited

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for technology,

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as I am, often

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don't remember

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that it's important to keep the human connection

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alive. So what I try to do is

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when I'm building a curriculum for my students,

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which is also graded based on their abilities

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so 1st year students and 2nd year students

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have different experiences

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than 3rd year students and 4th year students

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do.

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We try to dial in the human connection

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in an appropriate way. So 1st year and

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second year students will spend time with the

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virtual reality.

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2nd year students have dedicated time 1 on

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1 in our virtual reality lab,

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but they also have to spend a certain

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amount of time

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watching patients and engaging with patients and getting

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comfortable

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working in the human field

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and the human environment. 3rd year students and

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4th year students have the opportunity to use

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the virtual reality

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technology at home. They can check out a

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headset and hand controllers and practice

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an unlimited number of times outside of the

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lab, but they have more hours that are

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dedicated towards human practice.

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So we try to dial it inappropriately. I

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think VR

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is so adaptable.

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It can be used in a multitude of

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ways. And I think in the beginning, it's

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very helpful for students

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to practice

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a certain number of times, and then when

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they're still comfortable, to go back and practice

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again.

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As students work through the curriculum and they're

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more comfortable and maybe a little bit more

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experienced

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with handling patients,

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I see the VR is playing a different

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role. It's more a refresher.

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They can practice

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maybe a few times and then go right

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back into the clinic. So I think it's

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important to maintain a healthy balance between

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the virtual world

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and the real world

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and also not to solely rely on technology

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to replace hands on experience. Because at the

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end of the day,

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it's really the patient behind the tooth or

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including the tooth that matters.

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And we talk about this a lot with

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students.

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You know, the first the first couple of

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times that students use the virtual reality, I

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think they become so immersed

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in the environment.

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They may forget

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why we're doing this, and it's important to

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explain

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that

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skills are critical for dental students and dentists

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to learn. But, again, applying them to a

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person

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requires a separate skill set as well.

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Got it. That makes a lot of sense.

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Thank you.

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And then our last question

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today is, in in your view,

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what will the most effective health care leaders

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need in order to be successful,

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in the next 2 to 3 years?

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Sure. I think

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the best leaders will need to be comfortable

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using

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advanced technology

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as we've been talking about in everyday practice.

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I think many of the technological

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tools that are available

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are,

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they're fascinating, and they do require

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time to learn. I think today's students are

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very comfortable using technology

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every day all day.

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And for me,

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as a older person compared to my students,

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it took a while.

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And there is a learning curve into how

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to use a headset

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and hand controllers

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and how to be comfortable

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working in a virtual environment.

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I think it's also important for practitioners to

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be aware of technology as many of our

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patients know what's available in for dental practice.

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Patients often hear about the latest advances or

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read about them online,

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and it's important to meet patients' expectations.

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Practitioners, I think, will need to be familiar

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what the technological tools are, how they can

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be used to decide if they're ready to

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incorporate them into their practices,

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and to have conversations with patients about maybe

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the advantages and disadvantages of using them.

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So I think health care leaders of the

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future need to be ready for what's coming.

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A lot of it is already in play

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currently. And I think as technology

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continues to develop,

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we'll need to continue to develop our skills

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with them.

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So I want just wanna thank you for

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joining us on the on the podcast today,

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doctor Levin, and and sharing your valuable expertise

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and and insights into the dental space.

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It's been a pleasure speaking with you, and

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I look forward to connecting with you again

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in the future.

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Same. Thanks so much. I really enjoyed our

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time together, and happy New Year.