10/26/2025
A few months ago, I was invited to present on dental emergencies to physicians, PAs, and nurses at Toronto General Hospital's Emergency Department (ED), covering dental anatomy and numbering. As the date neared, I realized the requested topics were highly specialized, so I reached out to my friend, Dr. Robert Eng, an oral surgeon. He connected me with Dr. Karl Cuddy, who is affiliated with teaching oral surgery in a hospital setting. Dr. Cuddy graciously agreed to handle most of the presentation.
This opportunity brought me back to my General Practice Residency at Boston Medical Center, where I rotated through the ED. The ED often serves marginalized populations with limited access to basic medical care—a "dumping ground" for those in need. I recall the staff's frustration that standard algorithms for service consults didn't always yield the best emergency care for these patients.
This reflection highlighted my fortune in private practice, where I can make direct decisions about the best dental care delivery, despite the high costs of running a clinic.
My background in public health also gives me insight into the role of both community and institutional dental care. While I don't work in a public clinic, I give back by teaching prosthodontics to nearly 100 undergraduate dental students yearly. My hope is that some will practice in rural areas, comfortable offering basic prosthodontic services. Providing a good-looking and comfortable prosthesis is crucial for helping marginalized people reintegrate into society. I’m always happy to see former students offer these services.
A special thanks to Dr. Karl Cuddy for his presentation; the staff thoroughly enjoyed his expertise.
