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CharlesBertolamisessayTheDen-talEducationBubbleAreWeReadyforaLEED-StyleRatingraisesmyriadquestionsfarbeyondtheusefulnessofdevelopingasystemtoratedentalschoolsasheproposes.Inordertosup-portthenotionofaratingsystemhedescribesthecurrentandrecurringdilemmadentaleducationhasfacedandthatonceagainhasresurfaced.1Namelywhileitisgenerallyrecog-nizedthatthetypeofeducationstudentsreceiveshapestheprofessionthetensionbetweenthesettingofdentalschoolsinthenationshighereducationsystemandthedualemphasesonthetechnicaltrain-ingrequiredtopracticedentistryandonthebiomedicalsciencesnecessarytoedu-catealearnedpractitionerhasneverbeenfullyresolved.Overthepastfiveyearsthisissuehasresurfacedduetotheopeningof10newdentalschoolsmostofwhicharelocatedonosteopathicmedicalcampuses.Berto-lamisuggeststhattheseschoolsareinferiorandfearsthattheywillleadtoadeclineindentistrysprofessionalreputation.ThiscommentarywillfocusontwounderlyingrelatedissuesraisedinBerto-lamisessay1thevisionfordentaleducationand2theresearchmissionandtheinstitutionalsettingfordentalschools.Theinterrelationofthesetwoissuesandtheirimpactonthedentalprofessionwillbediscussed.theVisinrdenalSchlsrmgiesonwarThevisionfordentaleducationduringthefirstandseconddecadesofthe20thcenturywasnotclear.WilliamGiesaprofessorofbiochemistryatColumbiaUniversitywaschosenbytheCarnegieFoundationtoassisttheprofessioninstandardizingtheeducationnecessarytobecomeadentist.TheFoundationwaswellawarethatwhenGiesbeganhisfive-yearstudyofdentalschoolsin1921itwasnotthenclearwhetherdentistryoughttobecomeaspecialtyofthecon-ventionalmedicalpracticeorwhetheritshouldremainafieldofpracticeforaseparatebodyofpractitioners.ThegeneralopinionatthetimecouldbesummarizedasfollowsBecauseofthemechanicalrequirementsmadeuponthepractitionerdentistrywasamechanicalartofrestorationandnotabranchofmedicine.HoweverDentalEducationintheUnitedStatesandCanadaAReporttotheCarnegieFoun-dationfortheAdvancementofTeachingwhichisbetterknownastheGiesRe-portpublishedin1926concludedthatthepracticeofdentistryshouldbeahealthserviceofequalrecognitionwithotherspecialtiesofmedicinealthoughitshouldremainaseparateprofessionfrommedicine.ThetypeofcurriculumrequiredforthestudyofdentistrywasdescribedinthereportasfollowsThecoursesshouldbeequalinqualitytothoseinthecorrespondingsubjectsintheundergraduatecurriculuminmedicine.2TheGiesReportislargelycred-itedwithestablishingthefoundationaagtAainsAllanJ.frmiclaDDSmSDetscolbuvstycollgofDtlmdDtlShoolrkgSyst14WinTer