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20137whoseinstitutionalnamescontinuetoevoketheproprietaryflavorofthedentalschoolsofthe1890sasdoincidentallythedentalschoolsnowbeingspunoffbythemajorosteopathicchains.Thisisnotgoodorbadbutitdoesreflectaspirationsdifferentfromthoseofthefoundersofmoderndentaleduca-tionwhoaudaciouslyaimedtoincorporatetheirfieldintowhatwouldsubsequentlyberecognizedastheCarnegieclassificationshighestcate-goryofresearchuniversity.Fordentistrytheresulthasbeenanenormousincreaseinthequalityanduniformityoftheeducationalproductac-companiedbythetransfor-mationofatradeintoaprofession.Inthe1950swhenthegraduatesofthesemajorinstitutionsstronglyendorsedthefluoridationofpublicwatersuppliesandtheuseoffluoridateddenti-fricebecominginthepub-licsmindthemostenthusiasticproponentsforputtingthemselvesoutofbusinessbyeliminatingthediseasetheywereeducatedtotreatthepublicsconfidenceindentistryasaprofessionincreasedimmenselyasdiddentistrysprestigeasalearnedendeavor.Alasnothingisforever.Fearingtheearlysignsofarever-siontoanolderandadiscreditedmodelofdentaleducationDr.PeterPolverinideanoftheSchoolofDentistryattheUniversityofMichigancalledameetingofabouthalfofthenationsdentalschooldeansinMay2010inAnnArborMichigan.Dr.Polverinis2concerncenteredontheemergenceofatieredsystemofdentaleducationresultingfromtheopeningoverthepastdecadeofanumberofdentalschoolswithoutaclearresearchmission.Hepointedoutthatresearch-intensiveuniversitiesdemandthatalloftheirschoolsandcollegesin-cludingdentalschoolsdemonstratecertainstandardsofexcel-lenceintermsofresearchanddiscovery.Indeedsuchschoolsarelookeduponasfullpartnerswithinthemissionoftheuni-versity.WhataretheoptionsfordentaleducationAsmoreschoolsemergethatdonotalignwiththemissionoftheresearchuni-versitydoesdentistryabandonitshard-wonstatuswithinthemainstreamofhighereducationnewerschoolsprosperingfinanciallywhileembracingthelookofacommunitycollegeandthefeelofaproprietaryenterpriseNottomentionthequestionposedbyDr.PolveriniWhoisgoingtoleadtheprofessionintothefutureifallwearedoingistrainingdentiststobetechni-callycompetent2Furthermoreadichotomyexistsnotonlybetweennewlyfoundeddentalschoolsandlong-establishedonesbutalsobetweenthedivergingeduca-tionalprogramsofschoolsthathavebeenaroundforyears.Manysuchschoolsexistwithinresearch-intensiveuniversitiesbutwithoutem-bracingtheresearchmissionoftheparentuniversity.Itwasthismisalignmentbe-tweenthemissionoftheuni-versityandtheactualifsilentmissionofthedentalschoolthatplayedabigpartintheepidemicofdentalschoolclosingsthatbeganinthe1980s.PolveriniscommentaryontheoutcomeoftheAnnArbormeetingstatesthekeyfactsfordentalschoolsbothnewandold2nowforthersttimeierlyceturytheimpor-tceofthebiomediclsciecesithedetlschoolcurriculumdreserchithebsicbiologyoforlstructuredthepthologyoforl-fcildiseseisbeigchllegedbythisewdirectioidetleduc-tiowhichisbsedothepremisethtshiftfromemphsisoreserchtotechigisrequiredtoprovidemorecreforuderservedpopultios.Ficillydriveresourceissueslsoplyroleiexpliigtheriseoftheo-reserch-orieteddetlschools.adetleductiomgemetmodelthtreducesopertigcostsbycotrctigoutthebsicsciecesto