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Advanced Education in General Dentistry (AEGD)
The Advanced Education in General Dentistry (AEGD) Program is a fully accredited one-year post-doctoral program in clinical dentistry with a didactic component in general dentistry. The primary focus of this program is to improve the clinical skills taught in an undergraduate dental school program. The clinical and didactic training and experiences are at a level of skill and complexity beyond that accomplished in a pre-doctoral program. The program currently accepts two residents per year. Each resident is assigned a modern, well-equipped dental operatory and a full-time chair-side dental assistant. The facilities and staff support all clinical, educational, and research activities of the program.
Clinical and didactic instruction covers the range of dental disciplines, emphasizing practice management and care for the medically compromised and dentally complex patients. Approximately 85% of time will be spent providing direct patient care and 15% will be directed toward non-clinical and didactic activities. 95% of our patients are out-patients.
In addition, the individual resident can identify a major areas of interest, such as specific clinical disciplines, teaching or research. Upon satisfactory completion of the program, residents receive a certificate in Advanced Education in General Dentistry.
- Appointment: One full year, starting the first Monday in July
- Hours of Duty: 8:00AM to 4:30PM, Monday - Friday
- Weekend Call: None
- Annual Leave: 15 days (vacation)
- Sick Leave: Up to 13 days
- Stipend: Approximately $45,000
Dental Clinic: The clinic consists of ten fully-equipped dental operatories and one oral surgery suite equipped for IV sedation cases (IV sedation is administered and managed by Anesthesia Service). The clinic is equipped with a full compliment of modern dental materials as well as a computerized patient record system, digital panoramic and intra-oral radiography, rotary endodontic equipment, and dental implant surgical and prosthetic equipment.
Hospital scrubs and long sleeve clinic attire are provided daily. The dental laboratory, patient reception area, staff conference room, bathrooms and locker rooms are located within the clinic.
Teaching: In addition to the dental residents' operatories, this clinic maintains two operatories for dental externs rotating from Tufts, Boston University, University of North Carolina, and Arizona School of Dental and Oral Health. These fourth-year dental students complete their externships over a period of 4 to 10 weeks.
Dental Operatory: Single chair operatory with digital intra-oral radiography (intra-oral sensors and phosphor plates), intra-oral camera, and individual computer station and monitor for doctor and assistant.
Dental Lab: In-house dental lab with a full-time CDT who provides a full range of dental laboratory support, except for RPD frameworks and porcelain (both are sent to outside labs).
Auxiliary Staff: Two full-time dental hygienists, eight full time dental assistants and one full-time receptionist.
VA Facilities: Togus VA Medical Center is a 67-operating bed facility with general medical, surgical, intermediate and mental health beds, as well as a 100 bed Nursing Home. Opening in October 1866, Togus VAMC is the oldest veterans' facility in the country and has served this nation's veterans for 143 years. Togus is located approximately four miles east of Augusta, the state capital. The Togus campus encompasses 500+ acres of buildings and natural woodlands. A National Cemetery comprised of 5,373 burial sites is also located on campus. The first veteran was buried in the West Cemetery in 1867. The campus also has an indoor gymnasium (with a basketball court, workout equipment and a heated pool), cafeteria, post office, canteen store, ATM machine, chapel and outdoor tennis court, softball field and walking trails.
Full-Time Staff:
Dr. Paul Zimmerman, Chief of Dental Services
D.D.S: Ohio State University College of Dentistry, 1976
U.S. Army Dental Corps, Mannheim, Germany
General Dentistry, Private Practice 20+ years
General Dentistry, Togus VAMC since 2002
Dr. David Zamarripa, Program Director
D.D.S: University of Texas H.S.C., San Antonio, 1986
GPR: VAMC Manchester, NH, 1987
General Dentistry, Togus VAMC since 1988
Dr. Mark Miedema, Staff Dentist
D.D.S: University of Iowa School of Dentistry, 1978
General Dentistry Fellowship, Naval Dental Clinic, San Diego
U.S. Navy Dental Corps, 20 years
General Dentistry, Togus VAMC since 1998
Dr. Michelle Hamilton, Staff Dentist
Ph.D.: University of Texas H.S.C., San Antonio, 2001
D.M.D.: Tufts University School of Dental Medicine, 2005
AEGD: VAMC Togus, Maine, 2007
General Dentistry, Togus VAMC since 2007
Consulting Staff
Dr. Bruce Gallup, Oral Maxillofacial Surgery
DMD: Boston University School of Dental Medicine, 1987
OMFS: University of Connecticut Health Center, 1991
Private Practice: Auburn, Maine
Dr. Terry Wang, Oral Maxillofacial Surgery
DMD: University of Louisville School of Dentistry, 1995
OMFS, MD: Medical College of Pennsylvania/Hahnemann School Of Medicine, 2001
Private Practice: Auburn, Maine
Dr. Andrew Allen, Periodontics
DMD: Univ. of Pennsylvania School of Dental Medicine, 1967
Periodontics: Walter Reed Army Medical Center, 1973
Private Practice: Brunswick, Maine
Dr. Phillip Higgins, Practice Management
DMD: Tufts University School of Dental Medicine, 1979
GPR: Maine Medical Center, 1980
Private Practice: Camden, Maine
Orientation to the program begins the first week. The resident is introduced to dental clinic policies and protocols, clinical privileges, computerized patient record system (CPRS) and other operational details of a hospital based dental practice. A Resident's Manual is provided to serve as a reference source for clinic and hospital policies and procedures and for information on dental material and equipment.
The intent of the clinical program is to strengthen clinical skills in the following areas:
- Patient assessment and diagnosis
- Emergency dental treatment
- Treatment planning and comprehensive dental care
- Promoting oral and systemic disease prevention
- Pain and anxiety control
- Restoration of teeth
- Dental implants: surgical placement and restoration
- Replacement of teeth using fixed and removable prosthetics
- Periodontal therapy
- Endodontic therapy including rotary endodontics
- Hard and soft tissue oral surgery
- Medical risk assessment
- Consultation and referral to other health providers
The intent of the didactic program is to complement clinical experience with the following:
- Seminar series on various disciplines of general dentistry (Seven seminars (September-April): six credit hours each)
- Monthly treatment planning/case presentation sessions
- Monthly literature review sessions
- Hospital in-service education sessions
- Two day ACLS provider course
- BLS re-certification
- One-week Dental Implant Course in Boston
- Oral Surgery: Direct supervision by an Oral Surgeon two full days per month.
- Periodontics: Direct supervision by a Periodontist one half-day per month.
- Endodontics: Direct supervision by an endodontist one half-day per month.
- Practice Management: Review practice management topics with our private practice consultant on half day, every other month.
- Implant Dentistry: Implant clinic (surgical and prosthetic) one half day per week.
- Anesthesia Service Morning Rotation: Two weeks (will follow ACLS certification).
- Community Service Project
- Provide the resident with multidisciplinary comprehensive training in general dentistry, including emergency treatment, preventive dentistry and dental treatment modalities that encompass most dental disciplines. Improve resident's competency and confidence while caring for a wide variety of patients, including those with special needs.
- Manage delivery of patient care by applying concepts of patient and practice management and quality improvement. Function effectively in this environment within interdisciplinary health care teams. Utilize professional ethics, patient-centered care, adaptability and acceptance of cultural diversity in professional practice.
- Apply scientific principles to resident education using critical thinking, evidence-based decision-making and technology-based information retrieval systems.
- Understand veterans' oral health needs and engage in community service.
The following represents an approximation of the chair-side procedures an average resident accomplishes in one year.
PROCEDURE Number
- Comprehensive oral evaluations 50 - 75
- Endodontic canals filled 40 - 50
- Complete denture units 15 - 30
- Removable partial denture units 15 - 30
- Surgical placement of dental implants 15 - 25
- Simple/Surgical Extractions 200 - 250
- Biopsies 10 - 15
- Anterior Composites 75 - 100
- Posterior Composites 100 - 125
- Alloy restorations 25 - 75
- Fixed units (PFM, FGC, Ceramic) 50 - 100
- Periodontal surgical procedures 10 - 15
Residents must meet the following requirements:
- Be a citizen of the United States
- Be a graduate of a dental school accredited by the American Dental Association.
- Meet licensure requirements necessary to be licensed to practice dentistry in any state of the U.S. or District of Columbia.
All qualified candidates will receive equal consideration.
To apply to this program:
- Complete an application at the Postdoctoral Application Support Service (PASS)
Web Site: American Dental Education Association
Telephone: (800) 353-2237
- Register with the National Matching Service
Web Site: Postdoctural Dental Matching Program
Telephone: (416) 977-3431
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David Zamarripa, D.D.S.
Program Director
Togus VA Medical Center
Dental Service (160)
1 VA Center
Augusta, ME 04330
Tel: (207) 623-8411 ext. 5304
Fax: (207) 626-4741
E-mail: david.zamarripa@med.va.gov
Applications should be completed no later than October 15th.
When all application materials have been received, interviews and tours of the clinic and facility will be arranged by invitation from the Program Director,. These interviews are normally scheduled from November through early December.
Official Website of the State of Maine
City of Augusta, Maine
City of Portland, Maine
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