VA Maine Healthcare System
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 major areas of interest, such as specific clinical disciplines or research. Upon satisfactory completion of the program, residents receive a certificate in Advanced Education in General Dentistry.
Duty, Leave, Stipend
|Appointment||One full year, starting approximately the first week in July|
|Clinic Hours||8:00 am to 4:30 pm, Monday - Friday|
After-Hours Call Duty
|Residents alternate, each covering every other week Monday-Friday|
|Annual Leave||10 days (vacation)
Accumulates by approximately one day per month
|Sick Leave||Up to 7 days
Accumulates by approximately one day every other month
|Administrative Leave*||Up to 5 days|
*5 days of official leave may be approved to attend professional meetings and continuing education courses and to take State Board Examinations. Any tuition or travel costs will be the responsibility of the resident.
Dental Clinic: The clinic consists of ten fully-equipped dental operatories and one oral surgery suite. The clinic is equipped with a full complement 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. In addition, located within the clinic, is an i-CAT cone beam CT scan for use with complex cases that require high definition 3D diagnostic images.
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.
Dental Operatory: Single chair operatory with digital intra-oral radiography, 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/ceramic crowns (both are sent to outside labs).
Auxiliary Staff: Three 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. Togus is located approximately four miles east of Augusta, the state capital. The Togus campus encompasses 500+ acres of buildings and natural woodlands. The first veteran was admitted to Togus on November 10, 1866. The campus also has an indoor gymnasium (with a workout equipment and a heated pool), cafeteria, post office, canteen store, ATM machine, chapel and outdoor tennis court, basketball court, softball field and walking trails.
Dr. Nicholas Sirois, Program Director
DMD: Tufts Univ. School of Dental Medicine, 2011
AEGD: VA Maine Healthcare Center, 2012
General Dentistry practice since 2012
Dr. John Coke, Assistant Chief of Dental Service
D.D.S: Emory University, Atlanta, GA 1983
GPR: University of Medicine and Dentistry of New Jersey, Newark, NJ 1984
U.S. Air Force Dental Corps, 25 years
General Dentistry, VA Bangor CBOC since 2013
Dr. Heather Masters
DDS: University of Maryland School of Dentistry, 2013
AEGD: VA Maine Healthcare Center, 2014
General Dentistry, VA Bangor since 2014
Dr. Myra S. Gay
DDS: University of Texas Health Science Center at San Antonio 1997
AEGD: Ft. Campbell, KY 1998
General Dentistry: Togus VAMC 2017
Dr. Alex Gale D.M.D: University of Connecticut School of Dental Medicine, 2017
AEGD: Togus VAMC, ME, 2018
General Dentistry, Togus VAMC since 2018
Dr. Raymond Tang DMD
DMD: Univ. of Pennsylvania, Philadelphia, 2005
Pros Residency: Boston University Goldman School of Dental Medicine 2008
Chief of Dental Services, Togus VAMC since 2018
Dr. Jennifer Miedema
DMD: University of New England CDM, 2017
AEGD: VAMC Togus, ME, 2017-2018
General Dentistry, Togus VAMC since 2018
Dr. David Zamarripa
D.D.S: University of Texas H.S.C., San Antonio, 1986
GPR: VAMC Manchester, NH, 1987
General Dentistry, Togus VAMC since 1988
Dr. Donald Bandy, DDS
D.D.S: University of Texas H.S.C., San Antonio, 1978
GPR: General Leonard Wood Army Hospital, Ft. Leonardwood, MO, 1979
OMFS: Walter Reed Army Medical Center, 1992
Diplomate, American Board of Oral and Maxillofacial Surgeons, 1994
Dr. Michael T. Cwiklinski
DMD: U. of Pennsylvania,
Periodontics: Tufts University
Private Practice, Portland, ME
Dr. Stephen Morse
DMD: Tufts University,
Periodontics: Boston University
Private Practice, Portland, ME
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 materials and equipment.
Goals and Objectives
The intent of the clinical program is to enable the resident to meet the following goals and objectives:
- Providing emergency and multidisciplinary comprehensive oral health care.
- Evaluating, diagnosing, and treating dental emergencies and infections.
- Integrating multiple disciplines into individualized, comprehensive, sequenced treatment plans for patients with uncomplicated and complex needs.
- Obtaining Informed Consent
- Obtaining informed consent for dental treatment by discussing with the patient or guardians of patients, the following: diagnosis, treatment options, and benefits and risks of treatment.
- Functioning effectively within interdisciplinary health care teams, including consultations and referrals.
- Consulting with and obtaining clinical and diagnostic input from other health care providers.
- Making referral to other health care providers when appropriate
- Providing patient focused care that is coordinated by the general practitioner.
- Functioning as the patient’s primary and comprehensive oral health care provider.
- Formulating treatment plans that are compatible with that patient’s ability to understand and care for.
- Directing health promotion and disease prevention.
- Using universal precautions and occupational hazard prevention procedures in the practice of dentistry.
- Promoting accepted prevention strategies to improve the patient’s oral health & overall health.
- Assessing, diagnosing, and planning for multidisciplinary oral health care for a wide variety of patients, including special needs patients.
- Obtaining and interpreting the patient’s chief complaint and medical, dental and social history.
- Obtaining and interpreting diagnostic data to arrive at a differential, provisional or definitive diagnosis for patients with complex medical problems and significant physical limitations.
- Managing the delivery of patient focused oral health care.
- Building rapport and confidence with patients and putting the patient’s best interest first.
- Providing patient care by working effectively and efficiently with a chairside dental assistant, using four-handed dental techniques.
- Practicing effective time-management during dental procedures.
- Operative Dentistry
- Performing operative dentistry using a wide range of dental materials.
- Fixed and Removable Prosthodontics.
- Replacing missing teeth effectively using removable partial dentures and full dentures.
- Replacing missing teeth effectively using uncomplicated and complicated fixed prosthetics.
- Periodontal Therapy.
- Diagnosing and treating early periodontal disease and moderate localized periodontal disease using surgical and non-surgical techniques.
- Endodontic Therapy
- Performing uncomplicated non-surgical anterior endodontics.
- Performing uncomplicated non-surgical posterior endodontic.
- Oral Surgery
- Performing surgical and non-surgical extraction of teeth.
- Performing uncomplicated pre-prosthetic oral surgery.
- Performing oral soft tissue biopsies.
- Surgical placement of uncomplicated dental implants.
- Pain and anxiety control utilizing behavioral and pharmacological techniques
- Using behavioral management techniques to aid in controlling pain and anxiety.
- Using pharmacological agents to help control pain and anxiety.
- Managing medical emergencies.
- Anticipating, preventing, diagnosing and providing initial treatment for medical emergencies that may occur during dental treatment.
- Managing dental implant treatment planning, placement and prosthetic restoration.
- Managing oral mucosal diseases via initial exam, biopsy, initial therapy and referral as needed.
- Managing TMD and orofacial pain by performing a TMD evaluation and initial therapy.
- Weekly webinar series on various disciplines of general dentistry
- Bi-monthly lectures on Periodontics topics by periodontist consultant
- Monthly treatment planning/case presentation sessions
- Monthly literature review sessions
- Two day ACLS provider course
- BLS re-certification
- Oral Surgery: Direct supervision by an Oral Surgeon two full days per month.
- Periodontics: Direct supervision by a Periodontist one half-day per month.
- Practice Management: Review practice management topics, one hour every other month.
- Implant Dentistry: Implant clinic (surgical) two half days per month
- Anesthesia Department Rotation: one week
- Community Service Project
- ENT: One clinic day, one Surgical day
- Prosthodontics: One half day per week
- 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.
|Comprehensive oral evaluations||50 - 75|
|Endodontic canals filled||20 - 30|
|Complete denture units||15 - 20|
|Removable partial denture units||15 - 30|
|Surgical placement of dental implants||12 - 20|
|Implant supported crowns seated||10 - 15|
|Simple/Surgical Extractions||200 - 300|
|Anterior Composite Surfaces||250 - 350|
|Posterior Composite Surfaces||150 - 250|
|Alloy Restoration Surfaces||125 - 200|
|Fixed units (PFM, FGC, Ceramic)||25 - 50|
|Periodontal surgical procedures||
5 - 10
- 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. Dental license is not required.
All qualified candidates will receive equal consideration regardless of race, color, national origin, sex, age or sexual orientation.
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
- Complete VA application form ( VA Form 10-2850D) and submit to:
Nicholas Sirois, D.M.D.
VA Maine Health Care System
Dental Service (160)
1 VA Center
Augusta, ME 04330
Tel: (207) 623-8411 ext. 5304
Fax: (207) 626-4741
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 **
*Links will take you outside of the Department of Veterans Affairs Website.
**Links will take you outside of the Department of Veterans Affairs Website. VA does not endorse and is not responsible for the content of the linked web site.