Dean Arthur A. Dugoni is celebrated as the "dean of deans" or American dental schools. His service as a practitioner, rich network of relationships, recognition of emerging opportunities, respectful treatment of all, and ability to make people care and promote loyalty are identified. Significant issues remain for future leadership to address: dental caries is on the rebound, insurance is inadequate to provide needed coverage, prevention must be strengthened, education struggles with too few teachers and high tuition, the mobility of dentists is unrealistically restricted, and the pool of retired dentists who want to donate their services is hobbled by regulations. The ADA can take the leadership in some of these areas, but there is much left to be done by the next generation of individual leaders in the mold of Dean Dugoni.
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