Beginning with a Smile

Students Partner with S.C. Farm for Free Screenings

In the shade of a barn in the center of Costa Layman Nurseries, farm workers duck in and out of a makeshift dental clinic where rolling carts of plants form walls that lend a little privacy while dental students work.

The Costa Layman Health Fair, in its ninth year, offers free screenings to more than 300 employees at the Trenton, South Carolina farm, one of the country’s largest perennial farms. The fair is sponsored by the Georgia Regents University College of Nursing but draws students from the Colleges of Dental Medicine, Allied Health Sciences, and Medical College of Georgia.

While workers’ vision, weight, blood pressure, and other health measurements are assessed, the dental screenings are often the most revealing for employees and students alike, says Dr. Carole Hanes, College of Dental Medicine Associate Dean for Students, Admissions, and Alumni.

A full 90 percent of employees screened at the Costa Layman Health Fair require referrals for dental care.

“It’s a learning experience that is unparalleled for the students. They learn so much in four hours,” Hanes said. “It’s eye-opening for them.” Adriana Castiblanco, a senior dental student and last year’s Hispanic Student Dental Association President, was born in Bogota, Colombia. In her second year volunteering at the health fair, she helped as a translator, provided oral hygiene instructions, screened for oral cancer, and measured probing depths, gingival inflammation, and caries.

“I was very surprised at the number of patients who are not seeing a dentist on a regular basis. Most had not seen a dentist in 10 years,” she says. “It was so common to observe patients who needed several extractions and restorations, or periodontal and removable appliances. It was just as surprising to me to see how receptive and interested these patients were to improve their oral health.”


The health fair is but one of many of Castiblanco’s initiatives to improve access to dental care. She recently launched an HSDA program called “Prevenir” (“Prevention”) at the College of Dental Medicine to bring more patients to GRU while helping students fulfill their graduation requirements. “The health fair helped us to reach out to patients who were interested in improving their oral health and receiving services through the College of Dental Medicine. I love to participate in events like this because you make such a difference in our community. I believe education is key to improving oral health. At the health fair, education is one of the main elements that we use.”

Students and their translators begin by providing oral hygiene instructions, followed by a dental exam. Patients move to a second station to have their pocket depths, gingival inflammation, and periodontal condition recorded. Before leaving for other screenings, farm workers are given toothpaste, floss, and brushes, along with brochures in English and Spanish.

layman_2Bridging the Gap

Karolina Grochowska, a senior dental student at GRU, was part of the group that screened for periodontal disease.

“This was my second time volunteering with the Costa Layman Health Fair. I initially became involved because of my interest in providing health care to the Hispanic community,” says Grochowska, treasurer of the GRU HSDA. She regularly volunteers with events serving the Hispanic community, but was still surprised to see the local Hispanic community’s lack of access to care. “There aren’t enough clinics in the area for low-income patients,” she says.

The health fair is one attempt to help bridge the gap, said Debbie Layman, Manager of Costa Layman Farms and a GRU College of Nursing alumna.

“We’re committed to making health care and health information as accessible as possible to our workers,” she says. “Over the last eight years, the health fair has performed nearly 2,500 health screenings. These simple tests can empower employees to make decisions that will positively impact their future health. The screenings offer the information needed to make educated choices about how to seek proper health care solutions.”

Tireless Advocates

Natasha Diaz-Vidal, a senior dental student, has volunteered with the health fair for three years.

“I dream of serving communities, like those at the Costa Layman Health Fair, whose language skills often prevent them from gaining access to important information.” –NATASHA DIAZ-VIDAL

“I have seen it grow from a basic event to a sophisticated health screening event with students receiving clinical experience unlike any other rotation they have in school,” she says. “I was surprised by how encouraged the patients were. Many of the patients we encountered had serious dental needs. I dream of serving communities, like those at the Costa Layman Health Fair, whose language skills often prevent them from gaining access to important information.”

Dental students are often tasked with being tireless advocates for preventive care, Diaz-Vidal says. “We work to increase access to information about early detection of oral disease and oral health. We educate patients who lack knowledge about the importance of preventive care.”

She’s one of several students fluent in Spanish, which, thankfully, she says, has enabled her to address the dental needs of many non- English speaking patients as well as their children. The language barrier, in addition to a lack of information, embarrassment about poor oral health, or a fear of the dentist can complicate the screening. Many patients are initially apprehensive. The experience, Diaz-Vidal says, forces dental students out of their comfort zones.

“My goal is to show patients that despite the ubiquitous fear of the dentist, taking care of one’s oral health is a fun and important part of life,” she says. “Passion is contagious. We need to become involved in the community in order to make a positive impact in someone’s health. Good dental health begins with a smile.”

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