
An interview with Terry Dickinson – lifetime dentist, founder
of Missions of Mercy, winner of the 2010 ADA Humanitarian
Award, and regular do-gooder.
by Chelsea Patten, staff writer, Dentaltown Magazine
"I'm sure people worried about my sanity," chuckles Dr. Terry Dickinson, executive
director of the Virginia Dental Association, in response to a question about
his big move from Texas to Virginia in 1999. He left his comfortable home, successful
practice and the city-life of Houston, Texas, in search of a missing piece he
felt so strongly about finding. What that missing piece was though, he wouldn't
find out until he was knee-deep in Missions of Mercy (MOM), an organization he
built from the ground up.
Dickinson graduated from University of Texas Dental Branch in Houston in
1967. He spent two years in the Air Force during Vietnam, performing dental
physicals on soldiers prior to their deployment and then went on to own a private
practice in which he practiced for 30 years. |

Dr. Terry Dickinson treating a patient at Middle
Peninsula MOM, assisted by VCU student John Reynolds.
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During the last five of those 30 dedicated years, he caught the career version of
the seven-year itch. He loved dentistry and had a booming practice in a city he
knew and loved, so he questioned the "annoying" restlessness of something missing.
Sleuthing for his higher purpose, he says, "was a difficult journey."
It was in this period of time when he received a call from two friends asking
him to consider the position of executive director of the VDA. He was hesitant and
vacillated over interviewing and eventually living somewhere unfamiliar. "When
things are good and predictable, it's easy to stay," he says. "But here I am 11-anda-
half years later without any regrets."
Soon after assuming the position of executive director, Dickinson sewed
together the infrastructure of Missions of Mercy (MOM), a not-for-profit means
of providing dental care to the underserved working poor populations of Virginia.
Although it originated in the state, 20 states now have a model of the program and
it stimulated the formation of the America's Dentists Care Foundation.
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Youngest Wise County MOM patient happily poses with
Dr. Terry Dickinson and dental hygienists following her
cleaning. The stuffed animal made the day!
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Dickinson says the MOM events border on chaos. "It's organized chaos
though," he says. Trucks pull up next to a facility – whether it is a high school gym, fairgrounds or a convention center – full of portable equipment and supplies.
Volunteers help to unload and quickly set up. A 50-chair clinic is typical. "It's quite
impressive to watch" says Dickinson about the set-up process and of the 500 to
1,000 people they are able to serve during one- or two-day clinics. To operate a 50-
chair clinic, he estimates the volunteer count to be around 250 dental professionals;
and upward of 400 volunteers counting the additional locals who help with
registration, patient interviews and triage, food service, security and parking.
I asked him about the challenges that conducting a program like this entails.
He named resources as one challenge typical of most charities, but he did not dwell
on hardship. MOM gets the majority of its funding via foundations and grants, as
well as through large dental companies like Henry Schein and Delta Dental. He
admits seeking funding is an ongoing process. "The good news is we leverage each
dollar into about $32 of patient care," he says.
"One of the problems we've never faced is having enough patients," Dickinson
says as he recalls a story of once hosting a clinic up in the mountains. He worried
that patients might not make the trip and expressed anxiety to the Sister in charge
about the volunteer dentists not having enough to do. "The first morning of the
clinic it was very foggy. We got about a mile out and traffic was at a dead stop. We
had to walk the rest of the way in." The team had to turn a thousand people away
that day. "The Sister came up to me and asked 'is that enough?' I've never worried
about patients since then," he laughs, now maintaining a "build-it-and-they-will-come"
mentality. At MOM's last big project, patients traveled from 15 different
states (including Virginia).
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Dr. Terry Dickinson triages Southwest Virginia patient
for needed treatment.

Dr. Andrew "Bud" Zimmer, Dr. Terry Dickinson, and
Dr. Ralph Howell display picture of Governor Tim Kaine
presenting Dr. Dickinson with the National Governors'
Association Private Citizen Distinguished Service to State
Government Award.
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"The thing that struck me right away is what people are willing to do to get
dental care," referring to the line of patients outside the first MOM project. People
are willing to stand in line for hours. Many spend the night in their cars or in tents;
in cold weather; sometimes even in snow storms. "They are so desperate to get the
needed dental care. It really reshapes and helps to rethink what kind of life they
must live," says Dickinson.
Most of the patients treated at MOM projects do not have insurance. In
Virginia, there is a limited adult benefit Medicaid program, but the state has one
of the best children's programs. For this reason, 95 to 97 percent of the people
treated are adults.
Dickinson and his teams of volunteers are deeply impacted by patients' life stories.
In fact, he claims they are the most rewarding part of the work he does. "If you
don't listen to their stories, you don't have any idea of the struggles they have." One
middle-aged man came to one of the MOM projects with a severe cleft palate. He
was hard to understand but Dr. Dickinson could understand he needed a denture.
Unfortunately a denture couldn't be fabricated on-site for lack of lab facilities.
Dickinson decided he would find help for the patient outside the MOM clinic and he spoke with a prosthodontist with whom he was acquainted. The doctor was
a kind man, but a bit reluctant about doing the work as he already does a fair
amount of pro bono work in his practice. Reluctant that is, until he heard the
patient's story.
The patient had dropped out of school in the third grade since his classmates
ridiculed him incessantly because of his deformity. His lack of education gave him
few choices for work but a job in the coal mines of Virginia. With a debilitating
injury in the mines, he had little hope left. This story not only left the prosthodontist
changed, but changed the practice dynamic of his staff as well. The doctor now
runs the prosthetics department for Missions of Mercy. As for the patient, he said
of the denture: "It made me feel like a man again." The circle was complete.
"It wakes you up to what is going on out there," explains Dickinson "There are
hundreds of stories for what [programs like this] do in people's lives. It's not just getting
teeth out or doing fillings." The mission really helps to sustain hope in patients.
Dickinson testifies many of the people who visit the clinics suffer not only from
poverty of money, but oftentimes, poverty of hope. Performing dentistry helps to
provide hope for their future. "It changes lives… on both sides of the equation."
Because the program has had an impact across the board, it's not hard to see
why Dr. Dickinson was nominated (without his knowledge) for the 2010 ADA
Humanitarian Award. Dickinson received the award and certainly deserves praises
for the work he does, but he is a humble man who does good for the sake of the
greater good, and that's enough for him… |

Governor Tim Kaine presents Dr. Terry Dickinson with
the Virginia Health Care Foundations NETworthy
Award (2006).

Dr. Terry Dickinson exams Wise MOM patient and
determines necessary care.
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