Journal of dental hygiene : JDH / American Dental Hygienists'' Association最新文献

{"title":"Use of Clinical Competency Examinations for Dental Hygiene Licensure.","authors":"Jocelyn D Weinhagen, Tara L Newcomb, Brenda T Bradshaw","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dental hygiene licensure with a clinical competency examination (CCE) using a live patient has been required by state licensing boards since 1929. Clinical competency examinations were initially used when dental training was poorly developed, non-standardized, and largely based on the apprenticeship model. Currently, Canada and the state of California have removed the requirement of passing a CCE for dental hygiene licensure, provided certain requirements have been met. Dentistry is the last health care profession to mandate that graduates pass a CCE. The vast majority of dental licensing boards continue to require that third party testing agencies validate the clinical skills of candidates that were acquired through accredited dental and dental hygiene education programs. Originally, there were 53 individual CCEs within the United States. As the profession became more uniform, regional examinations have replaced individual state examinations. Clinical competency examinations have come under scrutiny over the past few decades largely due to ethical concerns regarding human subjects and perceived limitations in manikin-based testing. Concerns about high stakes, single-encounter live patient exams and manikin exams have also been raised regarding their validity and reliability of measuring competency and readiness for clinical practice. In spite of the lack of peer-reviewed scientific evidence supporting the use of CCEs as reliable and valid instruments, dental boards continue to require them for initial licensure. While CCEs were initially developed to protect the public by ensuring the clinical competency of licensed clinicians, there is no predictive validity to support this intent. Ethical concerns regarding live patient, procedure-based dental and dental hygiene CCEs have been covered extensively in the literature. This short report will examine the ongoing concerns and updates on the use of CCEs for dental hygiene licensure.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Sexuality Implicit Bias in Entry-Level Dental Hygiene Students.","authors":"Monica Drew, Emily Ludwig, Jessica Suedbeck, Adaira Howell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Bias and discrimination may create barriers and affect the delivery of culturally competent care to sexual minorities. An awareness of biases early in education may promote more equitable oral health care delivery to diverse populations. The purpose of this study was to determine the prevalence of sexuality-implicit attitudes in entry-level dental hygiene students at one university.<b>Methods</b> This cross-sectional survey study included a convenience sample of dental hygiene students from one university (n=74). The Implicit Associations Test (IAT), a validated tool for measuring implicit bias, was modified for use in dentistry with permission from Project Implicit^® The IAT requires participants to rapidly pair two social groups, in this case, homosexual and heterosexual individuals, with either positive or negative attributes (words/concepts), using the \"E\" and \"I\" computer keyboard keys. Faster average response times to pairings indicates a preference for a group. Descriptive statistics were used to evaluate the means between groups and determine the prevalence of sexuality implicit biases. Independent samples t-test was utilized to examine differences in the level of implicit bias based on the year in the dental hygiene program (<i>p</i><0.05). One-way between-subjects ANOVA was used to examine differences in age groups (<i>p</i><0.05).<b>Results</b> Seventy dental hygiene students (n=70) completed the survey, (n=34 first year, n=36 second year). The average overall implicit score for first-year students was 0.001 (no sexuality preference), and 0.069 for second-year students (no sexuality preference). No statistically significant differences were found when comparing year in dental hygiene program and age groups.<b>Conclusion</b> Undergraduate dental hygiene students had no sexuality bias for straight or gay individuals.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"39-48"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video-Recorded Testing for Student Self-Assessment: A randomized crossover study.","authors":"Camille M Biorn, Rachelle Williams, Cyndee Harmon, Carly Simpson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Graduates of dental hygiene programs must acquire competence in critical reasoning by developing proficiency in self-assessment. The purpose of this study was to investigate the effectiveness of video-recorded testing compared to direct observation testing on student self-assessment scores, self-assessment accuracy and student retest scores, and to ascertain which modality was preferred by faculty and students.<b>Methods</b> A randomized crossover AB/BA research design evaluated video-recorded testing compared to traditional, direct observation testing. First year dental hygiene students (n=33) were randomly assigned to an AB or BA sequence for preclinical instrumentation skills testing and were evaluated by faculty (n=13). Student self-assessment test scores, faculty test scores, student accuracy scores, and student/faculty surveys were evaluated. Descriptive statistics and parametric independent samples t-tests (<i>p</i><0.05) were used to analyze the data.<b>Results</b> Mean student self-assessment scores were slightly higher with video testing (93.64%) than with direct observation testing (91.98%). Retest scores were similar between the two testing modalities (video 90.74%; direct observation 93.86%). Mean student accuracy scores were nearly equal with the two modalities (video 93.24%; direct observation 93.1%). There were no statistically significant differences in student accuracy, retest, and self-assessment scores for instrumentation skills testing when comparing the modalities. A majority of students (80%) preferred video testing while all faculty members preferred the direct observation testing modality.<b>Conclusion</b> Students preferred video testing for self-assessment compared to direct observational testing, noting the increased ability to identify and correct mistakes. Faculty acknowledged video-recorded evaluation methods as advantageous in enhancing student self-assessment skills. However, faculty preferred direct observation testing, stating it allowed for a more thorough evaluation of skills. Additional research is needed using high-quality video equipment and longitudinal studies.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"29-38"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workplace Bullying and Turnover Intention Among Dental Hygienists: Mediation roles of stress and social support.","authors":"Kacy Wedding, Linda D Boyd, Jacqueline N Petit, Jared Vineyard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Workplace bullying is defined as a pattern of abusive behavior that negatively impacts an employee's well-being. The purpose of this study was to examine the prevalence of workplace bullying (WPB) among dental hygienists (DHs) and mediation/moderation relationships between stress, social support, and turnover intention.<b>Methods</b> Cross-sectional survey research was used with a convenience sample of DHs providing direct patient care (n=378). The validated Negative Acts Questionnaire - Revised (NAQ-R), Perceived Stress Scale (PSS), Multidimensional Scale of Perceived Social Support (MSPSS), and Turnover Intention Scale (TIS) instruments were used for the 62 item electronic survey. Analysis included descriptive, correlation, and mediation/moderation statistics.<b>Results</b> Survey completion was 55% (n=209); 56% of respondents reported experiencing workplace bullying. Stress significantly mediated the relationship between both work-related bullying (WRB) and person-related bullying (PRB) with turnover intention. For WRB, significant paths included: WRB to stress (B=.52, <i>p</i><.001), stress to turnover intention (B=.23, <i>p</i><.001), and WRB directly to turnover intention (B=.58, <i>p</i><.001), with an indirect effect of (B=-.265, <i>p</i><.001). Similarly, for PRB: PRB to stress (B=.44, <i>p</i><.001), stress to turnover intention (B=.29, <i>p</i><.001), and PRB directly to turnover intention (B=.55, <i>p</i><.001), with an indirect effect of (B=-.244, <i>p</i><.001). Supportive relationships showed no moderating effect on the relationship between WPB and turnover intention.<b>Conclusions</b> Workplace bullying increased stress which also increased the intention to leave a job. Management staff in dental settings must work to prevent and manage WPB to reduce stress and retain DHs.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"18-28"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interest in Accessing Integrated Dental Services in Primary Care Among Patients with Low Dental Care Utilization.","authors":"John Ahern, Ariela Braverman Bronstein, Caleb Tam","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Medical-dental integration models in primary care settings offer opportunities to increase access to oral health care, particularly for vulnerable populations. The purpose of this study was to assess dental care utilization and measure patient interest in accessing integrated dental services within the primary care setting, among patients attending a primary care practice participating in MassHealth's Accountable Care Organization program.<b>Methods</b> Convenience sampling was used to recruit participants from a safety-net health care system serving the greater Boston area. A 10-item survey was used to collect data on dental care utilization and measure interest in accessing integrated dental services at one primary care practice. Descriptive statistics, in addition to bivariate and multivariate logistic regression models were used to characterize the sample and explore dental care utilization associations.<b>Results</b> A total of 149 individuals participated, with over half (52%) reporting dental care utilization in the past year. Participants with public insurance were less likely to have seen a dental provider compared to those with private insurance (OR=0.35, 95% CI [0.12, 0.99]). Most patients (77.2%) expressed interest in accessing both in-person appointments with dental hygienists and teledentistry appointments with dentists (63.8%). When asked to choose between the two services, integrated dental hygienist appointments emerged as the more popular option for a majority of respondents (83.9%) Interest in accessing teledentistry appointments was higher among non-English speakers (OR=2.76, 95% CI [1.19, 6.40]).<b>Conclusion</b> Patients with low dental care utilization showed high interest in accessing integrated dental services at a primary care practice that participates in MassHealth's Accountable Care Organization program, supporting moving forward with pilot initiatives to evaluate implementation strategies.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental Hygienists: Shaping the future of health.","authors":"JoAnn Gurenlian","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence and Its Influence on Dental Hygiene.","authors":"Michelle Hurlbutt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Artificial intelligence (AI) including generative AI, analytical AI, predictive AI, prescriptive AI, and hybrid AI, is rapidly evolving and continues to expand its influence across dental hygiene, transforming clinical care, education, research, public health, corporate operations, administration, and entrepreneurship. In clinical practice, AI is advancing diagnostic accuracy for radiographic interpretation, periodontal assessment, and early detection of oral pathology, while enhancing decision-making and personalized care planning. In education, AI enables adaptive learning, intelligent tutoring, predictive analytics, and generative content creation, enriching both didactic and clinical training. In research and public health, Artificial intelligence supports large-scale data analysis, disease surveillance, teledentistry, and targeted prevention strategies, with a growing emphasis on equity and inclusivity. Corporate and administrative applications include AI-driven product development, market analysis, workflow optimization, and performance management. Entrepreneurial uses span idea generation, content creation, branding, and market engagement. As AI capabilities advance, dental hygienists must balance innovation with ethical oversight, digital literacy, and equitable access. Ensuring AI is integrated through evidence-based practices, transparent decision-making, and patient-centered values will be essential to realizing its benefits while preserving the integrity of the profession.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"49-58"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Clinical Trial Evaluating Plaque and Gingivitis Effects of an Entry-Tier Oscillating-Rotating Electric Toothbrush.","authors":"Ralf E Adam, Julie M Grender, Hans Timm, Jimmy Qaqish, C Ram Goyal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> The purpose of this study was to evaluate plaque and gingivitis reduction efficacy of an entry-tier oscillating-rotating (OR) electric toothbrush, used in two brushing modes (Daily Clean and Sensitive), as compared to a manual toothbrush.<b>Methods</b> This was a three-treatment, three-period crossover study, assessing plaque with the Rustogi Modification of the Navy Plaque Index after a single brushing and after one week of use. Additionally, in the first treatment period only, participants were assessed for gingivitis (Modified Gingival Index; MGI) and bleeding at baseline, week 1 and week 2 while using their assigned product for two weeks. All participants had baseline evidence of gingivitis and plaque.<b>Results:</b> Forty-two participants were randomly assigned to three treatment groups. The OR toothbrush, used in either mode compared with the manual toothbrush, produced statistically significantly greater reductions in the number of bleeding sites at week 1 and week 2 (<i>p</i>≤.001) and in MGI score at week two (<i>p</i>≤.001). By week 1, the bleeding site reduction with the OR toothbrush in either mode was at least twice as great as the manual toothbrush. The OR toothbrush used in Daily Clean mode also achieved statistically significantly greater MGI reduction at week 1 (<i>p</i>=.011). Both OR toothbrush groups showed statistically significantly greater plaque reduction compared with the manual toothbrush group after a single use (whole mouth, lingual, buccal, interproximal, and gingival margin plaque; <i>p</i><.001) and after one week of repeated use (whole mouth, lingual, buccal, and interproximal plaque; <i>p</i>≤.022).<b>Conclusion</b> The entry-tier OR toothbrush provided significantly greater plaque and gingivitis reductions when used in either mode as compared to the manual toothbrush.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 5","pages":"6-17"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effective Scientific Writing.","authors":"Katy Battani, Jacquelyn L Fried","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Effective scientific writing is a keystone to success in higher education. To excel and advance, aspiring academicians need to master the art and science of scientific writing. The following brief report describes the types of manuscripts accepted by research publications. More specifically, it highlights the parts of a research report, their inclusions, and guidelines on how to write them effectively and comprehensively. Suggestions on the writing process are also provided. Mastering scientific writing has a steep learning curve that requires perseverance, practice, collegiality, and hours of revising and editing.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 4","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership Development in Dental Hygiene Education: Insights from a pilot study.","authors":"Jennifer L Brame, Jennie Ledbetter, Elizabeth C Kornegay, Jennifer B Harmon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Increasing trends have identified the importance of leadership development for health care professionals, however this concept has been largely unexplored in dental hygiene (DH) curricula. Without leadership development, DH students may struggle to perceive themselves as leaders in their professional careers, limiting their full capabilities. The purpose of this pilot study was to design, implement, and evaluate a leadership development curriculum for DH students.<b>Methods</b> This pilot study used a cross-sectional design. All senior DH students (n=24) completed the DiSC personality assessment to assess personal traits and received leadership development instruction, including presentations, interactive learning activities, and engaging discussions. Students were invited to complete pre- and post-surveys with Likert-scale items to measure self-awareness and leadership behaviors and open-ended questions to explore leadership perspectives. Descriptive statistics were used to analyze the data, and emergent themes from the open-ended items were identifired.<b>Results</b> Most students (92.0%, n=22) completed both surveys. All (n=22) participants agreed that leadership development enhanced the awareness of individual professional values and increased their self-awareness; most (91.0%, n=20) rated their belief positively that leadership is an important skill in the DH profession. When comparing pre- and post-survey responses, learner confidence increased in defining leadership self-awareness (<i>p</i>=0.007). Open-ended responses supported perceptions regarding leadership development being essential in the curriculum and profession. Themes regarding behaviors, attitudes, values, and beliefs toward leadership development emerged to indicate an understanding and agreement for leadership skill-building to support professional roles and responsibilities. The programmatic course design was well-received. Feedback indicated value in both the content and interactive seminars as pedagogical strategies to deliver the curriculum.<b>Conclusion</b> The results of this study support the need and desire for DH students to engage in leadership development during their undergraduate programs. Findings can provide insight into the course design and content of leadership development programs in the DH curriculum.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"99 4","pages":"32-43"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}