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

{"title":"Association of Abusive Supervision with Psychological Distress and Turnover Intention Among Clinical Dental Hygienists.","authors":"Caroline Hope, Linda D Boyd, Jared Vineyard, Bianca Capozzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Negative workplace culture has been shown to be a common reason for dental hygienists to leave clinical practice. The purpose of this study was to examine abusive supervision (AS) and its relationship with dental hygienists' psychological distress and turnover intention.<b>Methods</b> A cross-sectional survey was conducted online with a non-probability sample of clinical dental hygienists in the United States and Canada, recruited via social media. The validated instruments included the Tepper AS scale, the Kessler psychological distress scale (K6), and the Turnover Intention Scale (TIS-6). Descriptive statistics, correlation analysis, and regression modeling were used to analyze the data.<b>Results</b> A total of 258 participants opened the survey; the completion rate was 53% (n = 137). A majority of the participants (81%) reported experiencing AS with varying frequency. No demographic variables were found to be statistically significant predictors of AS and intention to leave; however, regression modeling identified psychological distress (β = .27, <i>p</i> < .001) and AS (β = .52, <i>p</i> < .001) as predictors of turnover intention. Abusive supervision was stronger in predicting turnover intention than psychological distress (R² = .49, p < .001).<b>Conclusion</b> Based on the study findings, abusive supervision is prevalent and a strong predictor of turnover intention among clinical dental hygienists, indicating that this is a significant professional issue. Employers should recognize and mitigate abusive behavior to establish a positive workplace environment to increase retention and enhance overall patient care.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"34-44"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118388","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":"Advancing Dental Hygiene Practice: Regulatory, educational, and policy pathways.","authors":"Theekshana Fernando, Sage Shirey, Simona Surdu, Jean Moore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Developments in dental hygiene (DH) practice over the past decade have influenced the professional landscape, particularly regarding scope of practice (SOP), access to care, and workforce utilization. The purpose of this study was to explore how recent regulatory changes, care delivery innovations, and technological advancements have impacted DH practice, identify persistent barriers, and recommend strategies to advance DH SOP.<b>Methods</b> This qualitative study employed semi-structured key informant interviews with national DH leaders. Purposive sampling was used to recruit members of the American Dental Hygienists' Association Board of Directors to ensure diverse expertise and leadership perspectives. Five of the 15 invited participants were enrolled in the study. Virtual interviews were conducted in May and June 2025. Transcripts were verified for accuracy and analyzed using thematic analysis with both deductive and inductive coding approaches.<b>Results</b> Four primary themes emerged: 1) regulatory constraints and representation on dental boards, 2) barriers to care delivery in underserved communities, 3) impact of technology, and 4) strategic recommendations for expanding SOP. Participants described significant variation in state laws, limited DH representation on dental boards, and a disconnect between education and legal practice authority. Regulatory barriers were reported to constrain care delivery in community-based settings. Technological innovations, including teledentistry and digital diagnostics, were viewed as enhancing care but limited by cost and reimbursement challenges. Key recommendations included establishing independent DH regulatory boards; expanding educational pathways to enhance professional recognition and care capacity; advancing licensure portability through interstate compacts; and increasing Medicaid reimbursement and direct reimbursement to dental hygienists.<b>Conclusion</b> Despite progress in DH practice and innovation, regulatory variability and structural barriers continue to limit professional autonomy and access to preventive oral health services. Coordinated policy reform is needed to fully leverage dental hygienists as essential contributors to a prevention-focused oral health system.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"10-22"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118376","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":"Honoring Our Legacy While Shaping Our Future: 100 Years of Dental Hygiene Research.","authors":"Jessica August","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118324","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 Hygiene Educator Workforce Shortage: A review of the literature.","authors":"Joni M Hamilton, Suzanne K Thompson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Oral health care education programs are facing challenges extending beyond isolated hiring difficulties that reflect broader structural forces shaping the academic workforce. The purpose of this literature review was to examine the structural factors contributing to the dental hygiene faculty shortage and to identify evidence-based strategies that support sustainable recruitment and retention in oral health education programs.<b>Methods</b> A literature search was conducted using CINAHL, PubMed, ERIC, and Google Scholar. Search terms included: dental hygiene faculty shortage, health professions education workforce, faculty burnout, workload equity, compensation models, and mentoring in health sciences education. Inclusion criteria consisted of peer-reviewed articles published between 2010-2026 that addressed workforce trends, faculty recruitment and retention, accreditation or credentialing requirements, workload models, or the integration of educational technologies. Opinion pieces without empirical or conceptual grounding were excluded.<b>Results</b> Forty-three articles met the inclusion criteria and were synthesized to identify common structural themes and recommended interventions. Across the literature, four dominant structural contributors to the faculty shortage emerged: compensation disparities between clinical and academic roles, limited graduate education pathways, accreditation and credentialing constraints, and unsustainable workload expectations. Studies also highlighted high levels of burnout, turnover intention, and employment instability among health science faculty. Evidence supported the effectiveness of comprehensive compensation models, structured mentoring and onboarding, equitable workload distribution, and the use of emerging technologies, including artificial intelligence, to reduce administrative burden.<b>Conclusion</b> Faculty shortages in dental hygiene were shown to be driven by structural, rather than isolated, factors. Programs that rely heavily on part-time faculty experience greater workload imbalance and burnout among full-time educators. Interventions that integrate compensation reform, workload equity, mentoring, and educational technologies offer the greatest potential to stabilize the dental hygiene educator pipeline. Addressing these factors is essential for maintaining accreditation compliance, ensuring instructional quality, and supporting long-term workforce sustainability in dental hygiene education programs.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"45-53"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118409","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":"AI-Assisted Rubric-Based Essay Grading in Dental Hygiene Education: A retrospective observational study.","authors":"Courtney D Routh, Richard Halpin, J Nathaniel Holland, Tulsi Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Assessment of reflective and professionalism-focused writing is a critical component of health professions education; competencies such as ethical reasoning, communication, and self-awareness are foundational to professional identity formation and clinical readiness. The purpose of this study was to evaluate the consistency of a large language model (LLM) in rubric-based grading of reflective essays in dental hygiene education, compare agreement patterns and systematic differences between artificial intelligence (AI) and faculty grading, and examine its potential to support faculty-driven assessment processes.<b>Methods</b> Deidentified, archived reflective essays from first-year dental hygiene student cohorts (2022-2024; N = 90) were regraded using a secure, institutionally managed AI program (ChatGPT, Model 4o). Essays were originally assessed by faculty using a standardized rubric and re-evaluated by the LLM using identical criteria. Faculty and AI scores were compared overall and by domain using paired statistical tests. Grading time was recorded, and test-retest reliability was evaluated across three independent scoring runs.<b>Results</b> Domain-level analyses required complete rubric data across all five domains; because of incomplete rubric data, 77 submissions (N = 77) were included in domain-level analyses. Faculty assigned significantly higher overall scores than the AI system (<i>p</i> < 0.001), with an average difference of approximately 1.9 points on a 10-point scale. Significant differences were found in four of the five rubric domains. Artificial intelligence grading was rapid, averaging approximately 39 seconds per essay, and demonstrated strong internal consistency across repeated evaluations (ICC = 0.87). The AI scores showed greater dispersion and more conservative scoring patterns, whereas faculty scores demonstrated ceiling effects.<b>Conclusion</b> Artificial intelligence-based grading demonstrated strong reproducibility and rapid evaluation, with systematic differences in score calibration compared with faculty assessment. The use of AI may complement faculty-driven assessment by supporting consistent, scalable grading practices in dental hygiene education, potentially enhancing grading reliability while reducing faculty workload.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"54-66"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118329","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":"Beyond the Smile: The Link Between Oral and Systemic Health.","authors":"Kimberly Milleman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118360","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":"Relationship Between Effort-Reward Imbalance and Intention to Leave Among Dental Hygienists.","authors":"Sarah Lynne E Frei, Linda D Boyd, Emily McCleary","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Dental hygienists have been leaving clinical practice, creating shortages and impacting the quality of patient care. The purpose of this study was to investigate the relationship between effort-reward imbalance (ERI) and dental hygienists' turnover intention.<b>Methods</b> A cross-sectional electronic survey was used to measure the perception of ERI and intent to leave among a convenience sample of clinical dental hygienists. Validated instruments used were the ERI and Turnover Intention Scale (TIS). Statistical analysis included descriptive, correlation, and regression modeling.<b>Results</b> A total of 315 participants opened the survey; the completion rate was 72.4% (n = 228). Most participants agreed that their jobs have become increasingly demanding (75.9%, n = 173) and felt that their job promotion prospects were poor (81.6%, n = 186). No statistically significant correlations were found among demographic variables and ERI or intent to leave. However, all ERI subscales emerged as significant predictors of intent to leave; reward (β = -0.670, SE = 0.075, <i>p</i> < .001), overcommitment (β = 0.278, SE = 0.088, <i>p</i> = 0.002), and effort (β = 0.332, SE = 0.153, <i>p</i> = 0.030).<b>Conclusion</b> Dental hygienists who are experiencing higher ERI in the workplace are more inclined to leave. Reward (i.e., respect, recognition, and compensation) was the strongest negative predictor of intent to leave, indicating that reward is predictive of retention in the workplace. Conversely, higher effort and overcommitment predicted intention to leave.Understanding factors related to an imbalance between effort and reward in the dental setting is key for retaining dental hygienists in the workforce. This knowledge may assist employers in developing targeted interventions to improve retention and attract qualified candidates.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"23-33"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118316","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":"Assessing Changes in Attitudes Toward Collaborative Practice Among Dental Hygiene Students: A quasi-experimental study of interprofessional hospital rotations.","authors":"Sarah B Hoerler, Cherie L Fritz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Interprofessional education is an essential component of dental hygiene education; however, limited research has examined the impact of hospital-based interprofessional experiences across stages of training. The purpose of this study was to evaluate the effect of a hospital rotation on dental hygiene students' perceptions of collaborative practice, including teamwork, roles and responsibilities, and patient-centered care.<b>Methods</b> A quasi-experimental pre-post design study was conducted using a nonprobability convenience sample of first- and second-year dental hygiene students enrolled in a single program. First-year students had no exposure to the hospital rotation, whereas second-year students had completed an interprofessional hospital-based rotation. Data were collected at baseline (beginning of the academic year) and post-intervention (end of the academic year) using the validated Student Perception Interprofessional Clinical Education Instrument (SPICE-R2). Descriptive statistics were calculated, and inferential analyses included independent-samples <i>t</i>-tests and a two-way mixed analysis of variance. Statistical significance was set at <i>p</i> < 0.05.<b>Results</b> At baseline, second-year participants reported significantly higher perceptions related to role clarity, understanding of other health professionals' training requirements, patient satisfaction, and health care cost reduction. Post-intervention comparisons demonstrated fewer group differences; however, second-year students continued to report significantly greater understanding of professional roles and stronger perceptions of patient-centered collaborative care. No significant differences were observed for perceptions related to teamwork ability.<b>Conclusion</b> Interprofessional hospital-based rotations may enhance dental hygiene students' understanding of professional roles and patient-centered collaborative practice. These findings support the integration of structured interprofessional clinical experiences within dental hygiene curricula to promote competency development aligned with accreditation standards and prepare graduates for collaborative practice.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"67-75"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118371","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":"Radiographic Identification of Gold Threading: A clinical case study.","authors":"Annette K Stelter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dental hygienists play a crucial role in oral health care through the acquisition and interpretation of radiographs. Certain cosmetic facial procedures involving metallic materials may be visible on dental radiographs. These materials may obscure anatomical structures and complicate interpretation, which is essential for dental procedure treatment planning. The dental hygienist needs to be able to differentiate these artifacts from pathological conditions. This case study describes a 28-year-old female patient with intraoral and extraoral radiographs demonstrating thread-like radiopacities consistent with gold threading. This report highlights the radiographic characteristics of gold threading, outlines clinical implications, and emphasizes the importance of professional awareness of cosmetic facial procedures that may influence radiographic image interpretation and complicate accurate dental hygiene care planning.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 5","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118386","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":"Retraction of Dentally Related Articles (2004-2025): A descriptive study assessing the impact on oral hygiene and caries management literature.","authors":"R Constance Wiener, Ruchi Bhandari","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> The purpose of this study was to evaluate the potential impact on science of post-retraction citations in oral hygiene and caries management literature by examining the characteristics of retracted dental articles.<b>Methods</b> The Retraction Watch Database was the data source used for the descriptive study. The database features lists and reports that identify retracted manuscripts. Retractions were characterized by author, year, location, and reason for the retraction. Articles pertaining to oral hygiene and caries management were retrieved, read, and evaluated according to the following criteria: 1) Presented a potential neutral or minimal impact (the citing article cited general background information from the retraction which was not inaccurate nor based on the results of the retracted manuscript); 2) Presented a potential major negative impact on influencing science (the citing article cited inaccurate information or information based on the retracted article); 3) Unable to determine (behind a paywall, in a study without dates of publication, or otherwise unavailable); or 4) Included a notation that the citation was from a retracted article.<b>Results</b> Of the 64,739 retractions listed in the database, there were 297 dentally related retracted publications (0.46% of all retractions and 0.017% of all dentally related articles published from 2004-2025). Twenty-eight retracted articles addressed oral hygiene and caries management. The 28 articles were cited in a total of 1179 articles with 347 post-retractions. Seventy-four post-retraction citations had a potentially major negative scientific impact, 106 had a potential minor impact, 6 had a notation that the reference being used had been retracted, and the remainder were unable to be evaluated.<b>Conclusion</b> There were relatively few dentally related retractions as a percentage of the total number of publications. However, authors who used retracted articles as citations created a potential negative impact on the presentation and sharing of dental research, specifically in oral hygiene and caries management research.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"100 4","pages":"19-35"},"PeriodicalIF":0.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702654","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}