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

{"title":"Improving Access to Oral Health Care: Integrating dental hygienists into federally qualified health center obstetrics and gynecology clinics in Michigan.","authors":"Katy Battani,&nbsp;Emily Norrix,&nbsp;Lindsay Sailor,&nbsp;Christine Farrell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Dental hygienists (DHs) are well positioned to be part of primary care teams to increase access to oral health care, particularly for those who encounter barriers to oral care, such as pregnant people. The Michigan Initiative for Maternal and Infant Oral Health (MIMIOH) integrates DHs into obstetrics and gynecology (OB/GYN) clinics in federally qualified health centers (FQHCs) to improve pregnant people's oral health. Evaluation of the MIMIOH program revealed that selecting DHs with personal characteristics desirable for integrated-care delivery was a major factor for successfully integrating DHs into OB/GYN clinics. Additionally, designing appropriate clinical workflows, gaining buy-in from prenatal health care professionals, presenting oral health care as part of prenatal care, having co-located OB/GYN and dental clinics, and maintaining adequate funding were all critical to program success. Analysis of Medicaid data showed that the MIMIOH model increased the percentage of pregnant people receiving oral health care at FQHC dental clinics. Innovative programs like MIMIOH add to the evidence that integrating DHs into primary care settings can increase access to oral health care, especially for those who face difficulties accessing the traditional oral health care system. There is great potential for DHs to leverage collaborative practice agreements and remote supervision to increase access to oral health care for the public. Providing DHs with autonomy to practice to the highest level of their scope of practice and permitting direct Medicaid reimbursement for DHs would make oral health care more accessible for underserved populations.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 3","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9582567","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 Workplace Cyberbullying among Dental Hygienists.","authors":"Caitlin Lee,&nbsp;Linda D Boyd,&nbsp;Lisa LaSpina,&nbsp;Jared Vineyard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Increased use of technology, including social media, has led to a new phenomenon of workplace cyberbullying, specifically within the health care professions. The purpose of this study was to measure the prevalence of workplace cyberbullying among clinical dental hygienists and identify relationships between these behaviors and demographic characteristics.<b>Methods</b> A cross-sectional survey research design was used with a non-probability sample of clinical dental hygienists (n=714) recruited via social media. The validated Workplace Cyberbullying Measure (WCM) survey instrument was used for data collection which included work-related (10 items) and person-related (7 items) subscales. Data analysis included descriptive statistics and correlations.<b>Results</b> The completion rate was 88.8% (n=634). The prevalence of workplace cyberbullying among participants was 19%, with the highest frequency of negative acts occurring now and then. When comparing the two subscales among different workplace settings corporate dental/Dental Service Organizations (DSOs) had a higher work-related subscale score (M=1.84, SD=0.78) than private practice (<i>p</i>=0.03), but not community/public health clinical settings (<i>p</i>=0.69). Community/public health clinics had a higher work-related subscale score (M=1.78, SD=0.68) than private practice (<i>p</i><0.001). Corporate dental/DSOs had a higher person-related cyberbullying score (M=1.49, SD=0.59) than private practice (<i>p</i>=0.003) but not community/public health clinics (<i>p</i>=0.37). Corporate dental/DSOs had higher work-related and person-related cyberbullying scores than private practice, however community/public health clinic participants reported a greater incidence of WCB.<b>Conclusion</b> Dental hygienists (20%) report experiencing workplace cyberbullying in the past 6 months especially in corporate dental/DSOs and community/public health settings. Corporate dental/DSOs may need to investigate educating personnel on WCB. Employers, particularly corporate/DSOs and public health agencies, need to have policies in place to manage WCB.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 2","pages":"22-30"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379520","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":"Focal Abscess: Description of a clinical case.","authors":"Alexis M Troy,&nbsp;Leciel K Bono,&nbsp;JoAnn R Gurenlian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> The purpose of this article is to present a case report of a periapical lesion found in a 24-year-old female who presented to a university dental hygiene clinic with a chief complaint of vestibular pain around tooth #22. Radiographically, the lesion appeared radiolucent and unilocular with well-defined borders and significant bone resorption. The area of radiolucency increased in size over a period of five weeks indicating an aggressive pathosis. Given the clinical and radiographic presentations, the differential diagnosis included an odontogenic keratocystic tumor (odontogenic keratocyst), central giant cell granuloma, periapical cyst, and squamous cell carcinoma. Biopsy revealed the diagnosis of a focal abscess. The patient's presenting signs and symptoms are reviewed. Management and contributing factors are discussed.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 2","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9324450","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 and Dental Assistant Students' Simulated DVI Radiographic Match Accuracy: A pilot study.","authors":"Samantha C Vest,&nbsp;Brenda T Bradshaw,&nbsp;Marsha A Voelker,&nbsp;Ann M Bruhn,&nbsp;Tara L Newcomb,&nbsp;Sinjini Sikdar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Allied dental health care professionals have served on disaster victim identification (DVI) teams; however, the literature is void of statistical measures regarding transferable skills and disaster preparedness. The purpose of this study was to assess second year dental hygiene and dental assistant students' match accuracy for simulated DVI radiographs and compare the match accuracy between the student groups.<b>Methods</b> Five patient cases were chosen at random to retrospectively collect sets of digital bitewing radiographs from two time periods. The five retrospectively selected sets of images served as simulated antemortem (AM) and postmortem (PM) radiographs. A convenience sample of second year dental hygiene and dental assistant students from two institutions (n=48) were invited to participate in this IRB-exempt descriptive observational study. The previously selected AM and PM images were randomly mismatched, and participants were asked to visually compare the image sets and indicate the matches using a drag and drop feature in an electronic survey instrument. Descriptive statistics were used to analyze the data; the significance level was set at α=0.05.<b>Results</b> A total of 41 dental hygiene and dental assistant students agreed to participate for a response rate of 85.4%. Eighty-five percent of the participants accurately matched five out of five sets while the remaining 15% accurately matched three out of five sets. A one-sample binomial proportion test revealed that 80% of the participants were able to match at least four out of five sets (<i>p</i><0.001). Dental hygiene students demonstrated increased matching performance as compared to dental assisting students (<i>p</i>=0.013).<b>Conclusion</b> Both dental hygiene and dental assistant students demonstrated transferable DVI skills to accurately match simulated AM and PM radiographs. Future research is needed in a larger sample to develop and assess best practices of DVI training to build on existing skills for allied dental health care professionals.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 2","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9324451","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":"Periodontitis Risk Factors in Adults with Cystic Fibrosis: A pilot study.","authors":"Alaa A Alkhateeb, Lloyd A Mancl, Kathleen J Ramos, Marilynn L Rothen, Georgios A Kotsakis, Dace L Trence, Donald L Chi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Individuals with cystic fibrosis (CF) present with multiple condition-specific risk factors for periodontitis including CF-related diabetes, chronic inhaled treatments that induce xerostomia, and increased systemic inflammation because of frequent lung infections. General factors like age, oral hygiene, and diet may also contribute to the risk of periodontitis. However the relative importance of these specific risk factors and periodontitis in individuals with CF has not yet been evaluated. The purpose of this pilot study was to assess the associations between CF condition-specific and general risk factors and the prevalence of periodontitis in adults with CF.<b>Methods</b> This cross-sectional pilot study was designed to assess a multifactorial model of periodontitis risk factors in a population in adults with CF who were recruited from the University of Washington Adult CF center. Periodontitis was defined using the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC/AAP) case definition. Risk factors included condition-specific and general factors. Differences between participants with moderate/severe periodontitis and those with no/mild periodontitis was assessed using the Mann-Whitney test, the Fisher's exact test, and the exact chi-square test (α=0.05).<b>Results</b> Thirty-two participants were enrolled. Twenty-eight percent of the participants had moderate periodontitis, 72% had no/mild periodontitis; none of the participants had severe periodontitis. There were no significant differences in condition-specific factors between between the two study groups. Participants with moderate periodontitis were older (<i>p</i>=0.028) and reported daily flossing in higher proportions than those with no/mild periodontitis (<i>p</i>=0.023).<b>Conclusions</b> The findings from this pilot study suggest that future research is needed to determine whether sociodemographic and other general risk factors are more important contributors to periodontitis risk than CF-specific factors.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 2","pages":"7-21"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9324452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Cancer: Prevention, Detection and Prospects for Greater Health Equity.","authors":"Lisa Bennett Johnson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 2","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9344727","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":"Utilizing CliftonStrengths^® to Increase Professional Development in Dental Hygiene Students.","authors":"Leciel K Bono,&nbsp;JoAnn R Gurenlian,&nbsp;Colleen Stephenson,&nbsp;Rachelle Williams,&nbsp;Jessica August","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Undergraduate dental hygiene education programs may not provide sufficient training in professional development to prepare graduates to be primary health care providers. The purpose of the year one of a two-year study was to apply the results from a strengths assessment instrument to entry-level dental hygiene students' learning experiences and faculty instruction of students.<b>Methods</b> An exploratory research design including quantitative and qualitative methods was used among a convenience sample of entry-level dental hygiene students. A validated assessment instrument (CliftonStrengths^®) was used at the beginning of the academic year to determine the professional strengths of the participants. Frequencies and percentages were used to summarize the top five strengths of each participant. Focus group interviews were conducted to assess student and faculty perceptions of professional strengths based on learning experiences at the end of the first academic year. Virtual interviews were transcribed, and the codes and themes were identified. Investigator triangulation and member checks were used to validate responses.<b>Results</b> Thirty-two hygiene students and 28 faculty agreed to participate in the study. The top five strengths identified for both students and faculty (n=60) were in the executing, strategic and relationship building domains. All students (n=32) participated in the focus groups and the following themes were identified: awareness, application, positive approach, successful strategies, and personal growth. Of the faculty participants (n=28), 14 participated in the focus groups. Faculty themes identified were recognition, change in perspective, personalized approach, participatory environment, and empowerment.<b>Conclusion</b> Results this study highlight the potential benefits of a strengths-based approach to undergraduate dental hygiene education. Helping students utilize their professional strengths in a challenging educational setting may lead to increased empowerment, professional growth and development. Further study with year two data may offer an opportunity to understand how identification of professional strengths influences students' learning experiences.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 1","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10817818","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":"Knowledge, Attitudes and Perceptions of Dental Hygiene and Dental Therapy Students towards End-stage Renal Disease: A pilot study.","authors":"Kendall P Bast,&nbsp;Michelle C Arnett,&nbsp;Bruce R Lindgren,&nbsp;Miranda A Drake,&nbsp;Yvette Reibel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> Chronic kidney disease is highly prevalent in the general population and can progress to end-stage renal disease (ESRD). The purpose of this pilot study was to assess dental hygiene and dental therapy students' knowledge, attitudes, and perceptions towards ESRD and evaluate the feasibility of a larger scale study.<b>Methods</b> A convenience sample (n=59) of dental hygiene (DH) and dual degree DH/dental therapy students were invited to participate in an electronic survey for the pilot study. The investigator designed survey consisted of a total of 37 items: demographics (4), perceived knowledge, confidence, importance and attitudes (14), knowledge of chronic kidney disease (18). The knowledge questions were adapted from the Chronic Kidney Disease Self-Management Knowledge Tool (CKD-SMKT) with permission. Descriptive statistics and the non-parametric two-sample Wilcoxon rank sum test were used to analyze the data.<b>Results</b> Twenty-five participants completed the survey for a 42% response rate. Fewer than half (36%) perceived having some knowledge regarding ESRD, its oral manifestations (28%) and mental health implications (12%). The importance of managing oral health for ESRD was rated by most respondents as \"very important\" or \"extremely important\" (76%). Respondent attitudes indicated high interest (68%) regarding employment in hospital settings to care for individuals with ESRD.Knowledge scores from the CKD-SMKT were low in the categories of general knowledge of ESRD and dental hygiene care modifications for individuals with ESRD.<b>Conclusion</b> Results of this pilot study indicate that using a validated instrument on a national sample is feasible to determine the knowledge, attitudes and perceptions of dental hygiene students regarding ESRD. Future research should include knowledge and awareness of hypertension, diabetes, and the role that management of chronic kidney disease plays in the prevention of ESRD.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10817819","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":"Efficacy of a Revised Prototype Solution to Facilitate the Removal of Dental Calculus: A follow-up proof-of-concept study.","authors":"Danna R Paulson,&nbsp;Casey D Blaser,&nbsp;Miranda A Drake","doi":"","DOIUrl":"","url":null,"abstract":"<p><p><b>Purpose</b> The purpose of this follow-up proof-of-concept study was to determine the efficacy of a revised calculus disruption solution in facilitating the removal of both supragingival and subgingival calculus in-vivo, as measured by time, difficulty, and pressure required to remove supragingival and subgingival calculus.<b>Methods</b> Patients from a dental school in Minnesota were recruited to participate in a randomized, split-mouth, cross sectional proof-of-concept study comparing time, difficulty and pressure used with hand instrumentation alone compared to the use of a calculus disruption solution and hand instrumentation. Quadrants were randomized to either treatment or control group. Descriptive and inferential statistics were used to analyze the amount of time used. A paired Student's t-test was used to analyze the primary outcome (<i>α</i> = 0.05). Post-treatment questionnaires were completed by the investigator and participants to score the perceived difficulty and pressure required to remove calculus.<b>Results</b> Thirty participants completed the study. An average of 3.1 minutes less time was needed to remove supra and subgingival calculus in the treatment quadrants although this was not statistically significant (<i>p</i>=0.5757). The secondary outcomes, the investigator and participants' perceived difficulty and pressure used for calculus removal showed either no difference, or slight improvements in the treatment quadrants. Overall, the product was well tolerated by participants.<b>Conclusion</b> Quadrants treated with a calculus disruption solution, required slightly less time than control quadrants for calculus removal with hand instruments although the difference was not statistically significant. Reformulation to increase the viscosity of the solution may improve efficacy. Future studies should include a larger sample size, using multiple operators, and a double-blind study design.</p>","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 1","pages":"6-17"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9445016","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":"Pediatric Oral Health: Advances and Challenges.","authors":"Denise M Claiborne","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":52471,"journal":{"name":"Journal of dental hygiene : JDH / American Dental Hygienists'' Association","volume":"97 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9445018","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}