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Community AND dentistry

Frank Catalanotto
This article addresses new systems and practice models in community-based dentistry. Its purpose is twofold: to identify strategies and policies that support health equity and access to care; and to identify promising efforts that serve as new models for change in the dental workforce. Dental therapy meets both of these purposes and is the major focus of this article. The fundamental premises explored are threefold. First, the dental care system in the U.S. is broken for many people who then suffer the consequences of poor oral health; this is especially true for racial and ethnic minorities and lower income populations...
February 2019: Journal of Dental Education
D Brad Rindal, Gregg Gilbert, Claudia Carcelén, Ellen Funkhouser, Emily Durand, David A Uppgaard, Jeff Fellows, Jana Ikeda, Alexander Ross Kerr, Branden Brar, Valeria V Gordan, Sudhir Agarwal, Peter Barnett, Robert K Pickard, Maura Gillison
BACKGROUND: Oral human papillomavirus (HPV) infection is the principal underlying cause of a dramatic increase in oropharyngeal cancer. Dentistry can play an important role in developing clinical algorithms for secondary prevention. METHODS: The authors conducted this cross-sectional pilot study with practices of The National Dental Practice-Based Research Network. The authors evaluated the feasibility and acceptability of screening and testing procedures as judged by practitioners and patients...
February 2019: Journal of the American Dental Association
Maitreyee P Unde, Raju Umaji Patil, Persis P Dastoor
The discovery of fluoride in dentistry has revolutionized treatment modalities with a new aspect of prevention and conservation of tooth structure coming into foreplay. Since then, there has been a lot of research on both topical and systemic fluoridation in an overzealous attempt to control the most debilitating dental problem of caries. Although topical fluoride is still being widely used as a preventive measure for dental caries, systemic administration of the same has gained major criticism worldwide due to the low margin of safety of fluoride and no control over the amount of individual intake when administered on a community level...
September 2018: Indian Journal of Occupational and Environmental Medicine
Wyatte C Hall, Marlene Elliott, John P Cullen
PROBLEM: Deaf professionals who use American Sign Language (ASL) are a growing population in academic medicine. Reasonable accommodations for this group include providing an ASL interpreter. Many institutions contract with external agencies to provide ad-hoc interpreters, but this model has hidden costs for deaf professionals and institutions. APPROACH: The University of Rochester School of Medicine and Dentistry (URSMD) uses the designated interpreter model in which interpreters are on staff and embedded with deaf professionals so they can learn both the work environment and the deaf professionals' specialized science and medicine content...
January 8, 2019: Academic Medicine: Journal of the Association of American Medical Colleges
Mariângela Monteiro de Melo Baltazar, Carmen Célia Barradas Correia Bastos, Marilisa Carneiro Leão Gabardo, Luiz Carlos Py Flôres, Renata Iani Werneck, Simone Tetu Moysés, Samuel Jorge Moysés
In Brazil, development of "academic dentistry" over recent decades has also been based on the models cited (3). Academic dentistry refers to everything that concerns the dental profession in an educational setting. It involves both teaching/learning in undergraduate or postgraduate, and research and development - including the training of new professors, as well as university internship in the Academy/Health services/Community environment. Although Brazilian universities have trained and developed a considerable number of new dental professionals, its approach has been criticized because epidemiological achievements have underlined a striking paradox in the oral health status of the Brazilian population, as evidenced by the last national epidemiologic survey, in which serious iniquities in oral health were observed (4)...
January 11, 2019: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
Elizabeth Waring, Hani Mawardi, Sook Bin Woo, Nathaniel Treister, Danielle N Margalit, Jennifer Frustino, Alessandro Villa
PURPOSE: Oral toxicities following radiation therapy (RT) for head and neck (HN) cancer can be profound and are associated with poor health outcomes. The Division of Oral Medicine and Dentistry at Brigham and Women's Hospital and Dana-Farber Cancer Institute therefore implemented a dental evaluation program designed for community-based (CB) dentists to evaluate and treat patients scheduled for HN RT. The aim of this retrospective single-center cohort study was to assess the compliance of CB dentists with this pre-RT dental evaluation program...
January 7, 2019: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Norman Kahn, Kathy Chappell, Kate Regnier, Dimitra V Travlos, Doris Auth
In 2016, 116 people died each day from opioid-related drug overdoses and in 2017, the Department of Health and Human Services declared the opioid crisis a public health emergency. During the preceding years, the continuing education (CE) accreditors in the health professions identified a need for a strategic, coordinated effort that would involve an interprofessional coalition of multiple stakeholders to respond to this emerging public health challenge. The Conjoint Committee on Continuing Education, a national coalition of organizations in the professions of medicine, nursing, dentistry, pharmacy, and physician assistants, stepped up to assume a leadership position...
January 3, 2019: Journal of Continuing Education in the Health Professions
Pranav Parashar, Ankita Parashar, Nidhi Saraswat, Pooja Pani, Nishant Pani, Satyam Joshi
Aims and Objectives: The colonization of the respiratory pathogens has been found in the oral cavity. In the high-risk patients for lung infection; the risk factor is the high colonization of the respiratory pathogens in the oral cavity. The present study was performed with an aim to investigate the relationship between periodontal health and respiratory diseases. Material and Methods: The present cross-sectional study was conducted in the individuals who were attending the outpatient department of dentistry and those who signed the informed consent to participate in the study...
November 2018: Journal of International Society of Preventive & Community Dentistry
J N Rukmini, Ritu Sachan, Nilima Sibi, A Meghana, C Indu Malar
Aims and Objectives: This research is intended to observe the influence of menopause on saliva and dental health. Salivary flow rate, pH of stimulated whole saliva, oral hygiene status, dental caries status, and periodontal status were evaluated in frequently menstruating and postmenopausal womankind. Materials and Methods: A cross-sectional study was conducted on forty healthy postmenopausal women (case group) and forty regularly menstruating healthy women (control group), who were selected from the Outpatient Department of Dr...
November 2018: Journal of International Society of Preventive & Community Dentistry
Katherine J Bradley, Peggy Wros, Nicholas Bookman, Launa Rae Mathews, Heather Voss, Tanya L Ostrogorsky, Kate LaForge
Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health...
December 25, 2018: Journal of Interprofessional Care
Mercédesz Orsós, Júlia Moldvai, Péter Kivovics, Orsolya Németh
INTRODUCTION: More than 1 billion people in the world live with some form of disability. According to the 2011 census in Hungary, their number can be around 500 000. These people are considered as a vulnerable group even from a dental point of view, since the loss of function makes regular oral hygienic routine and dentistry control more difficult. In 2015, The Department of Community Dentistry and The National Institute of Medical Rehabilitation started to operate together a dental office to examine the dental and oral hygiene condition of the inpatients and to make their oral rehabilitation...
December 2018: Orvosi Hetilap
Ozlem Gurbuz Oflezer, Kursat Altinbas, Mehtap Delice, Ceyhan Oflezer, Erhan Kurt
PURPOSE: To compare the oral health of patients with bipolar disorder (BD) with a control group of subjects. MATERIALS AND METHODS: The study sample comprised 242 patients with BD and a mean age of 35.8 years. The control group comprised 187 subjects and a mean age of 37.3 years. Oral health was assessed through clinical examination by the Decayed, Missing, and Filled Teeth (DMFT) Index, the Community Periodontal Index (CPI), and the Simplified Oral Hygiene Index (OHI-S)...
2018: Oral Health & Preventive Dentistry
Kimon Divaris, Ashwini Joshi
Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-restorative management of dental caries, remarkably little has been done in the domain of ECC prevention. There is promise and expectation that meaningful improvements in early childhood oral health and ECC prevention can be made via the advent of precision medicine in the oral health domain...
December 19, 2018: Journal of Public Health Dentistry
Kevan Guilherme Nóbrega Barbosa, Ítalo de Macedo Bernardino, Gigliana Maria Sobral Cavalcante, Efigênia Ferreira E Ferreira, Renata de Castro Martins, Sérgio d'Avila
PURPOSE: To determine the prevalence of oral-maxillofacial trauma among Brazilian victims of physical aggression and identify its associated factors from a medico-legal and forensic perspective. MATERIALS AND METHODS: A cross-sectional study was carried out involving the analysis of complete medico-legal and social reports of 3668 victims of physical aggression treated at a centre of legal medicine and forensic dentistry over the course of four years. The dependent variable was the occurrence of oral-maxillofacial trauma...
December 3, 2018: Oral Health & Preventive Dentistry
Matina V Angelopoulou, S D Shanti, Cesar D Gonzalez, Ashley Love, Jeffrey Chaffin
OBJECTIVES: The aim of this study was to examine the association of food insecurity on the prevalence of dental caries in preschool children. METHODS: Eighty-two children, aged 12-71 months old, from the Marquette University School of Dentistry Community South Clinic and their caregivers participated in this cross-sectional study. Following informed consent, parents completed the validated six-item US Department of Agriculture food insecurity questionnaire and questions regarding demographic information and family structure...
November 28, 2018: Journal of Public Health Dentistry
Saqib Malik, Alia Pervez, Zarnab Zainab
BACKGROUND: Cerebral infraction is one of the important causes of cerebrovascular accident. This study was conducted to see which risk factors are more prevalent in cerebral infraction. METHODS: It is a hospital based descriptive study of 130 patients of different types of strokes. Results: Out of 130 patients 70 were male and 60 females. Majority (58%) of the patients were between 41-60 years of age. Patient presented with variable risk factors. The majority (60% male and 73% female) were hypertensive...
July 2018: Journal of Ayub Medical College, Abbottabad: JAMC
Lucy Brown, Kate Kenny, Elizabeth O'Sullivan
BACKGROUND: In the United Kingdom, assessments for dental general anaesthetics (DGA), completed by a Specialist in Paediatric Dentistry, are purported to be the gold standard. AIM: To evaluate the outcome of dental assessments completed by a Specialist in Paediatric Dentistry after a referral for an exodontia DGA by the patients' General Dental Practitioner (GDP). DESIGN: Six hundred and forty-two sets of notes were reviewed from patients referred for exodontia DGA at a community dental service in the United Kingdom...
October 26, 2018: International Journal of Paediatric Dentistry
Kevin Bowles, Harjit S Sehgal, Lynn Santelmann, Edward P Pham, Richie Kohli
It is very crucial that dental students who comprise our future dental workforce are adequately trained in communication skills. This training is especially important because of the increasing population of English as Second Language (ESL) patients in our community health centers, dental offices, and dental schools. The objective of this exploratory pilot study was to analyze dental student conversations about patient treatment plans to native English and ESL patients. The study recruited four dental students who spoke English as their first language and four patients, two with English as their native language and two with English as their second language from Oregon Health & Science University School of Dentistry...
October 25, 2018: Health Communication
Cathryn Forsyth, Michelle Irving, Stephanie Short, Marc Tennant, John Gilroy
INTRODUCTION: Indigenous Australians continue to experience significant oral health disparities, despite numerous closing-the-gap initiatives. Higher education institutions and accrediting bodies recognise the need to incorporate Indigenous culture more widely into dentistry curricula to address these inequalities. This study aimed to define and explore current Indigenous cultural competence curricula, identify enablers and barriers for integration of Indigenous cultural competence curricula and ascertain innovative strategies to aid students in becoming culturally competent upon graduation, from academics' perspectives...
October 11, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
Vannarath Te, Rachel Griffiths, Kristy Law, Peter S Hill, Peter Leslie Annear
The Association of Southeast Asian Nations (ASEAN) Economic Community (AEC) was inaugurated in December 2015 with the primary aim of achieving a strong and prosperous community through accelerating economic integration. The notion of a single market, underpinned by the free flow of trade in services and skilled labour, is integral to the spirit of the AEC. To facilitate the intra-regional mobility of health professionals, Mutual Recognition Arrangements (MRAs) were signed, for nursing in 2006 and for medicine and dentistry in 2009, and now sit within the AEC objectives...
October 1, 2018: Health Policy and Planning
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