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Spearin TA, Ayers CL. Instructional strategies and challenges for implementing teledentistry in dental hygiene curricula: A qualitative study. J Dent Educ 2024; 88:777-785. [PMID: 38356361 DOI: 10.1002/jdd.13495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2023] [Revised: 12/11/2023] [Accepted: 01/13/2024] [Indexed: 02/16/2024]
Abstract
PURPOSE/OBJECTIVES Research has documented the implementation of telecommunications and virtual technology use in health care disciplines to expand accessibility. Despite the current trend of digital innovations in healthcare systems, telehealth technology is not readily adopted in the dental hygiene profession yet. Currently, no standardized educational framework exists in dental hygiene curricula to prepare professionals with the technical skill set and professional knowledge necessary for telehealth applications. The aims and objectives of this research were (1) to investigate existing dental hygiene educators' pedagogical frameworks for incorporating telehealth technology into dental hygiene curricula, (2) explore these educators' instructional strategies for teaching telehealth technology, and (3) examine the theoretical implications and practical outcomes of teaching telehealth technology for professional development and transferrable work-force ready skills. METHODS A nine-item, open-ended, semi-structured interview guide was prepared and approved by the Institutional Review Board (IRB) in January 2023 to qualitatively investigate accredited entry-level dental hygiene programs in the United States. Thematic interpretational analysis was conducted using NVivo software. RESULTS A total of 54 of the 328 dental hygiene programs volunteered for participation. Thirteen full-time and part-time dental hygiene educators met inclusion criteria. The core salient themes identified included (a) curriculum mapping, (b) technology integration, (c) professional collaboration, and (d) supplemental skill set. CONCLUSIONS These findings provide guidance to dental hygiene programs for bridging the teledentistry knowledge gap in curriculum development. Incorporating telehealth applications into dental hygiene curricula prepares future dental hygienists with the specialized training needed to function as a member of contemporary health care teams addressing access to care.
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Affiliation(s)
| | - Candace L Ayers
- College of Graduate Health Sciences, A.T. Still University, Kirksville, Missouri, USA
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Brandini DA, Carvalho de Souza Cantão AB, Levin L. Public health policies in dental traumatology: A call for action! Dent Traumatol 2024. [PMID: 38742753 DOI: 10.1111/edt.12967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2024] [Accepted: 04/23/2024] [Indexed: 05/16/2024]
Abstract
Traumatic dental injuries (TDI) are a prevalent public health concern, requiring preventive measures as well as timely and appropriate interventions to prevent adverse outcomes and optimize patients' prognosis. Although dental trauma injuries require prompt clinical intervention, some challenges persist in effectively managing these injuries. In dental traumatology, the implementation of public health policies assumes critical importance, these policies play an important role in addressing preventive measures and mitigating the repercussions of TDI. This review aims to emphasize the importance of developing comprehensive public health policies in dental traumatology, recognizing the strategic importance of this approach and its benefits. By proactively addressing issues associated with dental injuries, these policies have extensive implications for individual quality of life and public health in general. Furthermore, this review will present a suggested structured framework for the development of public health policies, encompassing key domains including prevention, intervention, and education in dental traumatology. The creation and implementation of these policies will address dental trauma through prevention programs, research, and development, and will provide a significant step toward enhancing the well-being of the population and dental trauma victims' prognosis promoting a more resilient healthcare system.
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Affiliation(s)
- Daniela Atili Brandini
- Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Liran Levin
- Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
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Timms L, Choi S, Marshman Z, Rodd H, Wilson AR, Tiwari T. Parental acceptability of silver diamine fluoride: The UK and US experiences. Int J Paediatr Dent 2024. [PMID: 38676286 DOI: 10.1111/ipd.13195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 02/29/2024] [Accepted: 04/04/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND International data suggest that parents may have reservations about the use of silver diamine fluoride (SDF). AIM The aims of this study were to: (1) examine the acceptance of parents/carers towards the use of SDF for the management of caries in children's primary teeth in secondary care dental settings in the UK and the United States and (2) determine which factors may affect the acceptance of the use of SDF. DESIGN This was a cross-sectional questionnaire of SDF acceptability, completed by parents of young children. It was validated and adapted to local populations. Data were analysed with descriptive and inferential statistics. RESULTS Of the 113 Sheffield parents, 73% reported that they would accept SDF treatment of children's posterior teeth, with 58% reporting this for anterior teeth. Parents having less concern about posterior aesthetics had a statistically significant effect on reported acceptance of SDF (p = .013). In the Colorado sample (n = 104), 72% reported that they would accept SDF on posterior teeth, and 58% reported that they would accept SDF on anterior teeth. Concerns about aesthetics had an effect on decreasing SDF acceptance overall (p = .0065) in anterior (p = .023) and posterior teeth (p = .108). CONCLUSION The majority of parents in the two study populations accepted the treatment using SDF. However, concern about aesthetics had an influence on acceptability.
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Affiliation(s)
- Laura Timms
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Sooji Choi
- Children's Hospital Colorado, Aurora, Colorado, USA
| | - Zoe Marshman
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Helen Rodd
- School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Anne R Wilson
- Children's Hospital Colorado, Aurora, Colorado, USA
- School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
| | - Tamanna Tiwari
- School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
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Serón C, Olivero P, Flores N, Cruzat B, Ahumada F, Gueyffier F, Marchant I. Diabetes, periodontitis, and cardiovascular disease: towards equity in diabetes care. Front Public Health 2023; 11:1270557. [PMID: 38192555 PMCID: PMC10771979 DOI: 10.3389/fpubh.2023.1270557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 12/04/2023] [Indexed: 01/10/2024] Open
Abstract
Type 2 diabetes and its associated cardiovascular risk is an escalating epidemic that represents a significant public health burden due to increased morbidity and mortality, disproportionately affecting disadvantaged communities. Poor glycaemic control exacerbates this burden by increasing retinal, renal, and cardiac damage and raising healthcare costs. This predicament underscores the urgent need for research into cost-effective approaches to preventing diabetes complications. An important but often overlooked strategy to improve metabolic control in diabetic patients is the treatment of periodontitis. Our aim is to assess whether the inclusion of periodontitis treatment in diabetes management strategies can effectively improve metabolic control, and to advocate for its inclusion from an equity perspective. We conducted a comprehensive review of the literature from 2000 to 2023. We analyzed the pathophysiological links between periodontitis, diabetes, and atherosclerotic cardiovascular disease, all of which have inflammation as a central component. We also examined the inequalities in health care spending in this context. Our findings suggest that incorporating routine screening and treatment of periodontitis into national health programs, with coordinated efforts between physicians and dentists, is a cost-effective measure to improve metabolic control, reduce complications and improve the overall quality of life of people with diabetes.
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Affiliation(s)
- Constanza Serón
- Laboratorio de Modelamiento en Medicina, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
- Clinical Studies Unit, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
| | - Pablo Olivero
- Clinical Studies Unit, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
- Laboratorio de Estructura y Función Celular, Escuela de Medicina, Facultad de Medicina, Universidad de Valparaíso, Valparaíso, Chile
| | - Nicolás Flores
- Laboratorio de Modelamiento en Medicina, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
- Clinical Studies Unit, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
| | - Benjamín Cruzat
- Laboratorio de Modelamiento en Medicina, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
- Clinical Studies Unit, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
| | - Francisca Ahumada
- Laboratorio de Modelamiento en Medicina, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
- Clinical Studies Unit, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
| | - François Gueyffier
- Laboratoire de biologie et biométrie évolutive – équipe modélisation des effets thérapeutiques, Université Claude Bernard Lyon, Lyon, France
| | - Ivanny Marchant
- Laboratorio de Modelamiento en Medicina, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
- Clinical Studies Unit, Escuela de Medicina, Universidad de Valparaíso, Valparaíso, Chile
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Hadad-Arrascue N, Garcés-Elías MC, Chirinos JL. Toothbrushing and Access to Dental Services in Peruvian Children. Glob Pediatr Health 2023; 10:2333794X231209672. [PMID: 38024470 PMCID: PMC10647949 DOI: 10.1177/2333794x231209672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 09/14/2023] [Accepted: 10/06/2023] [Indexed: 12/01/2023] Open
Abstract
Objective. The aim was to determine the association between access to dental services and toothbrushing in Peruvian children under 12 years old. Methods. This was a cross-sectional study with a population of 2021 database of the Demographic and Family Health Survey. Records of children under 12 years old who provided answers about their toothbrushing were included. Variables were evaluated descriptively and followed by a bivariate analysis; multivariate tests were performed using Poisson regression with a multilevel regression analysis. Results. General toothbrushing was 96.32% (n = 34 198), and daily toothbrushing was 88.05% (n = 28 444). Access to dental services was associated with general toothbrushing (aPR: 1.18; 95% CI: 1.14-1.22; P < .001), daily toothbrushing (aPR: 1.08; 95% CI: 1.04-1.12; P < .001) and minimum toothbrushing 2 times a day (aPR: 1.12; 95% CI: 1.07-1.17; P < .001). Conclusion. Access to dental services was associated with general toothbrushing, daily toothbrushing and toothbrushing at least twice a day.
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Affiliation(s)
- Natalie Hadad-Arrascue
- Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Lima, Perú
- Facultad de Estomatología, Universidad Peruana Cayetano Heredia, Lima, Perú
| | | | - Jesús L. Chirinos
- Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia, Lima, Perú
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Scholtes M, Comnick C, Reynolds JC, Ingleshwar A, McKernan SC, Damiano PC. Dentist attitudes toward an annual benefit maximum in Iowa's adult Medicaid program. J Public Health Dent 2023; 83:26-32. [PMID: 36221319 DOI: 10.1111/jphd.12543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 04/04/2022] [Accepted: 08/09/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The Dental Wellness Plan (DWP) provides dental coverage for adult Medicaid enrollees in Iowa. In September 2018, a $1000 annual benefit maximum (ABM) was implemented in the DWP program. The aim of this study was to explore private dentists' attitudes toward ABMs and factors associated with ABM attitudes. METHODS The data source was a mailed survey administered in spring 2019 to all private practice dentists in Iowa. The two dependent variables were (1) attitude toward the $1000 ABM and (2) attitude toward any ABM generally. Independent variables included demographic and practice-related factors, and participation in and attitudes toward the DWP. Descriptive, bivariate, and multivariable analyses were conducted. RESULTS While over half (56%) of providers reported a positive attitude toward "Any ABM," less than half (40%) reported a positive attitude toward the "$1000 ABM." Attitudes toward both "$1000 ABM" and "Any ABM" were significantly and positively associated with attitudes toward DWP overall and toward DWP structure. Independent variables that were significantly associated with both the "$1000 ABM" and "Any ABM" included overall attitude toward the DWP, attitude toward DWP structure, and practice busyness. CONCLUSIONS Utilizing an ABM, particularly one set at $1000 for a Medicaid program, elicits mixed attitudes among dentists. Future research should evaluate the impact of Medicaid ABMs on long term dentist participation and patient's ability to receive needed care.
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Affiliation(s)
- Morgan Scholtes
- The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| | - Carissa Comnick
- The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| | - Julie C Reynolds
- Preventive & Community Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.,University of Iowa Public Policy Center, Iowa City, Iowa, USA
| | - Aparna Ingleshwar
- Preventive & Community Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.,University of Iowa Public Policy Center, Iowa City, Iowa, USA
| | - Susan C McKernan
- Preventive & Community Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.,University of Iowa Public Policy Center, Iowa City, Iowa, USA
| | - Peter C Damiano
- Preventive & Community Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.,University of Iowa Public Policy Center, Iowa City, Iowa, USA
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