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de Lange T, Møystad A, Torgersen G, Ahlqvist J, Jäghagen EL. Students' perceptions of post-exam feedback in oral radiology-A comparative study from two dental hygienist educational settings. Eur J Dent Educ 2024; 28:377-387. [PMID: 37885281 DOI: 10.1111/eje.12959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 08/15/2023] [Accepted: 09/17/2023] [Indexed: 10/28/2023]
Abstract
INTRODUCTION The aim of this study was to investigate how students perceive the benefit of participating in a teacher-organised session providing feedback on exams, termed post-exam feedback, in two dental hygienist programmes. METHODS The study was based on interviews with 22 participants, including 18 students and 4 faculty teachers. The data were approached on the basis of thematic analysis, allowing us to generate insights on how the participants reflected on their participation in the post-exam feedback sessions and how they perceived this arrangement as learners. RESULTS The findings from the study suggest that motivated students consider post-exam feedback to be beneficial in clearing up uncertainties and deepening their understanding of issues not fully understood during the exam, as well as supporting their further learning. Less motivated students mainly consider post-exam feedback to be relevant for students who do not pass the exams. CONCLUSIONS Organised in a student-centred way and with attentiveness to student learning preferences, the results suggest that post-exam feedback can be valuable for enhancing assessment and supporting student learning related to exams.
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Affiliation(s)
- Thomas de Lange
- Department of Education, University of South-Eastern Norway, Oslo, Norway
| | - Anne Møystad
- Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Gerald Torgersen
- Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Oslo, Norway
| | - Jan Ahlqvist
- Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden
| | - Eva Levring Jäghagen
- Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden
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Carbone M, Mandatori F, Macciotta A, Gambino A, La Bruna P, Broccoletti R, Carossa M, Arduino PG. Assessment of the current knowledge about infective endocarditis prevention among dental hygienists in Italy: A national survey. Int J Dent Hyg 2024; 22:294-305. [PMID: 36951198 DOI: 10.1111/idh.12676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 01/21/2023] [Accepted: 03/12/2023] [Indexed: 03/24/2023]
Abstract
OBJECTIVES To date, there is a lack of data regarding the acceptance of the guidelines for infective endocarditis (IE) prevention among dentists in Italy, and similarly, there are no data on the understanding and compliance of those among dental hygienists (DH). Thus, we tried to assess the ability of DH to recognize and manage categories of patients at high risk of EI, to identify which dental procedures are at increased risk and to assess the level of knowledge of doses and how antibiotic prophylaxis should be administered in specific cases. METHODS An anonymous questionnaire was prepared and made accessible online by sharing a Google Forms® link; general personal data and educational background information were collected to obtain a profile of the participants. RESULTS A total of 362 DH answered to our web-based survey, showing a prevalent female percentage (86.7%) and the most represented age group of 30-39 years old (43.1%). Regarding the gender differences, there were not overall statistically significant differences; similarly, we did not find any differences regarding the overall number of wrong questions if considering the different ages of the participant and the year of graduation. Graduates in Northern Italy have mistaken fewer questions than graduates in other geographical areas. CONCLUSION To the best of our knowledge, this is the largest survey about the knowledge of IE for DH ever performed. Because the overprescription of antibiotics contributes to the development of drug resistance, antibiotic stewardship should be at the forefront of patient care. Our data reflect the need for placing a greater emphasis on IE prophylaxis education in training and during continuing professional development events for DH.
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Affiliation(s)
- Mario Carbone
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
| | - Federica Mandatori
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
| | - Alessandra Macciotta
- Department of Clinical and Biological Sciences, University of Turin, Turin, Italy
| | - Alessio Gambino
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
| | - Pietro La Bruna
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
| | - Roberto Broccoletti
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
| | - Massimo Carossa
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
| | - Paolo G Arduino
- Department of Surgical Science, CIR-Dental School, University of Turin, Turin, Italy
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Håkstad K, Fegran L, Hovden E, Köpp UMS. Orofacial signs of child or adolescent maltreatment identified by dentists and dental hygienists: A scoping review. Int J Paediatr Dent 2024; 34:285-301. [PMID: 38050876 DOI: 10.1111/ipd.13139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 10/02/2023] [Accepted: 11/02/2023] [Indexed: 12/07/2023]
Abstract
BACKGROUND Child maltreatment, the abuse or neglect of children aged 0-18 years, is a severe and underreported global problem. Compared with other body parts, the orofacial region displays more signs of child maltreatment. Dentists and dental hygienists are therefore well situated to identify orofacial signs of child maltreatment. AIM To map the current literature on orofacial signs of child maltreatment identified by dentists or dental hygienists. DESIGN A scoping review was conducted based on systematic searches of Medline (Ovid), Embase (Ovid), and CINAHL (EBSCOhost) for primary qualitative and quantitative studies through June 6, 2022. RESULTS Twenty-nine studies were included in this scoping review. Though all child maltreatment types were identified in dental settings, physical abuse and dental neglect were most commonly identified. Reports of caries dominated the orofacial signs, followed by bruises (intra- and extraoral), poor oral hygiene, dental trauma, and lacerations (intra- and extraoral). Case reports were used most commonly to describe orofacial signs of child maltreatment. CONCLUSION Dental clinicians identify orofacial signs of all child maltreatment types intraorally. Dentists identify the same extraoral signs as do other healthcare professionals, with bruising being the most common.
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Affiliation(s)
- Katrine Håkstad
- Department of Health- and Sport Science, University of Agder, Kristiansand, Norway
- Agder County Municipality, Public Dental Service, Kristiansand, Norway
| | - Liv Fegran
- Department of Health- and Sport Science, University of Agder, Kristiansand, Norway
- Department of Peadiatrics, Sørlandet Hospital HF, Kristiansand, Norway
| | - Ewa Hovden
- The Oral Health Centre of Expertise in East of (TkØ), Kristiansand, Norway
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Laliberte M, Boyd LD, Perry KR, Vineyard J. The role of self-compassion in mediating the effect of perfectionism on personal growth initiative in dental hygienists. Int J Dent Hyg 2024; 22:284-293. [PMID: 37661666 DOI: 10.1111/idh.12738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 04/08/2023] [Accepted: 08/20/2023] [Indexed: 09/05/2023]
Abstract
OBJECTIVE This study explored perfectionism, self-compassion and personal growth initiative in clinical dental hygienists. METHODS Cross-sectional survey research was conducted with a non-probability sample of clinical dental hygienists (n = 877). The survey had 55 items and consisted of three validated instruments: Frost's Multidimensional Perfectionism Scale-Brief (including evaluative concerns and perfectionistic striving subscales), Neff's Self-Compassion Scale and Robitschek's Personal Growth Initiative Scale. Descriptive, correlation, t-test, ANOVA and logistic regression analyses were used to evaluate the relationships among variables. Mediation analysis was conducted to determine the presence of a mediated moderation effect of self-compassion on perfectionism and personal growth initiative. RESULTS The completion rate for the survey was 89% (n = 788). Evaluative concerns (M = 11.83) and perfectionistic strivings (M = 15.44) among dental hygienists were high, levels of self-compassion (SC) were moderate (M = 2.87) and levels of personal growth initiative (PGI) were low (M = 38.07) compared to others not in the dental field. The mediation analysis found that SC mediates the relationship between perfectionistic evaluative concerns and PGI. It was also determined that SC mediates the relationship between perfectionistic strivings and PGI. CONCLUSION Dental hygienists have high levels of perfectionism and may lack necessary levels of self-compassion to counteract those perfectionistic tendencies resulting in a decrease in taking the initiative to engage in opportunities for growth. This suggests the importance of dental hygienists developing a more adaptive perfectionism to balance self-criticism along with not having unrealistic expectations for perfection while engaging in self-compassion that includes self-kindness and mindfulness to support their continued growth.
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Affiliation(s)
- Michaela Laliberte
- Forsyth School of Dental Hygiene, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts, USA
| | - Linda D Boyd
- Forsyth School of Dental Hygiene, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts, USA
| | - Kristeen R Perry
- Forsyth School of Dental Hygiene, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts, USA
| | - Jared Vineyard
- Forsyth School of Dental Hygiene, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts, USA
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Natapov L, Berg-Warman A, Schiffman IK, Zusman SP. Uptake of dental hygienist services by the Israeli 65+ age group. Int J Dent Hyg 2024; 22:306-312. [PMID: 38409668 DOI: 10.1111/idh.12790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 09/04/2023] [Accepted: 02/11/2024] [Indexed: 02/28/2024]
Abstract
OBJECTIVES To learn about the use patterns of dental hygienist services, by the 65+ age group in Israel and to identify the main barriers facing different population groups. METHODS Telephone interviews with a representative sample of 512 older adults aged 65 and over were conducted from February to April 2020. RESULTS About 50% of the older adults aged 65 and over visited a dentist (2.9 visits on average) and 35% visited a dental hygienist in the year preceding the interviews. 17% reported never visiting a dentist and 45% never received care from a dental hygienist. Dental care use rates are lower in the outlying areas of the country, among non-Jews and among those who find it difficult to cover monthly household expenses. Those who regularly visit a dental hygienist maintain a preventive oral health routine, including tooth brushing and visits to the dentist for periodic preventive check-ups. They are aware of the harmful effects of eating sweets in between meals. Most of the older adults aged 65 and over are unaware of the reform under which hygienist' care was included in the basket of services provided by health plans. CONCLUSIONS There is underutilization of dental hygienist services and lack of awareness of proper oral health behaviour in the lower socioeconomic group. As less than 50% of older adults are aware of the legal rights for dental care, there is a need to raise awareness of the reform and the services provided under it.
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Affiliation(s)
- Lena Natapov
- The Ministry of Health, Division of Dental Health, Jerusalem, Israel
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Franzon B, Moutakis M, Axtelius B, Åkerman S, Klinge B. The relationship between practice ownership and follow-up of comprehensive dental care. A Swedish register study. Acta Odontol Scand 2024; 83:151-159. [PMID: 38623771 DOI: 10.2340/aos.v83.40277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 02/08/2024] [Indexed: 04/17/2024]
Abstract
AIMS The aims of this register study were: 1. To study whether the type of ownership of the dental practice was correlated with the type of dental care provided, that is public versus private ownership and professional (dentist or dental hygienist) versus non-professional ownership. 2. To study the extent of follow-up of patients who have undergone two types of treatments. Material and method: Two types of dental care were defined in the two groups studied, periodontitis/peri-implantitis and comprehensive restorative/rehabilitation. All relevant treatment codes that fall under these definitions are noted when they are performed. Also, the follow-up of each treatment code is noted. Differences in dental and socioeconomic status over time and between regions were adjusted for. A drop-out analysis was performed. Results: Dental practices owned by dentists or dental hygienists schedule follow-up appointments for patients who have undergone comprehensive restorative or rehabilitation dentistry more often than practices with other types of ownership. Dental practices owned by dentists or dental hygienists follow up patients with periodontitis and peri-implantitis less frequently. CONCLUSION Type of ownership of a dental business influences the extent to which periodontal, and comprehensive restorative or rehabilitation dentistry were followed up.
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Affiliation(s)
- Bengt Franzon
- Department of Oral Diagnostics, Faculty of Odontology, Malmö University, Malmö, Sweden.
| | - Mikael Moutakis
- Department of Economics, Gothenburg University, Gothenburg, Sweden; The Swedish Dental- and Pharmaceutical Benefits Agency, Stockholm, Sweden
| | - Björn Axtelius
- Department of Oral Diagnostics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Sigvard Åkerman
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Björn Klinge
- Division of Oral Diseases, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Periodontology, Faculty of Odontology, Malmö University, Malmö, Sweden
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Ahmed MM. Dentists and dental hygienists' comprehension of HIV infection associated periodontal implications and management. Front Public Health 2024; 12:1370112. [PMID: 38638482 PMCID: PMC11024279 DOI: 10.3389/fpubh.2024.1370112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Accepted: 03/13/2024] [Indexed: 04/20/2024] Open
Abstract
Background In an era wherein, persuasive evidence continues to witness the association between systemic and periodontal diseases, the absence of scientific data on dental professionals' comprehension concerning the HIV infection and periodontal link is lamentably backward. Thus, the key objective of this research is to ascertain the extent of comprehension possessed by dentists and dental hygienists concerning periodontal implications and their management in HIV patients. Methods It is a quantitative cross-sectional survey employing a descriptive approach focusing on a specific cohort of dental professionals. The study setting featured an online platform for the distribution of concealed, closed-ended, structured questionnaire. The data was gathered for four sections: six comprehension statements about periodontal manifestations in HIV patients; fifteen comprehension statements about HIV patients' periodontal management; eight familiarity statements about HIV management; and two educational statements about HIV. The comparisons of comprehension scores were drawn between variables such as specialties, age groups, and genders. Results The survey represented 468 dental professionals representing distinct dental specialties, with a mean age of 24.26 ± 7.53 years. The mean comprehension score for all groups of participants is 10.31 ± 9.34 (33.25%). The highest scores were recorded among those aged 31-40 (20.67 ± 8.31), followed by those aged 40+ (19.38 ± 9.39), 20-30 (9.53 ± 8.96), and under 20 (8.92 ± 8.57), at p < 0.001. The female participants (15.06 ± 12.2) exhibited substantially better scores in contrast to the male participants (8.74 ± 7.57). Periodontists (27.77 ± 3.08) comprehended most, then the oral medicine practitioners (25 ± 0). Dental hygiene students (5.52 ± 3.56) and hygienists (7.67 ± 9.72) comprehended the least. The scores for all four domains assessed were disappointingly low: knowledge about HIV-periodontal manifestations (2.81 ± 2.18), knowledge about management of periodontal diseases in HIV patients (3.73 ± 4.7), familiarity with periodontal care in HIV patients (2.87 ± 3.01), and education received about HIV and periodontal diseases (0.91 ± 0.66). Conclusion Dental professionals are notably incomprehensive, unfamiliar, and lacking in expertise in the realm of periodontal facets of HIV. The periodontists and oral medicine practitioners showed a substantial amount of comprehension, while the dental hygiene students and dental hygienists presented a conspicuously inadequate level of comprehension. The study outcome could potentially serve as an invaluable instrument for self-assessment by dental professionals and educators. HIV/AIDS ought not to persist as an unspoken taboo or disregarded subject within the dental field, particularly in periodontics, but rather should receive prominence in dental schools and professional development programs.
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Affiliation(s)
- Muzammil Moin Ahmed
- Department of Public Health, College of Applied Medical Sciences, Qassim University, Buraydah, Al-Qassim, Saudi Arabia
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Lelesi PJ, Bono L, Gurenlian JR. A Protocol for Treating Patients with Post-Covid Conditions in Dental Settings. J Dent Hyg 2024; 98:7-20. [PMID: 38649285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 02/12/2024] [Indexed: 04/25/2024]
Abstract
Purpose The relative newness of Post-COVID Conditions (PCC) has revealed a void in assessment protocols and treatment guidelines for dental settings. Providing oral health care practitioners with an assessment and treatment protocol could facilitate the delivery of comprehensive oral health care. The purpose of this study was to test a protocol for assessing and treating patients with PCC in dental practice settings.Methods A qualitative exploratory research design was used to conduct the study. A PCC assessment and treatment protocol (ATP) was developed and was used by dental hygienists in clinical practice in California for a period of 6 weeks. Following the use of the PCC ATP practitioners were invited to participate in individual interviews. Online individual interviews were comprised of 20 dental hygienists recruited via purposive sampling. Participant anonymity was preserved using pseudonyms. A qualitative analysis software program was used to identify codes and themes. Investigator triangulation, member checks, and saturation were used to validate responses.Results Fifty-six participants completed the six-week PCC ATP and twenty participants took part in the interview session. Four themes were identified: awareness, accessibility, resources, and complications. Within the accessibility theme, subthemes of ease of use and guidance emerged. The complications theme yielded three subthemes: time, clinician hesitation, and patient lack of cooperation.Conclusion This study demonstrated that a PCC ATP created awareness of the varied symptoms of PCC and is a useful resource for clinical practitioners. Providing dental hygienists with a treatment protocol supports efforts to provide person-centered evidence-based care.
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Affiliation(s)
| | - Leciel Bono
- Dental Hygiene Department, Idaho State University Pocatello, ID, USA
| | - JoAnn R Gurenlian
- Education, Research, and Advocacy Division American Dental Hygienists' Association Chicago, IL, USADental Hygiene Department, Idaho State University Pocatello, ID, USA
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Tarazona-Valero V, Almerich-Silla JM, Iranzo-Cortés JE, Ortolá-Siscar JC, Almerich-Torres T. Knowledge and perception regarding molar incisor hypomineralisation among dental students and dental hygienist students in Spain: a cross-sectional study. BMC Oral Health 2024; 24:300. [PMID: 38431602 PMCID: PMC10909293 DOI: 10.1186/s12903-024-04074-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 02/26/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND Molar incisor hypomineralisation (MIH) has a high prevalence in the Spanish pediatric population and is a precursor of carious lesions in teeth in which it is present. Although this pathology is included in the curricula of the Degree in Dentistry and the Training Cycle in Oral Hygiene in our country, the contents currently taught seem to be insufficient in relation to the level of knowledge that we have today about this condition. METHODS A digital questionnaire of 18 questions was sent to a sample of 448 students attending the 4th and 5th year of the Degree in Dentistry and 2nd year of the Training Cycle in Oral Hygiene from different universities and vocational training centers in the Valencian Community. Descriptive and multivariate statistical analysis of the data was subsequently performed. RESULTS Of the 290 questionnaires that were obtained, 53.8% were from students attending the 2nd year of a training course in oral hygiene and 46.2% were from students pursuing a degree in dentistry. Most of the respondents had heard about MIH (75.2%), mainly through master classes. However, most students had difficulties distinguishing MIH lesions from other lesions (58.3%). The degree of knowledge about MIH was greater among dental students in all the aspects evaluated: prevalence, diagnosis, prevention, and treatment. Of all the students, 83.8% were interested in increasing their training on MIH, especially in the areas of diagnosis and treatment. CONCLUSION The results of the present study justify the need to expand the content on MIH, both theoretical and practical, in the educational curricula of the Degree in Dentistry and Integrated Vocational Training Centers in Spain.
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Affiliation(s)
- Vallivana Tarazona-Valero
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| | - José Manuel Almerich-Silla
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain.
| | - José Enrique Iranzo-Cortés
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| | - José Carmelo Ortolá-Siscar
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
| | - Teresa Almerich-Torres
- Departament d'Estomatologia, Facultat de Medicina i Odontologia, Universitat de València, Gascó Oliag, 1, Valencia, 46010, Spain
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Villacorta-Siegal N, Joseph K, Gardner S, Smith J, Gallucci CE, Aleong R, Chvartszaid D. Integration of a dental hygienist into the interprofessional long-term care team. Gerodontology 2024; 41:125-140. [PMID: 38146174 DOI: 10.1111/ger.12734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2023] [Indexed: 12/27/2023]
Abstract
BACKGROUND To address poor oral health of residents in long-term care homes (LTCH), this study explored the process of integrating an educational resource and a dental hygienist on the interprofessional care team. METHODS This convergent mixed-methods study took place at a 472-bed LTCH in Toronto, Canada from February to August 2018. Nurses employed at the LTCH participated in the study. During the study period, a dental hygienist was integrated into an interprofessional LTCH team. Nurses completed an online eLearning module about using the Oral Health Assessment Tool (OHAT) when referring residents' oral health concerns to a. Pre/post knowledge quizzes, module feedback and satisfaction surveys were administered. A retrospective chart review examined OHAT use and compared nurse and dental hygienist oral health assessments. Two cycles of semi-structured interviews with five nurses explored experiences with the eLearning module, OHAT and integration of the dental hygienist into the team. RESULTS Nurses scored well on the knowledge quizzes and reported comfort in using the OHAT to refer oral concerns to a dental hygienist; however, actual use was minimal. oral health issues were under-reported by nurses on the Resident Assessment Instrument-Minimum Data Set (RAI-MDS); the dental hygienist reported significantly more debris, teeth lost and carious teeth (all P < 0.0001). Qualitative analysis indicated that the nurses valued dental hygienist integration into the team. Using knowledge mobilisation practices, a new oral health referral tool was developed. CONCLUSIONS This study highlights the feasibility and desirability of an oral health eLearning module, practical assessment tools and participation of a dental hygienist on the LTCH interprofessional care team.
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Affiliation(s)
- Nelly Villacorta-Siegal
- Department of Dentistry, Alpha Omega Dental Center, Baycrest Hospital, Toronto, Ontario, Canada
| | - Karen Joseph
- Kunin-Lunenfeld Centre for Applied Research & Evaluation, Baycrest Academy for Research & Education, Toronto, Ontario, Canada
| | - Sandra Gardner
- Kunin-Lunenfeld Centre for Applied Research & Evaluation, Baycrest Academy for Research & Education, Toronto, Ontario, Canada
| | - Jagger Smith
- Department of Dentistry, Alpha Omega Dental Center, Baycrest Hospital, Toronto, Ontario, Canada
| | - Christina E Gallucci
- Kunin-Lunenfeld Centre for Applied Research & Evaluation, Baycrest Academy for Research & Education, Toronto, Ontario, Canada
| | - Rosanne Aleong
- Kunin-Lunenfeld Centre for Applied Research & Evaluation, Baycrest Academy for Research & Education, Toronto, Ontario, Canada
| | - David Chvartszaid
- Department of Dentistry, Alpha Omega Dental Center, Baycrest Hospital, Toronto, Ontario, Canada
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
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Vellappally S, Naik S, Thomas RP, Alsadon O, Alayadi H, Hashem M, Alwadi MAM, Thomas NG, Ali HM, Alsarani MM, Anil S. Knowledge of the monkeypox 2022 outbreak among dental hygienists and students in Saudi Arabia: A cross-sectional study. Int J Dent Hyg 2024; 22:187-193. [PMID: 37722074 DOI: 10.1111/idh.12744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 04/26/2023] [Accepted: 08/06/2023] [Indexed: 09/20/2023]
Abstract
OBJECTIVE This study aimed to assess the knowledge of monkeypox infection among dental hygiene professionals and students in Saudi Arabia. METHODS A cross-sectional study was conducted among a convenience sample of dental hygiene professionals (n = 259). The questionnaire was developed based on previous literature, and descriptive analysis and a Chi-square test were performed. RESULTS A total of 159 dental hygienists responded to the questionnaire. Results indicated that only 1.7% had good knowledge, 7.7% had moderate knowledge and 90.6% had low knowledge of the monkeypox outbreak. The mean knowledge scores varied among dental hygiene students, practitioners and faculty members. Significant group differences were observed for some questions (p < 0.05). CONCLUSION Our study concludes that dental hygienists had moderate to low level of knowledge of the monkeypox infection and its implications for oral health and patient care, indicating a need for more education on the subject.
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Affiliation(s)
- Sajith Vellappally
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Sachin Naik
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Rohit Philip Thomas
- Institute of Diagnostic and Interventional Radiology, Klinikum Oldenburg University Hospital, Carl von Ossietzky University Oldenburg, Oldenburg, Germany
| | - Omar Alsadon
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Haya Alayadi
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Mohamed Hashem
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Maram Ali M Alwadi
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Nebu George Thomas
- Department of Periodontology, Pushpagiri College of Dental Sciences, Thiruvalla, India
| | | | - Majed M Alsarani
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Sukumaran Anil
- Department of Dentistry, Oral Health Institute, Hamad Medical Cooperation, Doha, Qatar
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Gheisari S. Recognizing Iran's pioneering rural dental hygienist program (1981-1991). Can J Dent Hyg 2024; 58:69. [PMID: 38505313 PMCID: PMC10946315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
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13
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Supporting career development for dental therapists. Br Dent J 2024; 236:344. [PMID: 38388623 DOI: 10.1038/s41415-024-7164-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2024]
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14
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Morzenti OA, Brennhofer SA, Calley KH, Stephenson MC. Implicit racial bias among dental hygienists practicing in the United States. Int J Dent Hyg 2024; 22:244-250. [PMID: 37746722 DOI: 10.1111/idh.12766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 09/05/2023] [Accepted: 09/07/2023] [Indexed: 09/26/2023]
Abstract
PURPOSE Provider bias has been shown to be a contributing factor to racial and ethnic disparities observed in health care settings. The purpose of this study was to examine implicit racial bias among dental hygienists. METHODS A convenience sample of licensed and practicing dental hygienists within the United States was recruited through email and national dental hygiene social media groups via snowball sampling. A two-part survey design was used for data collection. Participants completed a 10-item demographic survey through an online platform and were then routed to the Race Implicit Association Test (IAT). Descriptive statistics and linear regression analyses were used to compare demographic data and implicit racial preference scores (d-scores). RESULTS Data from 404 licensed dental hygienists were included in this study. Over two-thirds (67.8%) of participants showed a preference for European Americans over African Americans. A significant difference was found between implicit racial preference scores and participant age (Estimate: 0.01, 95% CI: 0.00, 0.01), years worked comparing <5 years to 21 or more years (Estimate: 0.19, 95% CI: -0.30, -0.09) and race comparing non-White to White (Estimate: -0.17, 95% CI: -0.27, -0.07). No difference was found with task order, previous Race IAT experience, or previous self-reported implicit bias training. CONCLUSIONS Findings suggest that dental hygienists may harbor implicit racial preferences for European Americans over African Americans. Non-White participants had more positive implicit preferences toward African Americans compared to White participants. Further research is needed to determine the extent to which implicit racial biases contribute to disparities in oral health.
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Affiliation(s)
- Olivia A Morzenti
- Prevea Health, Green Bay, Wisconsin, USA
- Department of Dental Hygiene, Idaho State University, Pocatello, Idaho, USA
| | | | - Kristin H Calley
- Department of Dental Hygiene, Idaho State University, Pocatello, Idaho, USA
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Anishchuk S, Waldron C. Development, implementation and evaluation of a dental hygienist supported daily toothbrushing programme in Irish pre-schools: A single-case experimental design. Int J Dent Hyg 2024; 22:158-166. [PMID: 37722098 DOI: 10.1111/idh.12760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 02/06/2023] [Accepted: 07/30/2023] [Indexed: 09/20/2023]
Abstract
INTRODUCTION Many pre-school children in Ireland experience dental caries in their primary dentition. The rate of dental caries varies, impacted by the levels of fluoride in the water and socio-economic status (18%-55%). This article reports on a novel initiative in which dental hygienists (DHs) supported pre-school teachers (PST) to implement a toothbrushing programme for children attending pre-schools in Ireland. It was hypothesised that such an initiative would create an environment in pre-schools that would improve the oral hygiene skills and habits of children and increase the oral health knowledge of parents and PST. METHODS A storybook (Brushing our teeth with Brush Bunny), a toothbrushing song and information leaflets were developed. DHs were provided with specific online training for the programme. The resources, including toothbrushes and toothpastes, were delivered to the pre-schools and training was provided by the DHs to the PST to prepare for and implement daily toothbrushing sessions. The standards for the toothbrushing programme followed the ChildSmile© programme. Before and after questionnaires gathered quantitative and qualitative data from the parents and PST. The toothbrushing programme was implemented by PST for 3 months. RESULTS Sixteen DHs and PST from 19 classes in 17 schools successfully delivered the programme to 331 children, and 227 parents completed both pre- and post-questionnaires. Poor baseline knowledge in relation to the 'spit don't rinse' message increased from 29% to 48%. However, there was no improvement in awareness of the benefits of fluoride in toothpaste. Awareness of the best brushing routines in relation to frequency and length was good at baseline and remained so after the programme. Most parents (90%) felt the programme had impacted positively on their child's toothbrushing routine. CONCLUSION This experimental study suggests that the logistics of implementing a daily toothbrushing routine to improve the oral hygiene skills and habits of pre-school children are possible in Irish pre-school settings when PST are supported by DHs. Parents' oral health knowledge may be improved, and it may impact positively on the children's daily toothbrushing routine. A larger study is required to confirm these findings.
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Affiliation(s)
- Sviatlana Anishchuk
- Irish Dental Hygienist's Association, Dublin Dental University Hospital, Dublin, Ireland
| | - Catherine Waldron
- Irish Dental Hygienist's Association, Dublin Dental University Hospital, Dublin, Ireland
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Ghoneim A, Proaño D, Kaur H, Singhal S. Aerosol-generating procedures and associated control/mitigation measures: Position paper from the Canadian Dental Hygienists Association and the American Dental Hygienists' Association. Can J Dent Hyg 2024; 58:48-63. [PMID: 38505316 PMCID: PMC10946320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Revised: 08/29/2023] [Accepted: 09/25/2023] [Indexed: 03/21/2024]
Abstract
Background Since the outbreak of COVID-19, how to reduce the risk of spreading viruses and other microorganisms while performing aerosolgenerating procedures (AGPs) has become a challenging question within the dental and dental hygiene communities. The purpose of this position paper is to summarize the evidence of the effectiveness of various mitigation methods used to reduce the risk of infection transmission during AGPs in dentistry. Methods The authors searched 6 databases-MEDLINE, EMBASE, Scopus, Web of Science, Cochrane Library, and Google Scholar-for relevant scientific evidence published between January 2012 and December 2022 to answer 6 research questions about the risk of transmission, methods, devices, and personal protective equipment (PPE) used to reduce contact with microbial pathogens and limit the spread of aerosols. Results A total of 78 studies fulfilled the eligibility criteria. The literature on the risk of infection transmission including SARS-CoV-2 between dental hygienists and their patients is limited. Although several mouthrinses are effective in reducing bacterial contaminations in aerosols, their effectiveness against SARS-CoV-2 is also limited. The combined use of eyewear, masks, and face shields is effective in preventing contamination of the facial and nasal region while performing AGPs. High-volume evacuation with or without an intraoral suction, low-volume evacuation, saliva ejector, and rubber dam (when appropriate) have shown effectiveness in reducing aerosol transmission beyond the generation site. Finally, the appropriate combination of ventilation and filtration in dental operatories is effective in limiting the spread of aerosols. Discussion and Conclusion Aerosols produced during clinical procedures can pose a risk of infection transmission between dental hygienists and their patients. The implementation of practices supported by available evidence will ensure greater patient and provider safety in oral health settings. More studies in oral health clinical environments would shape future practices and protocols, ultimately to ensure the delivery of safe clinical care.
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Affiliation(s)
| | - Diego Proaño
- Faculty of Dentistry, University of Toronto, Toronto, ON Canada
| | - Harpinder Kaur
- Faculty of Dentistry, University of Toronto, Toronto, ON Canada
| | - Sonica Singhal
- Faculty of Dentistry, University of Toronto, Toronto, ON Canada
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17
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Lavigne SE. IFDH white paper highlights findings from 5 global surveys. Can J Dent Hyg 2024; 58:3-6. [PMID: 38505314 PMCID: PMC10946314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/21/2024]
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Ghoneim A, Proaño D, Kaur H, Singhal S. Aerosol Generating Procedures and Associated Control/Mitigation Measures: A position paper from the Canadian Dental Hygienists Association and the American Dental Hygienists' Association. J Dent Hyg 2024; 98:6-57. [PMID: 38346896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 09/25/2023] [Indexed: 02/15/2024]
Abstract
Background Since the outbreak of COVID-19, how to reduce the risk of spreading viruses and other microorganisms while performing aerosol generating procedures (AGPs) has become a challenging question within the dental and dental hygiene communities. The purpose of this position paper is to summarize the existing evidence about the effectiveness of various mitigation methods used to reduce the risk of infection transmission during AGPs in dentistry.Methods The authors searched six databases, MEDLINE, EMBASE, Scopus, Web of Science, Cochrane Library, and Google Scholar, for relevant scientific evidence published in the last ten years (January 2012 to December 2022) to answer six research questions about the the aspects of risk of transmission, methods, devices, and personal protective equipment (PPE) used to reduce contact with microbial pathogens and limit the spread of aerosols.Results A total of 78 studies fulfilled the eligibility criteria. There was limited literature to indicate the risk of infection transmission of SARS-CoV-2 between dental hygienists and their patients. A number of mouthrinses are effective in reducing bacterial contaminations in aerosols; however, their effectiveness against SARS-CoV-2 was limited. The combined use of eyewear, masks, and face shields are effective for the prevention of contamination of the facial and nasal region, while performing AGPs. High volume evacuation with or without an intraoral suction, low volume evacuation, saliva ejector, and rubber dam (when appropriate) have shown effectiveness in reducing aerosol transmission beyond the generation site. Finally, the appropriate combination of ventilation and filtration in dental operatories are effective in limiting the spread of aerosols.Conclusion Aerosols produced during clinical procedures can potentially pose a risk of infection transmission between dental hygienists and their patients. The implementation of practices supported by available evidence are best practices to ensure patient and provider safety in oral health settings. More studies in dental clinical environment would shape future practices and protocols, ultimately to ensure safe clinical care delivery.
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Affiliation(s)
| | - Diego Proaño
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Harpinder Kaur
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Sonica Singhal
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
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Wakabayashi H, Kakehi S, Kishima M, Itoda M, Nishioka S, Momosaki R. Impact of registered dietitian and dental hygienist involvement on functional outcomes in patients with dysphagia: triad of rehabilitation, nutrition, and oral management. Eur Geriatr Med 2023; 14:1301-1306. [PMID: 37442874 DOI: 10.1007/s41999-023-00833-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 07/04/2023] [Indexed: 07/15/2023]
Abstract
PURPOSE To investigate whether the involvement of both registered dietitians and dental hygienists results in greater improvement in swallowing function and activities of daily living (ADL) in patients with dysphagia undergoing rehabilitation. METHODS Of 467 patients enrolled in the Japanese Sarcopenic Dysphagia database, 433 met the study eligibility criteria in a retrospective cohort study. Patients were divided into two groups based on whether or not they received intervention by both registered dietitians and dental hygienists. Outcomes were changes in the Food Intake Level Scale (FILS) and the Barthel Index (BI) at initial and follow-up assessments. Multiple regression analyses adjusted for age, sex, sarcopenia, dwelling, Charlson comorbidity index, malnutrition diagnosed by the Global Leadership Initiative on Malnutrition, and initial FILS or BI were conducted to examine the relationship between the involvement of both registered dietitians and dental hygienists. RESULTS The mean age was 80.5 and ± 10.7 years, and 222 were female. Both registered dietitians and dental hygienists were involved in 242 (57%) patients. Median and interquartile range changes in FILS and BI were 1 (0, 2) and 15 (0, 32.5), respectively. In multiple regression analyses, the change in the FILS was significantly higher in the involvement of both registered dietitians and dental hygienists (standardized coefficient = 0.075, P = 0.033), however, the change in the BI was not significantly different between the groups. CONCLUSION The involvement of both registered dietitians and dental hygienists improved swallowing function, but not ADL. Triad of rehabilitation, nutrition, and oral management may be useful for patients with dysphagia.
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Affiliation(s)
- Hidetaka Wakabayashi
- Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, 162-0054, Japan.
| | - Shingo Kakehi
- Department of Rehabilitation Medicine, Tokyo Women's Medical University Hospital, 8-1, Kawada-cho, Shinjuku-ku, Tokyo, 162-0054, Japan
| | - Masako Kishima
- Department of Dentistry, Wakakusa-Tatsuma Rehabilitation Hospital, Osaka, Japan
- Department of Oral Rehabilitation, Osaka Dental University Hospital, Osaka, Japan
| | - Masataka Itoda
- Department of Oral Rehabilitation, Osaka Dental University Hospital, Osaka, Japan
| | - Shinta Nishioka
- Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki, Japan
| | - Ryo Momosaki
- Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu, Japan
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20
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Holt LA, VanMeter TR, Simmer-Beck ML, Austin KJ, Scott JM. Kansas Extended Care Permit III Providers: A descriptive study. J Dent Hyg 2023; 97:5-14. [PMID: 38061810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 08/08/2023] [Indexed: 12/18/2023]
Abstract
Purpose Forty-two states to date have passed legislation to expanded the role of dental hygienists for improved access to basic oral health services for underserved populations. Recent legislative changes in the state of Kansas have created the Extended Care Permit (ECP) I, II, and III designations. The purpose of this study was to examine the experiences of registered dental hygienists in Kansas holding ECP III certificates.Methods Secondary data analysis was performed utilizing data collected from an ECP provider survey conducted in 2021. Dental hygienists in Kansas holding an Extended Care Permit III (n=88) were sent a 39-item electronic survey and informed consent was obtained prior to beginning the survey. Descriptive data analyses consisted of frequency distributions and percentages. Inferential data analysis consisted of Fisher's Exact and Chi-Square tests to evaluate associations between ECP III demographics, practice characteristics, and services provided.Results A total of 22 responses were received for a 25% response rate. The majority of the respondents (77%) were employed by a Safety Net Clinic. The practice settings reporting the highest percentage of ECP III services during the period of data collection were school-based settings, using portable equipment (68%). No associations were found between ECP III personal and practice characteristics and the provision of services specific to the ECP III permit.Conclusion Results suggest that a low percentage of ECP III permit holders are providing ECP III-specific services. Considering these findings and the outcomes of previous studies, there is speculation that barriers continue to exist that prevent permit holders from performing ECP III-specific services and providing dental hygiene services to the fullest extent of an ECP license.
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Affiliation(s)
- Lorie A Holt
- Division of Dental Hygiene, UMKC School of Dentistry, Kansas City, MO, USA
| | - Tara R VanMeter
- Division of Dental Hygiene, UMKC School of Dentistry, Kansas City, MO, USA
| | - Melanie L Simmer-Beck
- Department of Public Health and Behavioral Sciences, UMKC School of Dentistry, Kansas City, MO, USA
| | - Kylie J Austin
- Department of Public Health and Behavioral Sciences, UMKC School of Dentistry, Kansas City, MO, USA
| | - JoAnna M Scott
- Office of Research and Graduate Programs, UMKC School of Dentistry, Kansas City, MO, USA
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21
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Sundstrom RM, Boyd LD, Martell KM, Vineyard J. Dental Hygienists Knowledge, Beliefs, and Intentions Regarding Asking Adolescents About Electronic Nicotine Delivery Systems Use. J Adolesc Health 2023; 73:1053-1060. [PMID: 37656104 DOI: 10.1016/j.jadohealth.2023.06.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 06/26/2023] [Accepted: 06/26/2023] [Indexed: 09/02/2023]
Abstract
PURPOSE The purpose was to assess clinical dental hygienists' knowledge, beliefs, and intentions regarding asking adolescents about electronic nicotine delivery systems (ENDS) use. METHODS Cross-sectional survey research was conducted with a convenience sample of dental hygienists using a validated instrument developed based on the theory of planned behavior (TPB) that contained the following sections: demographics, knowledge, behavioral belief (BB), normative beliefs, control beliefs, and behavioral intention. Outcomes were analyzed using descriptive statistics, correlations, and multivariate regression analysis. RESULTS Of the 360 participants who opened the survey, 257 completed it for a completion rate of 71.4%. The knowledge score mean was 72%. BBs suggested that a majority (83%) of participants were likely to ask adolescent patient about ENDS use, however, normative beliefs showed that only about half had the support of their dentist/supervisor, and one-third (33%) felt they had sufficient tobacco/nicotine use and dependency guideline resources. This resulted in only half having the behavioral intention to ask adolescents about ENDS use. Demographic variables were not significantly correlated with the TPB subscales or intention. In the regression model all three TPB subscales predicted intention (F3, 251) = 46.1; p < .001). The coefficient of determination (R2 = 0.35) suggested 35% of the variation in the intention to ask about ENDS use can be explained by the model. DISCUSSION Most participants had favorable BBs toward asking about ENDS use among adolescents. However, adequate support from dentists/supervisors and training on guidelines for prevention and cessation of ENDS is needed to encourage dental hygienists to ask adolescents about ENDS use.
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Affiliation(s)
- Ruthanne M Sundstrom
- Massachusetts College of Pharmacy & Health Sciences, Forsyth School of Dental Hygiene, Boston, Massachusetts
| | - Linda D Boyd
- Massachusetts College of Pharmacy & Health Sciences, Forsyth School of Dental Hygiene, Boston, Massachusetts.
| | - Kelley M Martell
- Allied Health Programs, Mount Wachusett Community College, Gardner, Massachusetts
| | - Jared Vineyard
- Massachusetts College of Pharmacy & Health Sciences, Forsyth School of Dental Hygiene, Boston, Massachusetts
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Bannister C, Cope AL, Karki A, Harper P, Peddle S, Walters B, Allen M, Chestnutt IG. Time to complete contemporary dental procedures - estimates from a cross-sectional survey of the dental team. BMC Oral Health 2023; 23:926. [PMID: 38007437 PMCID: PMC10676590 DOI: 10.1186/s12903-023-03671-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/14/2023] [Indexed: 11/27/2023] Open
Abstract
BACKGROUND There are few contemporary studies on the time taken to complete dental procedures, those most heavily relied on in the United Kingdom date back to 1999. OBJECTIVES This work aimed to establish how long members of the dental team took to complete specific dental procedures, relevant to their scope of practice. METHODS Data were collected via a purposive sample of 96 dentists, dental hygienists/therapists and dental nurses. Via an online survey, participants were asked to state the mean, minimum and maximum time they estimated that they took to complete individual dental procedures. RESULTS The mean time taken to complete procedures common to both dentists and dental hygienists/therapists ranged from 3.7 to 4 min respectively for clinical note reading prior to seeing patients to 30.1 and 28 min to undertake root surface debridement. There were no significant differences between the time taken by dentists and dental hygienists/therapists to treat adult patients. However, in all but one procedure, dental hygienists/therapists reported taking longer (p = 0.04) to treat child patients. CONCLUSIONS The data provided here represent an up to date assessment of the time taken to complete specific tasks by different members of the dental team. These data will be of value to service planners and commissioners interested in evolving a dental care system that employs a greater degree of skill-mix and preventively oriented care.
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Affiliation(s)
- Christian Bannister
- Dental Public Health, Cardiff University School of Dentistry, Cardiff, UK
- School of Mathematics, Cardiff University, Cardiff, UK
| | - Anwen Louise Cope
- Dental Public Health, Cardiff University School of Dentistry, Cardiff, UK
| | | | - Paul Harper
- School of Mathematics, Cardiff University, Cardiff, UK
| | | | | | - Michael Allen
- Cardiff and Vale University Health Board, Cardiff, UK
| | - Ivor Gordon Chestnutt
- Dental Public Health, Cardiff University School of Dentistry, Cardiff, UK.
- Cardiff University Dental Hospital and School, Heath Park, Cardiff, CF14 4XY, UK.
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Levring Jäghagen E, de Lange T, Torgersen G, Møystad A, Ahlqvist J. The use of post-exam feedback in oral radiology: A survey study of dental and dental hygienist schools in Europe. Eur J Dent Educ 2023; 27:1048-1052. [PMID: 36690585 DOI: 10.1111/eje.12897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 11/13/2022] [Accepted: 01/15/2023] [Indexed: 06/17/2023]
Abstract
INTRODUCTION A combination of summative assessments and post-exam feedback can create a formative environment to support student learning. It remains unknown to what extent feedback sessions are conducted after exams in oral radiology courses for dental and dental hygienist students in Europe. This survey study aimed to explore whether post-exam feedback sessions were conducted, and if so, in what format. MATERIALS AND METHODS A questionnaire was distributed to 76 dental schools in 26 countries and 34 dental hygienist schools in 14 countries in Europe. The questions addressed whether feedback was provided after exams in oral radiology, the feedback format, and whether feedback sessions were formalised or performed for other reasons. RESULTS Questionnaire responses were received from 33 dental schools in 18 countries, and 20 dental hygienist schools in 11 countries. Information about grades was provided in 23-30% of the schools. Post-exam feedback sessions including opportunities for discussion was provided at 39% of the schools, all with guidelines stating that these sessions should be carried out. The remaining schools provided feedback either on request by individual students or as written examples of correct answers. CONCLUSION Almost one third of the dental schools announced grades without providing any post-exam feedback that could support learning. Two fifth utilised feedback sessions to assist students in gaining knowledge and sorting out misconceptions, all according to guidelines. Given the possible learning potential in post-exam feedback with opportunity to discuss, further studies of this format would be valuable, including the role and use of feedback guidelines.
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Affiliation(s)
- Eva Levring Jäghagen
- Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden
| | - Thomas de Lange
- Department of Education, University of Oslo, Oslo, Norway
- Department of Education, University of South-Eastern Norway, Notodden, Norway
| | - Gerald Torgersen
- Faculty of Dentistry, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
| | - Anne Møystad
- Faculty of Dentistry, Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
| | - Jan Ahlqvist
- Oral and Maxillofacial Radiology, Department of Odontology, Umeå University, Umeå, Sweden
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Pieren JA, Wilder RS, Spolarich AE. One hundred years of dental hygiene research: Progress and possibilities. Int J Dent Hyg 2023; 21:719-730. [PMID: 37766636 DOI: 10.1111/idh.12742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 08/21/2023] [Indexed: 09/29/2023]
Affiliation(s)
- Jennifer A Pieren
- Department of Health Professions, Dr. Madeleine Haggerty Dental Hygiene Program, Youngstown State University, Youngstown, Ohio, USA
| | - Rebecca S Wilder
- UNC Adams School of Dentistry, University of North Carolina, Chapel Hill, North Carolina, USA
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Brickle CM, Jacobi DA, Larkin CE. Igniting a movement in a dual-licensed dental workforce: The Minnesota model. Int J Dent Hyg 2023; 21:789-794. [PMID: 37831541 DOI: 10.1111/idh.12777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 09/18/2023] [Accepted: 09/19/2023] [Indexed: 10/14/2023]
Abstract
AIMS Increased awareness of oral health disparities in the United States has highlighted the need to expand the workforce and access to both primary and preventive dental care. Achieving the goal of oral health equity will require dental team members with appropriate clinical skills dedicated to reaching historically marginalized populations through intra- and interprofessional practice. MATERIALS AND METHODS Collective efforts by healthcare advocates in Minnesota led to legislation that created a dental hygiene-based workforce model inspired by the vision and foresight of the American Dental Hygienists' Association's 'Advanced Dental Hygiene Practitioner'. RESULTS In July 2023, there were 141 licensed dental therapists and 99 certified advanced dental therapists, the majority dually licensed as dental hygienists/dental therapists, providing primary care services in a variety of settings throughout the state. Current data confirm the contributions of this workforce model to increasing access to primary oral health care for Minnesotans across the lifespan. CONCLUSIONS While challenges remain, new opportunities are emerging for dual-licensed dental hygienists/dental therapists to reach intended populations. Minnesota's challenges and successes with the authorization and implementation of a dental hygiene-based workforce model can serve to assist others in developing their own intra- and interprofessional oral health care practitioners.
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Affiliation(s)
- Colleen M Brickle
- Health Sciences Division, Normandale Community College, Bloomington, Minnesota, USA
| | - Deborah A Jacobi
- Apple Tree Dental Policy and Advocacy, Mounds View, Minnesota, USA
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Steeples M, Hemington D. Mental wellbeing in the oral healthcare team: the dental hygienist and dental therapist. Br Dent J 2023; 235:603. [PMID: 37891294 DOI: 10.1038/s41415-023-6405-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Accepted: 09/04/2023] [Indexed: 10/29/2023]
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Lavigne SE. Dental hygiene's century-long journey to the world stage: professional pride. Can J Dent Hyg 2023; 57:143-144. [PMID: 38020078 PMCID: PMC10662423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/01/2023]
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Morzenti OA, Brennhofer SA, Calley KH, Stephenson MC. Implicit Racial Bias Among Dental Hygienists Practicing in the United States. J Dent Hyg 2023; 97:187-195. [PMID: 37816624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Accepted: 09/01/2023] [Indexed: 10/12/2023]
Abstract
Purpose Provider bias has been shown to be a contributing factor to racial and ethnic disparities observed in health care settings. The purpose of this study was to examine implicit racial bias among dental hygienists.Methods A convenience sample of licensed and practicing dental hygienists within the United States was recruited through email and national dental hygiene social media groups via snowball sampling. A two-part survey design was used for data collection. Participants completed a 10-item demographic survey through an online platform and were then routed to the Race Implicit Association Test (IAT). Descriptive statistics and linear regression analyses were used to compare demographic data and implicit racial preference scores (d-scores).Results Data from 404 licensed dental hygienists were included in this study. Over two-thirds (67.8%) of participants showed a preference for European Americans over African Americans. A significant difference was found between implicit racial preference scores and participant age (Estimate: 0.01, 95% CI: 0.00, 0.01), years worked comparing <5 years to 21 or more years (Estimate: 0.19, 95% CI: -0.30, -0.09), and race comparing non-White to White (Estimate: -0.17, 95% CI: -0.27, -0.07). No difference was found with task order, previous Race IAT experience, or previous self-reported implicit bias training.Conclusion Findings suggest that dental hygienists may harbor implicit racial preferences for European Americans over African Americans. Non-White participants had more positive implicit preferences toward African Americans compared to White participants. Further research is needed to determine the extent to which implicit racial biases contribute to disparities in oral health.
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Affiliation(s)
| | | | - Kristin H Calley
- Department of Dental Hygiene, Idaho State University, Pocatello, ID, USA
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Brickle CM, Jacobi DA, Larkin CE. Igniting a Movement in a Dual Licensed Dental Workforce: The Minnesota Model. J Dent Hyg 2023; 97:35-42. [PMID: 37816612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 09/19/2023] [Indexed: 10/12/2023]
Abstract
Increased awareness of oral health disparities in the United States has highlighted the need to expand the workforce and access to both primary and preventive dental care. Achieving oral health equity will require new dental team members with appropriate clinical skills dedicated to reaching historically marginalized populations through intra and interprofessional practice. Collective efforts by health care advocates in Minnesota led to legislation that created a dental hygiene-based workforce model inspired by the vision and foresight of the American Dental Hygienists' Association's "Advanced Dental Hygiene Practitioner." In July 2023, there were 141 licensed dental therapists and 99 certified advanced dental therapists, with the majority being dual-licensed dental hygienists/dental therapists, providing primary care services in a variety of settings throughout the state. Current data confirm their contributions to increasing access to primary oral health care services for Minnesotans across the lifespan. While surmountable challenges remain, new opportunities are emerging for dental therapists within Minnesota's transforming health care system. The purpose of this paper is to describe the implementation of this new workforce model in Minnesota, its challenges and successes to assist other states in developing new models for intraprofessional dental team members.
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Affiliation(s)
- Colleen M Brickle
- Health Sciences Division, Normandale Community College, Bloomington, MN, USA
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Penning CA, Bono LK, Gurenlian JR. Dental Hygiene Educators' Perspectives Towards Manikin Testing for Clinical Licensure Examination. J Dent Hyg 2023; 97:46-59. [PMID: 37553282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 04/21/2023] [Indexed: 08/10/2023]
Abstract
Purpose The use of manikin testing was recently introduced for dental hygiene licensure examinations. There is currently a lack of research about the efficacy and accuracy of manikin testing for clinical licensure. The purpose of this study is to identify perceptions of dental hygiene educators regarding the use of manikins for the dental hygiene clinical licensure exam.Methods This qualitative study used an exploratory, online, focus group design with 20 dental hygiene educator participants recruited through purposive sampling. Pseudonyms were used to protect participants confidentiality. Two groups of educators were from institutions that did not use manikin testing during COVID-19, and two groups of educators were from institutions that did use manikin testing during the same time period. Themes were analyzed using the classic analysis strategy. Validity was established using investigator triangulation, member checks, and saturation.Results Lack of knowledge including preconceived assumptions regarding manikin examinations; testing considerations with benefits and concerns regarding manikins versus live patients; and perceptions regarding the value of single point in time clinical licensure examinations were the three major themes identified by the participants.Conclusion The manikin exam appeared to address ethical concerns, however, there were limitations in relation to assessing critical thinking and decision-making skills. Some participants expressed that graduation from an accredited dental hygiene program was considered sufficient for licensure. Future studies should include comparisons of recent graduates who complete a clinical licensure examination versus those who do not complete a clinical licensure examination.
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Affiliation(s)
| | - Leciel K Bono
- Department of Dental Hygiene, Idaho State University, Pocatello, ID, USA
| | - JoAnn R Gurenlian
- Education and Research Division, American Dental Hygienists' Association, Chicago, IL, USA
- Department of Dental Hygiene (emerita), Idaho State University, Pocatello, ID, USA
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Mungmunpuntipantip R, Wiwanitkit V. Response to the COVID-19 pandemic of dental hygienist: Correspondence. Int J Dent Hyg 2023; 21:647. [PMID: 36971742 DOI: 10.1111/idh.12677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 09/11/2022] [Accepted: 03/22/2023] [Indexed: 03/29/2023]
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Hemington D, Steeples M. The General Dental Council's Scope of practice review: the perspective of a dental hygienist/therapist. Br Dent J 2023; 235:119-120. [PMID: 37500859 DOI: 10.1038/s41415-023-6057-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 06/01/2023] [Indexed: 07/29/2023]
Affiliation(s)
- Debbie Hemington
- President, British Association of Dental Therapists, United Kingdom.
| | - Miranda Steeples
- President, British Society of Dental Hygiene and Therapy, United Kingdom.
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Amodeo AA, Butera A, Lattari M, Stablum G, Abbinante A, Agneta MT, Lanzetti J, Tomassi D, Piscicelli S, Luperini M, Colavito A, Chiavistelli L, Politangeli R, Castaldi M, Nardi GM. Consensus Report of the Technical-Scientific Associations of Italian Dental Hygienists and the Academy of Advanced Technologies in Oral Hygiene Sciences on the Non-Surgical Treatment of Peri-Implant Disease. Int J Environ Res Public Health 2023; 20:2268. [PMID: 36767633 PMCID: PMC9916275 DOI: 10.3390/ijerph20032268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 01/23/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The recent publication of the new classification of periodontal and peri-implant disease has given clear indications on the parameters to be taken into consideration to correctly diagnose the different phases of these diseases. To date, however, there are no equally clear indications on the treatments to be implemented to solve these diseases. The objective of this Consensus Report is to provide guidance for the non-surgical management of peri-implant mucositis and peri-implantitis. For the drafting of the consensus, the most recent scientific literature was analysed. MATERIALS AND METHODS A group of 15 expert Italian dental hygienists were selected by the Italian technical-scientific societies (AIDI, UNID and ATASIO) and, starting from the literature review, they formulated indications according to the GRADE method (Grading of Recommendations, Assessment, Development, and Evaluation, a tool for rating the quality of evidence, used to draw up systematic reviews and clinical guidelines) on the treatment of peri-implant mucositis, peri-implantitis and on management of the various implanting surfaces. CONCLUSIONS in accordance with the international literature, non-surgical therapy alone can resolve peri-implant mucositis, but not peri-implantitis. Several adjunctive therapies have been considered and some appear to be helpful in managing inflammation.
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Affiliation(s)
- Alessio A. Amodeo
- RDH DHA, Department of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, Italy
- RDH DHA, IRCCS Foundation, Ca’Granda General Hospital in Milan, 20122 Milan, Italy
| | - Andrea Butera
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | | | - Giulia Stablum
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Antonia Abbinante
- RDH, AIDI (Associazione Igienisti Dentali Italiani), University of Bari, 70121 Bari, Italy
| | | | | | - Domenico Tomassi
- RDH DHA, Catholic University of the Sacred Hear, 00168 Roma, Italy
| | | | - Maurizio Luperini
- RDH DHA, UNID, University of Modena and Reggio Emilia, 41121 Modena, Italy
| | - Arcangela Colavito
- RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
| | - Lorella Chiavistelli
- RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
| | - Rita Politangeli
- RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
| | - Matteo Castaldi
- RDH DHA, ATASIO (Accademia Tecnologie Avanzate nelle Scienze di Igiene Orale), 70121 Bari, Italy
| | - Gianna Maria Nardi
- RDH DHA, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
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Kurinami N, Ashida K, Sugiyama S, Morito Y, Hasuzawa N, Yoshida A, Morita A, Hieshima K, Miyamoto F, Kajiwara K, Jinnouchi K, Jinnouchi T, Jinnouchi H, Nomura M. Reduced Number of Remaining or Healthy Teeth in Patients with Type 2 Diabetes Mellitus: A Cross-sectional Study Assessed by Dentists or Dental Hygienists in Japan. Intern Med 2023; 62:987-993. [PMID: 37005297 PMCID: PMC10125810 DOI: 10.2169/internalmedicine.9773-22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/03/2023] Open
Abstract
Objective This study assessed the relationships between oral health (number of remaining and healthy teeth and periodontal disease) and type 2 diabetes mellitus (T2DM) to contribute to improved patient care. Patients We conducted a cross-sectional cohort study of consecutive patients being regularly treated for chronic diseases (T2DM, hypertension, and dyslipidemia). A dentist or dental hygienist accurately evaluated the oral environment. Patients with fewer than 20 teeth were classified as having reduced remaining teeth (RRT). Results A total of 267 patients were enrolled, including 153 patients (57%) with T2DM and 114 without (43%). Patients with T2DM had 3 fewer remaining teeth on average than those without DM [median: 22 (interquartile range (IQR): 11-27) vs. median: 25 (IQR: 17.3-28), p=0.02]. In addition, patients with T2DM had 4 fewer healthy teeth on average than those without DM [median: 8 (IQR: 2.8-15) vs. median: 12 (IQR: 6-16), p=0.02]. The frequency of RRT was higher in the T2DM group (n=63; 41%) than in the non-DM group (n=31; 27%, p=0.02). Multivariable logistic regression for the presence of RRT in the T2DM group found that age [odds ratio (OR), 1.08; 95% confidence interval (CI), 1.03-1.13; p<0.01] and regular dental consultations (OR, 0.28; 95% CI, 0.10-0.76; p=0.01) were independently and significantly associated. Conclusion The number of remaining or healthy teeth was significantly lower in patients with T2DM than in those without T2DM in current Japanese clinical practice. Regular dental consultation is recommended to preserve remaining teeth in patients with T2DM.
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Affiliation(s)
- Noboru Kurinami
- Kurinami Clinic, Japan
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Japan
- Diabetes Care Center, Jinnouchi Hospital, Japan
| | - Kenji Ashida
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Japan
| | - Seigo Sugiyama
- Diabetes Care Center, Jinnouchi Hospital, Japan
- Division of Cardiovascular Medicine, Diabetes Care Center, Jinnouchi Hospital, Japan
| | | | - Nao Hasuzawa
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Japan
| | | | | | | | | | | | | | | | - Hideaki Jinnouchi
- Diabetes Care Center, Jinnouchi Hospital, Japan
- Division of Preventive Cardiology, Department of Cardiovascular Medicine, Kumamoto University Hospital, Japan
| | - Masatoshi Nomura
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine, Japan
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Gelbier S. Gerald Hubert Leatherman DSc FDS FFD DOdont (1903-1991), the World Dental Federation, dental hygienists and the promotion of oral health. J Med Biogr 2022; 30:256-260. [PMID: 34342554 PMCID: PMC9580029 DOI: 10.1177/09677720211000354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
In 1994 a 'Dr Gerald Leatherman Award' was established by the British Dental Hygienists' Association to honour Leatherman. But who was he? And why was he associated with this named award? There are many facets to the Leatherman story: the first training of UK dental hygienists, support for their association, promotion of oral health in many ways and, perhaps especially, his work for the World Dental Federation (FDI).
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Affiliation(s)
- Stanley Gelbier
- Stanley Gelbier, Unit for the History of Dentistry, c/o Central Office, Faculty of Dentistry, Oral & Craniofacial Science, King’s College London, Guy’s HospitaL, Tooley Street, London SE1 1UL, UK.
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Noritake K, Oshima K, Fukuda H, Tano R, Oshiro A, Nitta H, Miura H. Factors Affecting the Career Continuation of Newly Graduated and Reinstated Dental Hygienists Who Participated in a Technical Training Program in Japan. Int J Environ Res Public Health 2022; 19:13360. [PMID: 36293940 PMCID: PMC9602505 DOI: 10.3390/ijerph192013360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 10/13/2022] [Accepted: 10/14/2022] [Indexed: 06/16/2023]
Abstract
This study aimed to identify (1) what newly graduated dental hygienists and reinstated dental hygienists consider important for preventing early turnover in their own professions and for encouraging them to continue in the profession more generally and (2) relevant factors among hygienists intending to continue working in the field. An anonymous, self-administered questionnaire survey was distributed to 215 Japanese dental hygienists who participated in the technical training programs (response rate: 72.6%). Of them, 143 participants were classified into two groups: newly graduated (NGDH, n = 32) and those reinstated to work (RDH, n = 111). Follow-up for lack of skills was most often selected as important for preventing early turnover among both groups and follow-up for lack of knowledge was significantly selected in the RDH group (p < 0.001). Regarding factors important for career continuation, NGDHs significantly selected gaining job satisfaction, whereas RDHs significantly selected working support. Relevant factors contributing to participants' intentions to continue in the profession were job satisfaction (NGDH, OR = 8.37; RDH, OR = 8.83), career outlook (RDH, OR = 3.11), and job turnover experience because of marriage and parenting (RDH, OR = 2.70), thereby suggesting the importance of raising awareness regarding career progression and job-related rewards among dental hygienists, their educators, and the government through ongoing career education.
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Affiliation(s)
- Kanako Noritake
- Oral Diagnosis and General Dentistry, Tokyo Medical and Dental University Hospital, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Katsuo Oshima
- Department of Dental Technology, The Nippon Dental University College at Tokyo, Chiyoda-ku, Tokyo 102-8159, Japan
| | - Hideki Fukuda
- National Institute of Public Health, Wako 351-0197, Japan
| | - Rumi Tano
- National Institute of Public Health, Wako 351-0197, Japan
| | - Akiko Oshiro
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan
| | - Hiroshi Nitta
- General Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Hiroko Miura
- Division of Disease Control and Epidemiology, School of Dentistry, Health Sciences University of Hokkaido, Ishikari-gun 061-0293, Japan
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Rock LD, Madathil S, Khanna M, Macdonald LK, Quiñonez C, Glogauer M, Allison P. COVID-19 incidence and vaccination rates among Canadian dental hygienists. Can J Dent Hyg 2022; 56:123-130. [PMID: 36451991 PMCID: PMC9674005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Revised: 08/15/2022] [Accepted: 08/16/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND Oral health care settings potentially carry a high risk of cross-infection due to close contact and aerosol-generating procedures. There is limited evidence of the impact of COVID-19 among dental hygienists. This longitudinal study aimed to 1) estimate COVID-19 incidence rates among Canadian dental hygienists over a 1-year period; and 2) estimate vaccination rates among Canadian dental hygienists. METHODS A prospective cohort study design was used to collect self-reported COVID-19 status from 876 registered dental hygienists across Canada via an online baseline survey and then 6 follow-up questionnaires delivered between December 2020 and January 2022. Bayesian Poisson and binomial models were used to estimate the incidence rate and cumulative incidence of self-reported COVID-19. RESULTS The estimated cumulative incidence of COVID-19 in dental hygienists in Canada from December 2020 to January 2022 was 2.39% (95% CrI, 1.49%-3.50%), while the estimated cumulative incidence of COVID-19 in corresponding Canadian provinces was 5.12% (95% CrI, 5.12%-5.13%) during the same period. At last follow-up, 89.4% of participants self-reported that they had received at least 1 dose of a COVID-19 vaccine. CONCLUSION The low infection rate observed among Canadian dental hygienists between December 2020 and January 2022 is reassuring to the dental hygiene and general community.
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Affiliation(s)
- Leigha D Rock
- Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
- Department of Pathology, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada
| | - Sreenath Madathil
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada
| | - Mehak Khanna
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada
| | | | - Carlos Quiñonez
- Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Michael Glogauer
- Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
| | - Paul Allison
- Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada
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Lavigne SE. Evolving evidence for relationships between periodontitis and systemic diseases: Position paper from the Canadian Dental Hygienists Association. Can J Dent Hyg 2022; 56:155-171. [PMID: 36451995 PMCID: PMC9674001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Revised: 07/04/2022] [Accepted: 07/06/2022] [Indexed: 06/17/2023]
Abstract
AIM The aim of this position paper is to investigate the current state of the evidence for proposed associations between periodontitis and rheumatoid arthritis, Alzheimer's disease, obesity, inflammatory cancers, and renal disease using a narrative review approach. This is the last of a series of 5 position papers from the Canadian Dental Hygienists Association (CDHA) on the relationship between periodontitis and systemic conditions. METHODS Individual literature searches were conducted for each of the 5 proposed linkages and limited to human studies, with a preference for systematic reviews (SRs) and prospective studies, in the English language, published between 2015 and 2021, focused on associations between 1) periodontitis and rheumatoid arthritis; 2) periodontitis and Alzheimer's disease/cognitive impairment; 3) periodontitis and obesity; 4) periodontitis and inflammatory cancers; and 5) periodontitis and chronic kidney disease. Databases searched were PubMed, MEDLINE/OVID, CINAHL, Scopus, Cochrane Registry of Systematic Reviews, and Web of Science. RESULTS A total of 39 papers were selected for discussion, including 6 SRs for rheumatoid arthritis; 7 SRs for Alzheimer's disease/cognitive impairment; 11 SRs, 1 meta-review of SRs, and 1 population-based cohort study for obesity; 9 SRs for inflammatory cancers; and 4 SRs for kidney disease. CONCLUSIONS The evidence for the 5 proposed associations varied in strength, with obesity being most strongly associated with periodontal disease. More robust studies are recommended to clarify the exact nature of these associations.
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Affiliation(s)
- Salme E Lavigne
- Senior scholar and retired professor, School of Dental Hygiene, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
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Lavigne SE, Suvan J. New graduate school opportunities for dental hygienists. Can J Dent Hyg 2022; 56:111-113. [PMID: 36451993 PMCID: PMC9674004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Affiliation(s)
| | - Jeanie Suvan
- Associate professor and programme director, MSc Dental Hygiene, Eastman Dental Institute, University College London, United Kingdom;
Editorial board member, Canadian Journal of Dental Hygiene
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Kanderis Lane CL, Gurenlian JR. COVID-19 Practices of Idaho Dental Hygienists. J Dent Hyg 2022; 96:20-27. [PMID: 35906077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Accepted: 12/09/2021] [Indexed: 06/15/2023]
Abstract
Purpose: The COVID-19 pandemic has challenged dental professionals to provide appropriate care while using nationally recognized guidelines to minimize disease transmission. The purpose of this study was to investigate the current practices of dental hygienists in Idaho to better understand how their practices have been impacted by COVID-19 in comparison to national guidelines.Methods: Practicing dental hygienists licensed in Idaho were invited to participate in a 23-item web-based survey. Items included demographics, guidelines used, procedures employed in response to COVID-19, barriers encountered implementing protocols, and vaccination status. Descriptive statistics were used to analyze the data. A Chi-square test was used to test for association between demographics and national guidance used and vaccination status (p=.05).Results: Of the 1,200 dental hygienists e-mailed, 185 consented to participate for a response rate of 15.4%. Respondents reported that level 3 or higher filtration masks were worn for every patient (72.9%, n=113) as were gloves (95.5%, n=148) and eye protection with side shields (71.6%, n=111). Most respondents indicated that disposable gowns (68.4%, n=106) and washable gowns (39.4%, n=61) were not available. A majority (56.1%, n=87) indicated they had been vaccinated. Respondents who had been employed for >15 years were more likely to have been vaccinated (χ2 = 15.25, df = 1, p = 0.000) and were more likely to ask their patients if they had received the COVID-19 vaccine (χ2 = 7.99, df = 1, p=0.005).Conclusion: Infection control practices following national guidance were inconsistent among dental hygienists in Idaho. Further research focusing on factors influencing adherence to national guidance for COVID-19 is needed.
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Affiliation(s)
| | - JoAnn R Gurenlian
- American Dental Hygienists' Association and Professor Emerita, Department of Dental Hygiene, Idaho State University, Pocatello, ID, USA
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Kim DH, Kim S. Curriculum of gross anatomy education in Korean dental hygiene programs: Perceptions of clinical dental hygienists. Anat Sci Educ 2022; 15:709-718. [PMID: 34547179 DOI: 10.1002/ase.2139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 08/27/2021] [Accepted: 09/17/2021] [Indexed: 06/13/2023]
Abstract
It is essential for dental hygienists to have basic knowledge of gross anatomy to provide efficient treatment. However, gross anatomy course is relatively neglected due to their disparity from actual clinical dental practice. This study aimed to propose an effective dental hygiene gross anatomy curriculum that reflects the opinions of professional clinical dental hygienists. The study had an online-based cross-sectional design and the survey was distributed to clinical dental hygienists via social networks (n = 200). The questionnaire consisted of questions on the utilization of anatomical knowledge in clinical practice, opinions on the contents and methods of gross anatomy education, and general characteristics. The present study found that 186 (93%) used anatomical knowledge at an above-average level. Qualitative analysis indicated that dental implant surgery, radiography, and extraction were the clinical procedures that required the most anatomical knowledge. The clinical dental hygienists answered that the most-necessary knowledge is that of the mandibular nerve, followed by that on the temporomandibular joint, mandible, maxilla, maxillary nerve, and masticatory muscle. The methods proposed to improve gross anatomy education were (in decreasing order of importance) using videos or photographs (X-rays, CT, MRI, etc.), integrating education with clinical subjects, and using a three-dimensional visualization program. Higher education levels of respondents have increased their tendency to believe that the contents and methods of the presented education were necessary. Dental hygienists who utilized anatomical knowledge more often tended to be had a greater appreciation of the necessity of all educational contents and methods.
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Affiliation(s)
- Da-Hye Kim
- Department of Dental Hygiene, Division of Health Science, Dongseo University, Busan, South Korea
| | - Soojeong Kim
- Department of Dental Hygiene, Division of Health Science, Dongseo University, Busan, South Korea
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Haslam SK, Wade A, Macdonald LK, Johnson J, Rock LD. Burnout syndrome in Nova Scotia dental hygienists during the COVID-19 pandemic: Maslach Burnout Inventory. Can J Dent Hyg 2022; 56:63-71. [PMID: 35811603 PMCID: PMC9236299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 11/24/2021] [Accepted: 12/21/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND Burnout syndrome is the result of prolonged occupational stress. The syndrome has 3 dimensions: emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). This study aimed to examine the prevalence of the 3 dimensions of burnout in dental hygienists in Nova Scotia, Canada, (N = 745) as they returned to work during the COVID-19 pandemic following a furlough; to explore the effect of burnout during COVID-19 on dental hygienists' professional lives; and to determine the tools and methods that dental hygienists use to overcome burnout. METHODS In this cross-sectional study, participants were asked to complete an anonymous survey inclusive of demographic information, employment characteristics, the Maslach Burnout Inventory Human Services Survey for Medical Personnel (MBI-HSS [MP]), and 2 open-ended questions. RESULTS The response rate was 34.9% (n = 260). Approximately one-third (36.2%) of respondents met the criteria for burnout. Contributors to burnout were time, providing dental hygiene care, expectations of dentists, physical and mental health, lack of autonomy, and the COVID-19 pandemic. Reported mechanisms to overcome occupational stress centred on work-life balance, social support networks, working in a positive environment, and physical activity. DISCUSSION This study took place during the first wave of the COVID-19 pandemic, which may have influenced the rate of burnout among dental hygienists, particularly within the EE domain where scores were twice as high as those reported in pre-COVID-19 studies. CONCLUSION Dental hygienists may be at risk for burnout. Recognizing the signs and symptoms of burnout and implementing healthy behaviours may reduce its detrimental effects.
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Affiliation(s)
- S Kimberly Haslam
- School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | - Alma Wade
- School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | - Lindsay K Macdonald
- School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | - Jennifer Johnson
- Alumna, School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
| | - Leigha D Rock
- School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada
- Department of Pathology, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada
- Beatrice Hunter Cancer Research Institute, Halifax, NS, Canada
- Department of Anatomical Pathology, Nova Scotia Health Authority, Halifax, NS, Canada
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Ludwig EA, Tolle SL, Suedbeck JR. Color-Blind Racial Attitudes in Practicing Dental Hygienists. J Dent Hyg 2022; 96:25-34. [PMID: 35418493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 10/05/2021] [Indexed: 06/14/2023]
Abstract
Purpose: Individuals who subscribe to a color-blind racial ideology may not be aware of differences or differential treatment based on race which may be related to racial inequality in the delivery of oral health care. The purpose of this study was to determine color-blind racial attitudes in a convenience sample of clinical dental hygienists.Methods: A convenience sample of practicing dental hygienists recruited through social media via snowball sampling was invited to participate in this cross-sectional survey study. The Color-Blind Racial Attitudes Scale (CoBRAS), a valid and reliable measuring instrument, was used to determine unawareness of racial attitudes and stereotyping. Three subscales (Racial Privilege, Institutional Discrimination, and Blatant Racial Issues) were measured by the survey. Descriptive statistics and separate one-way between-subjects ANOVA were used to analyze the data.Results: Two-hundred and thirty-three (n = 233) dental hygienists in clinical practice completed the survey. ANOVA revealed statistically significant differences in overall CoBRAS scores when comparing age groups and ethnicities. Participants aged 18-29 had significantly lower overall CoBRAS scores compared to participants aged 60 and over (x = 49.41, x = 59.17, respectively; p = .019). African American participants scored significantly lower on overall CoBRAS scores compared only to those in the Other ethnicity category (x = 42.27, x = 62.08, respectively; p = .029).Conclusion: Participants possessed moderate levels of color-blindness, suggesting unawareness of racism and a need to understand the implications of racism as a means of promoting equity and improve oral health care delivery. Findings emphasize a need for more research examining color-blind ideology and how it affects oral health care delivery to diverse patient populations.
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Affiliation(s)
- Emily A Ludwig
- Assistant professor at the Gene W. Hirschfeld School of Dental Hygiene, Old Dominion University, Norfolk, VA, USA.
| | - Susan L Tolle
- Professorat the Gene W. Hirschfeld School of Dental Hygiene, Old Dominion University, Norfolk, VA, USA
| | - Jessica R Suedbeck
- Assistant professor at the Gene W. Hirschfeld School of Dental Hygiene, Old Dominion University, Norfolk, VA, USA
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Morrissey RW, Gurenlian JR, Estrich CG, Eldridge LA, Battrell A, Lynch A, Matthew M, Harrison B, Araujo MWB, Vujicic M. Employment Patterns of Dental Hygienists in the United States During the COVID-19 Pandemic: An update. J Dent Hyg 2022; 96:27-33. [PMID: 35190491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 01/14/2022] [Indexed: 06/14/2023]
Abstract
Purpose: Despite recovery in dental practices' patient volume, dentists in the United States (US) continue to report difficulties in hiring dental hygienists due to the COVID-19 pandemic. This study updates previous data on US dental hygienists' employment patterns and attitudes concerning returning to work.Methods: Licensed dental hygienists were invited to participate in monthly web-based surveys between September 2020 and August 2021. Employment questions included current and pre-pandemic work status as well as reasons for not currently working as a clinical dental hygienist. Descriptive statistics were used to describe dental hygienists' employment status and reasons for not currently working. Cross tabulation analysis included employment status and reasons for not working by age group.Results: As of August 2021, 4.9% (n=59) of the participants reported that they were not currently employed as a dental hygienist. Most reported that the reason for non-employment as a dental hygienist was voluntary (74.1%; n=43).Safety concerns for self and others were the primary reasons for not returning to work; participants also indicated retirement or that they no longer wished to practice due to the pandemic. However, the percentage of respondents citing insufficient childcare, wanting the COVID-19 vaccine but not obtaining it, and having an underlying health condition, decreased between the beginning and the conclusion of the study.Conclusion: A measurable degree of hesitancy among US dental hygienists to return to work has persisted over a year and a half into the pandemic and may continue despite some improvements in workplace safety and vaccine uptake. Future research should examine workforce levels after the pandemic resolves.
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Affiliation(s)
- Rachel W Morrissey
- Senior Research Analyst, Education and Emerging Issues, Health Policy Institute, American Dental Association, Chicago, IL, USA.
| | - JoAnn R Gurenlian
- Director of Education & Research, American Dental Hygienists' Association, Chicago, IL, USA
| | - Cameron G Estrich
- Health Research Analyst, Evidence Synthesis and Translation Research, American Dental Association Science & Research Institute, LLC, Chicago, IL, USA
| | - Laura A Eldridge
- Research Associate, Evidence Synthesis and Translation Research, American Dental Association Science & Research Institute, LLC, Chicago, IL, USA
| | - Ann Battrell
- Chief Executive Officer, American Dental Hygienists' Association, Chicago, IL, USA
| | - Ann Lynch
- Director of Advocacy, American Dental Hygienists' Association, Chicago, IL, USA
| | - Mikkelsen Matthew
- Manager, Education Surveys, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Brittany Harrison
- Coordinator, Research and Editing, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Marcelo W B Araujo
- Chief Science Officer, American Dental Association, Science & Research Institute, Chicago, IL, USA
| | - Marko Vujicic
- Chief Economist and Vice President, Health Policy Institute, American Dental Association, Chicago, IL, USA
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45
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Knutt A, Boyd LD, Adams JL, Vineyard J. Compassion Satisfaction, Compassion Fatigue, and Burnout among Dental Hygienists in the United States. J Dent Hyg 2022; 96:34-42. [PMID: 35190492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 06/29/2021] [Indexed: 06/14/2023]
Abstract
Purpose: Compassion satisfaction allows for dental hygienists (DH) to grow professionally, but compassion fatigue can lead to burnout. The purpose of this study was to examine the relationship between compassion satisfaction (CS), compassion fatigue (CF), burnout (BO), to demographics and work characteristics, including thoughts of leaving the profession, among clinical DHs in the United States.Methods: A cross-sectional survey research design was used with a non-probability sampling of clinical DHs (n=553) recruited via social media. Data collection consisted of demographics, work characteristics and the Professional Quality of Life Scale (ProQoL) (version 5). Descriptive, correlation, and logistic regression analyses were used to assess the relationships among variables. Thematic analysis was conducted for the open-ended question.Results: The survey completion rate was 99% (n=527). The mean number of hours worked and number of days per week was 30.6 and 3.8 respectively and, on average, participants had worked 19.3 years in clinical practice. Approximately 70% of respondents indicated thinking about leaving the profession in the next five years. Participants with thoughts about leaving the field had a lower CS score (p<0.001), higher BO score (p<0.001), and higher CF (p<0.001) compared to those who had not thought about leaving the field. Age and years of experience positively correlated to CS and day per week worked negatively correlated to CF (p<0.05).Conclusion: Compassion satisfaction appears to impact burnout and thoughts of leaving the dental hygiene profession. Findings suggest the need for further research to identify ways to prevent burnout and improve retention in the profession.
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Affiliation(s)
| | - Linda D Boyd
- Professor and the Associate Dean of Graduate Studies
| | | | - Jared Vineyard
- Member of the adjunct faculty; all in the Forsyth School of Dental Hygiene, MCPHS University, Boston, MA, USA
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46
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Gurenlian JR, Eldridge LA, Estrich CG, Battrell A, Lynch A, Morrissey RW, Araujo MWB, Vujicic M, Mikkelsen M. COVID-19 Vaccine Intention and Hesitancy of Dental Hygienists in the United States. J Dent Hyg 2022; 96:5-16. [PMID: 35190489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 01/10/2022] [Indexed: 06/14/2023]
Abstract
Purpose: Vaccinations represent an important public health tool for mitigating dangerous diseases; nevertheless, there is concern and hesitancy regarding vaccinations including those for COVID-19. The purpose of this study was to determine the intentions and hesitancy among dental hygienists in the United States (US) toward COVID-19 vaccination.Methods: Dental hygienists in the US were surveyed from 1/4/21 to 8/16/21 regarding their intentions to get vaccinated and whether they received a COVID-19 vaccine. The vaccination questions were part of an anonymous, ongoing longitudinal web-based survey of dental hygienists' employment and infection control trends. Willingness or actual COVID-19 vaccination versus vaccine hesitancy were analyzed by differences in demographic characteristics using multivariable logistic regression and X2 and Fisher's exact tests.Results: Full COVID-19 vaccination rates in US dental hygienists rose sharply from 2/5/21 to 3/5/21 (26.0% to 53.9%) and leveled off to 75.4% by 8/30/21. The highest rates of vaccine hesitancy were among dental hygienists aged 26-39 years and those who had contracted COVID-19 during the time of the survey. The lowest vaccination hesitancy rates were seen among Non-Hispanic Asians and individuals 65+. When controlling for age, race/ethnicity, and years practiced, dental hygienists who had contracted COVID-19 had higher odds of being vaccine hesitant (adjusted Odds Ratio (aOR): 1.847, 95% Confidence Interval (CI): 1.274, 2.678). Having contracted COVID-19 was also associated with respondents changing from being hesitant to be vaccinated to being willing to be vaccinated (aOR: 4.071, 95% CI: 1.652, 10.030).Conclusion: Although vaccine acceptance is high among dental hygienists in the US, vaccine hesitancy remains an ongoing concern. Dental hygienists are key prevention specialists who should promote adherence to vaccination recommendations for the health of the public. Further education in virology, epidemiology, and vaccination education is recommended.
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Affiliation(s)
- JoAnn R Gurenlian
- Director of Education and Research, American Dental Hygienists' Association, Chicago, IL, USA.
| | - Laura A Eldridge
- Research Associate, Evidence Synthesis and Translation Research, American Dental Association Science & Research Institute, LLC, Chicago, IL, USA
| | - Cameron G Estrich
- Health Research Analyst, Evidence Synthesis and Translation Research, American Dental Association Science & Research Institute, LLC, Chicago, IL, USA
| | - Ann Battrell
- Chief Executive Officer, American Dental Hygienists' Association, Chicago, IL, USA
| | - Ann Lynch
- Director of Advocacy, American Dental Hygienists' Association, Chicago, IL, USA
| | - Rachel W Morrissey
- Senior Research Analyst, Education and Emerging Issues, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Marcelo W B Araujo
- Chief Science Officer, American Dental Association, Science and Research Institute, Chicago, IL, USA
| | - Marko Vujicic
- Chief Economist and Vice President, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Matthew Mikkelsen
- Manager, Education Surveys, Health Policy Institute, American Dental Association, Chicago, IL, USA
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47
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Estrich CG, Gurenlian JR, Battrell A, Lynch A, Mikkelsen M, Morrissey RW, Vujicic M, Araujo MWB. Infection Prevention and Control Practices of Dental Hygienists in the United States During the COVID-19 Pandemic: A longitudinal study. J Dent Hyg 2022; 96:17-26. [PMID: 35190490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 01/15/2022] [Indexed: 06/14/2023]
Abstract
Purpose: The SARS-CoV-2 virus continues to mutate, and the COVID-19 pandemic remains a global health crisis. The purpose of this longitudinal study was to continue to analyze the use of infection prevention and control practices (IPC) and personal protective equipment (PPE) by dental hygienists in the United States (US) during the COVID-19 pandemic.Methods: Web-based surveys on COVID-19 related health, IPC, and PPE were administered monthly to a panel of US licensed dental hygienists (n=6,976) from September 2020 to August 2021. Trends over time and predictors of IPC and PPE use were estimated using Stata 17.0 xt commands and multilevel multivariable logistic regression. Linear regression modeling for trends in time and tests for changes in trends were conducted (Joinpoint Regression Program, Version 4.9.0.0).Results: Almost all practicing dental hygienists (99.9%, 14,926 observations) reported COVID-19 specific IPC in place at their primary dental practice. Consistently >96% of dental hygienists reported operatory disinfection and staff masking over the study period. Patient face masking and physical protections such as barriers or air filtration increased in use over time, then declined in spring 2021. Screening or interviewing patients before appointments, checking patient temperatures before treatment, checking staff temperatures at shift start, disinfecting frequently touched surfaces, and encouraging distance between patients were reported by >85% of respondents until March 2021, at which point significant decreases were observed. Wearing a mask or respirator and eye protection during patient care consistently rose over time from September 2020 (77.1%) to August 2021 (81.4%). Always wearing a N95 or equivalently protective respirators during aerosol generating procedures peaked in 2/2021 and declined thereafter. Dental practice setting, supply of respirators, COVID-19 vaccination, and COVID-19 community transmission level were significantly associated with IPC and PPE use.Conclusion: Most US dental hygienists reported always wearing masks and eye protection during patient care and a variety of IPC types have been instituted to reduce the risk of COVID-19 transmission in dental practice settings. However, the use of N95 or equivalent respirators and some additional IPC methods declined during 2021.
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Affiliation(s)
- Cameron G Estrich
- Health Research Analyst, Evidence Synthesis and Translation Research, American Dental Association Science and Research Institute, LLC, Chicago, IL, USA.
| | - JoAnn R Gurenlian
- Director of Education and Research, American Dental Hygienists' Association, Chicago, IL, USA
| | - Ann Battrell
- Chief Executive Officer, American Dental Hygienists' Association, Chicago, IL, USA
| | - Ann Lynch
- Director of Advocacy, American Dental Hygienists' Association, Chicago, IL, USA
| | - Matthew Mikkelsen
- Manager, Education Surveys, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Rachel W Morrissey
- Senior Research Analyst, Education and Emerging Issues, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Marko Vujicic
- Chief Economist and Vice President, Health Policy Institute, American Dental Association, Chicago, IL, USA
| | - Marcelo W B Araujo
- Chief Science Officer, American Dental Association, Science and Research Institute, Chicago, IL, USA
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48
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Imafuku R, Nagatani Y, Yamada S. Complexities of interprofessional identity formation in dental hygienists: an exploratory case study. BMC Med Educ 2022; 22:8. [PMID: 34980100 PMCID: PMC8721996 DOI: 10.1186/s12909-021-03082-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 12/16/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND In a super-aging society, medical-dental collaboration is increasingly vital for comprehensive patient care. Particularly in dysphagia rehabilitation and perioperative oral functional management, dental hygienists' active involvement is pivotal to interprofessional collaborative practice. Despite this societal expectation, dental hygienists' experiences and perceptions of interprofessional collaboration have not been explored. This study aims to investigate dental hygienists' interprofessional identity formation and perceptions of interprofessional collaboration. Specifically, it was explored from the perspectives of dental hygiene students and hospital dental hygienists. METHODS This study is underpinned by Wenger's social theory of learning, which focuses on identity as a component in the process of learning in communities. Semi-structured interviews were conducted with 11 dental hygiene students in their final year at a technical college and five dental hygienists engaging in interprofessional care at a university hospital in Japan. The narrative data were analysed using an inductive approach to thematic analysis to extract themes regarding the identification of self in interprofessional teams. RESULTS Dental hygiene students found several barriers to the collaboration, including power relation and conceptual hierarchy, limited understanding of other professional roles, and differences in language and jargon. They viewed themselves as inferior in the interprofessional team. This resulted from their limited knowledge about general health and less responsibility for problems directly related to patient life and death. However, they could ultimately perceive the negative experiences positively as challenges for the future through reflection on learning in clinical placements. Contrarily, dental hygienists did not have such negative perceptions as the students did. Rather, they focused on fulfilling their roles as dental professionals in the interprofessional team. Their identities were formed through actively involving, coordinating their activity, and creating new images of the world and self in inter-professional communities of practice. CONCLUSIONS Interprofessional identity is relational as well as experiential, which is developed in complex and socially dynamic processes across intra- and inter-professional communities of practice. Engagement, imagination, and alignment are essential aspects of their interprofessional identities, which inform conceptual foundations of interprofessional education and collaborative practice in health care.
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Affiliation(s)
- Rintaro Imafuku
- Medical Education Development Center, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.
| | - Yukiko Nagatani
- Department of Dental Hygiene, University of Shizuoka, Junior College, 2-2-1 Oshika, Shizuoka-shi Suruga-ku, Shizuoka, 422-8021, Japan
| | - Saeko Yamada
- Asahi University School for Dental Hygienists, 1851 Hozumi, Mizuho, Gifu, 501-0296, Japan
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Howell AL, Lynn Tolle S, Ludwig EA, Claiborne DM. Attitudes of Virginia Dentists Toward Dental Therapists: A pilot study. J Dent Hyg 2021; 95:6-12. [PMID: 34949678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 02/18/2021] [Indexed: 06/14/2023]
Abstract
Purpose: The purpose of this pilot study was to determine perceptions of Virginia (VA) dentists toward mid-level dental providers, specifically dental therapists (DT), and determine whether membership in the American Dental Association (ADA) membership affected attitudes.Methods: A convenience sample of 1208 dentists in the state of VA were invited to participate in an electronic survey. The instrument consisted of 11 Likert type scale questions assessing attitudes toward DTs. Additional items included the appropriate level of education and supervision of a DT, and five demographic questions. Descriptive statistics were used to analyze the data. A one-sample t-test was used to determine statistical significance for the Likert scale items.Results: An overall response rate of 12% was obtained (n=145). Most respondents were male (73%), members of the ADA (84%), and over the age of 40 (65%). Results suggest that most participants did not perceive (M=1.90, p<0.001) that a DT was needed in VA, and did not support (M=2.08, p<0.001) a DT model provider. Most participants (M=2.01, p<0.001) were not comfortable having a DT perform authorized procedures or ever employing one in their practice (M=1.82, p<0.001). Comfort having a DT perform authorized procedures (b=.63, p<0.001), but not years of practice (b=-.09, p=0.18), was significantly associated with support for this mid-level provider. Additionally, a lower tolerance towards DTs was associated with an increased likelihood of membership in the ADA (b=.14, p=0.04).Conclusion: Virginia dentists surveyed did not perceive a need for DTs and generally reported unfavorable attitudes towards this mid-level provider. Findings support the need for more research with a larger, more diverse sample population.
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Affiliation(s)
| | | | | | - Denise M Claiborne
- Assistant professor and the Graduate Program Director; all at the Gene W. Hirschfeld School of Dental Hygiene, College of Health Sciences, Old Dominion University, Norfolk, VA, USA
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50
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Jones-Teti J, Boyd LD, LaSpina L. Career Paths and Satisfaction of Dental Hygienists Holding Master's and Doctoral Degrees. J Dent Hyg 2021; 95:54-62. [PMID: 34949683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 02/22/2021] [Indexed: 06/14/2023]
Abstract
Purpose: There is an increased need for dental hygienists with advanced degrees to meet the demands of a complex health care system in addition to advancing the dental hygiene profession. The purpose of this study was to explore the career paths and satisfaction of dental hygienists with master's and doctoral degrees.Methods: A qualitative descriptive phenomenological research design was used with a purposive sample of dental hygienists (n=20) who had master's and doctoral degrees. A virtual web-based videoconferencing platform was used to conduct focus groups and utilize a national sample. Focus groups were audio recorded and transcribed. Data was analyzed for themes manually and with qualitative analysis software.Results: The results showed a wide range of career paths such as: administrator, lawyer, entrepreneur, dental therapist, dentist, nurse, educator, researcher, public speaker, consultant, editor, state oral health program coordinator, and marketing. The results also indicated that participants were satisfied and valued the pursuit of their advanced education. The six themes that emerged included: expanded opportunities; personal growth; professional growth; credibility; it's an investment; and just do it, don't overanalyze or second guess yourself.Conclusion: Findings suggest satisfaction with advanced education as well as a wide variety of career paths. Participants also endorsed more dental hygienists being educated at the master's and doctoral level to advance the profession of dental hygiene.
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Affiliation(s)
- Jessie Jones-Teti
- Graduate of the MCPHS University Forsyth School of Dental Hygiene Master's Degree Program and a clinical dental hygienist
| | - Linda D Boyd
- Professor and the Associate Dean for Graduate Studies;
| | - Lisa LaSpina
- Associate professor in the Forsyth School of Dental Hygiene; all at MCPHS University, Boston, MA, USA
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