Digital Commons Network^™

Women In Dentistry At The University Of Mississippi: Increasing The Confidence And Skills Of Future Women Dentists, Lakin Cramer

Honors Theses

Women in Dentistry became a registered student organization in February 2022. The purpose of the organization is to encourage and promote the professional and personal success of women in dentistry on the University of Mississippi Oxford campus. The historical and current literature of Women in Dentistry serve to provide a framework for the importance of uplifting women as they prepare for a career in dentistry. During my time as Founder and President of Women in Dentistry, my goal was to establish the organization, provide mentorship to prospective female dental school applicants, and increase the confidence and skills of future women …

Aging An Ancient Maya Population From Actuncan, Belize Using Dental X-Rays, Kaitlyn Nicole Cash

Honors Theses

My goal is to determine an accurate age at death estimation of an ancient Maya population from the archaeological site of Actuncan, Belize. This was done by measuring the lengths of the coronal pulp cavities in the individuals’ teeth. I used X-Ray images to measure the coronal pulp cavities of the teeth and estimated age using multiple regression formulae for premolars, molars, and incisors to make age estimations. The formulae came from two studies, Ikeda et al. (1985) and Drusini (2008), that form the basis of my research. Ikeda et al. (1985) was the first to use this aging method, …

Provider Racial Concordance And Medical Mistrust In Pediatric Dentistry, Chinelo Eke

Theses and Dissertations

Purpose: Studies have drawn varying conclusions on the importance of a racially concordant patient provider relationship. Medical mistrust has continued to garner attention as healthcare enterprises thread equity, diversity and inclusion throughout their organizational policies, practices and systems.

Methods: Parents/caregivers of pediatric patients at VCU Pediatric Dentistry were invited to participate. Surveys included questions about demographics, racial concordance, language preference, and the validated Group-Based Medical Mistrust Scale.

Results: A total of 246 guardians completed the survey. For guardians, 40% reported Black or African American, 31% Hispanic, and 19% Caucasian. Seventy-one percent of guardians reported speaking English, 18% Spanish, and 11% …

Exploring Melatonin As A Treatment For Oral Ulcers, William H. Sutherland

Undergraduate Honors Theses

The hormone melatonin is best known for its role in the sleep-wake cycle, but its anti-inflammatory and antioxidant effects have significant implications that have not been fully explored in oral health. Some studies use melatonin to treat gastrointestinal ulcers, including duodenal ulcers and oral mucositis, but we found no study reporting its effects on more common oral ulcers, like aphthous stomatitis. We hypothesize that the anti-inflammatory and antioxidant characteristics of melatonin could effectively prevent and heal oral ulcers. In this paper, we review the literature on melatonin to propose its use as a treatment for oral ulcers. We also include …

Crispr-Cas In The Field Of Dentistry: A Comprehensive Collection Of The Potential Uses Of Crispr-Cas9 In Dental Health Care, Lexi Elaine Bales

Chancellor’s Honors Program Projects

No abstract provided.

The Relationship Between The Educational Experiences Of Senior Dental Students And Their Attitudes Towards Intellectual And Developmental Disabilities, Alya Sarkhouah

University of the Pacific Theses and Dissertations

This research explores final year dental students’ knowledge and attitudes towards the treatment and management of patients with Intellectual and Developmental Disabilities (I/DD) as related to variations in the dental practices in Special Health Care Needs (SHCN) training they received. A quantitative, non-experimental study was conducted, employing survey data collection methods, to address descriptive, comparative, and correlational questions. One cohort, Class 2020, attended extramural rotations in specialized clinics for patients with I/DD and in-person lecture concerning this topic. However, due to the COVID-19 pandemic and its health-related restrictions, another cohort, Class 2021, did not have the same opportunity as rotations …

Correction Of Excessive Gingival Display: Lip Repositioning With/Without Myotomy, Austin Michael Dodge

Master's Theses (2009 -)

Background: Lip repositioning (LR) is a conservative and reversible surgical method for correcting excessive gingival display (EGD). Purpose: The study aims to compare two LR techniques. The objectives include 1) comparing the amount of gingival display reduction (GDR) after LR without (Group 1) and with (Group 2) myotomy, stratified in accordance with the etiology of the EGD 2) Comparing the gingival display rebound (GDRB) 3) compare subject satisfaction and morbidity. Methods: After obtaining IRB approval, 20 human subjects with EGD (measured apical to the CEJ of #9) were randomly allocated for surgery without and with myotomy. Pre-operative, diagnostic information were …

Disparities In Oral Health: Socioeconomic Status And Policies To Increase Access To Primary Dental Care, Mckenzie Nutter

Theses/Capstones/Creative Projects

Primary dental care is a patient-centered service consisting of routine dental checkups. The oral cavity is the first point of entrance to the body for many harmful pathogens. Therefore, primary dental care is essential to not only prevent and treat conditions in the mouth, but to also reduce the number of systemic diseases in the rest of the body. However, people with higher incomes or wealth have increased access to primary dental care. People with low socioeconomic status have decreased access to primary dental care, at least in part due to difficulties in paying for separate dental insurance. Disparities in …

Application Of Machine Learning Technologies For Detection Of Proximal Lesions In Intraoral Digital Images: In Vitro Study., Rohit Vadlamani

Electronic Theses and Dissertations

Background: Interpretation of bitewing radiographs is influenced by factors such as acquisition parameters (e.g. exposure, type of sensor), clinical technique, visualization (e.g. monitor type and calibration) and the observer (e.g. experience and fatigue bias). We hypothesized that the use of artificial intelligence (AI) will reduce visualization and observer factor in bitewing interpretation and improve diagnostic accuracy. Objective: The purpose of the present study was to evaluate the use of AI in the form of a machine-learning algorithm to detect and quantify proximal lesions compared with human trained observers. Methods: 16,000 anonymized, digital bitewings of patients were hand searched and non-bitewing, …

Le Passé, Le Présent, Et L’Avenir Des Soins Dentaires En France, Grace Yotts

Honors Theses

Picture the bustling streets of Paris in the mid-1700’s, lined with a mosaic of shouting artisans and heckling businessmen trying to make a profit from the many passersby. Among the sea of street-savvy merchants, one man stood out. Wheeling an ornate cart decked in human teeth and performing partly as a charlatan, he was none other than a tooth-puller. Dental care in France was born through these theatrical tooth-pullers, who were looking more to be a spectacle then to relieve a toothache. As science progressed over time, so too did the stance on oral health. Revolutionary milestones such as the …

Oral Localization Of Scardovia Wiggsiae, Graydon Ramos Carr

UNLV Theses, Dissertations, Professional Papers, and Capstones

Early childhood caries is one of the most prevalent diseases in the United States among children. The formation of caries is a complex, multifactorial process that is still being studied. Researchers have thought for years that Streptococcus mutans was the primary causative agent of early childhood caries. The recent discovery of a novel cariogenic pathogen, Scardovia wiggsiae and its significant contribution to the etiology of early childhood caries has led oral health researchers to re-evaluate this microorganism and its link to this disease. While there have been several projects undertaken within the University of Nevada, Las Vegas School of Dental …

Oral Health And Quality Of Life: A Clinic-Based Sample, Kinan M. Al-Bitar

Master's Theses (2009 -)

Attachment loss due to periodontal diseases is associated with functional limitations as well as physical pain and psychological discomfort, which may lead to a reduced quality of life. This manuscript is intended to answer the question, if periodontal status has an effect on oral health related quality of life. Survey data were collected in an U.S. dental school clinical setting from n=97 adults (54% females, average age 51 years) in a cross- sectional study. Quality of life related to oral health was assessed with the Oral Health Impact Profile (OHIP-49). Additional measures using the DMFT index, periodontal status, dental anxiety, …

A Comparison Of Patient Testimonials On Youtube Of The Most Common Orthodontic Treatment Modalities: Braces, In-Office Aligners, And Direct-To-Consumer Aligners, Riley Hunsaker

Theses and Dissertations

Introduction: The objectives of this research was to investigate and compare the educational value of the most popular YouTube orthodontic patient testimonials between braces (B), in- office aligners (IOA), and direct-to-consumer aligners (DTCA), and to classify the emotional response of the viewers through a sentiment analysis of the video comments.

Methods: Three different phrases relevant to B, IOA, and DTCA were searched on YouTube. The 20 most popular patient testimonial videos that met the criteria for each group were selected, for a total of 60 videos. Using the YouTube API for each video, 13 video metrics were extracted, an information …

Variations In Implant Position Based Upon Planning Strategy, Margaret C. Jones

MUSC Theses and Dissertations

Objective: To compare different techniques for the digital planning of dental implant placement using commercially available computed aided design software and assess the variability in planned implant position. Materials and methods: Eight dentists individually planned fifteen dental implants using SimPlant software. For each implant, the examiner planned the implant under four different conditions relating to the amount of digital reference data used: (1) no waxed up tooth, (2) pre-op intra-oral scan, (3) pre-op intraoral scan with a virtual tooth created by the examiner, and (4) pre-op intra-oral scan with wax up tooth in occlusion provided by the prosthodontist. . Implant …

Integrated Dentistry Face Shield, Noah Glass

Williams Honors College, Honors Research Projects

Currently, the United States and the entire world is experiencing a global pandemic that has drastically changed the way we go about our everyday lives. Dr. Pavlik, a local dentist is one such person who has had to alter his normal dentistry routine to one of extreme caution while working on patients. His day to day job puts him at a high risk of being exposed to Covid-19 by actively working in patients’ mouths at proximity. Dr. Pavlik’s current dentistry equipment is lackluster in its compatibility with his safety equipment. To help minimize exposure to Covid-19 for Dr. Pavlik and …

An Analysis Of The Economic Barriers To Oral Healthcare Access In Omaha, Nebraska, Elias Witte

Theses/Capstones/Creative Projects

Existing research regarding the analysis of the distribution of oral healthcare practitioners has been conducted across large metropolitan areas within the United States in order to determine the magnitude of healthcare resource deficits. Such research has demonstrated significant deficits in access to oral healthcare predominantly in lower-income urban areas. Consequently, patients in these socioeconomically disadvantaged areas have less access to routine oral care, which impacts their overall health and well-being. While there is an abundance of studies examining this issue in other localities across the country, there is a lack of information regarding the distribution of oral healthcare practitioners in …

Successful Strategies For Increased Dental Practice Competitiveness, William Eyster

Walden Dissertations and Doctoral Studies

The rapid expansion of dental service organizations (DSOs) continues to disrupt the traditional dental practice model and there was a 12.2% increase in DSOs between 2015 and 2016. Some solo and small group dental practice owners lack strategies to adapt their businesses to be successful in newly competitive markets including DSOs. Grounded in systems theory, the purpose of this qualitative multicase study was to explore strategies dental practice owners use to adapt their businesses to be successful in newly competitive markets. The participants included 3 solo and 2 small group dental practice owners in central Kentucky who demonstrated success in …

Perception Of Patient Cooperation Among Dentist, Guardian, And Child, Cole A. Staines Dds

Theses and Dissertations

Purpose: Evaluate behavior assessment and agreement among dentist, guardian, and child. Evaluate child behavior by appointment type.

Methods: Patients recruited from the pediatric dental department at Virginia Commonwealth University for this convenience sample. Inclusion criteria: patients presenting for clinical exams and/or restorative treatment without the use of advanced behavior guidance between August 29, 2018, and March 7, 2019; ages 4-12-years-old; and scheduled with a single clinician. Appointments were stratified by difficulty. Behavior was assessed by dentist and caregiver using the Frankl Scale. Patient self-assessed cooperation using an age-appropriate modified Frankl Scale, developed for this study. Agreement assessed among the 3 …

Endodontic Residents: Factors Influencing The Decision To Become A Dental Educator, Lauren E. Kuhn

MUSC Theses and Dissertations

Significance and Introduction: Dental schools in the United States are faced with a shortage of faculty. Endodontic residencies and pre-doctoral clinics are not immune to the faculty scarcity. The purpose of this study was to assess factors that influence endodontic residents’ decisions on whether to pursue a career as a dental educator. This information may be used to inform future recruitment and retention efforts for endodontic faculty. Materials and Methods: All United States American Association of Endodontists (AAE) members designated as “resident members” (525) were sent an electronic survey. The survey included demographic data, and factors impacting their career decisions. …

Total Salivary Protein Concentration And Its Correlation To Dental Caries, Emyli Peralta

Honors Undergraduate Theses

Introduction: According to the World Health Organization, dental cavities are the number one chronic disease in children. Saliva coats the teeth all day and can serve many functions to maintain and protect teeth. Saliva has many proteins that can be both detrimental and essential to the preservation of tooth enamel. The purpose of this study is to determine if a correlation exists between the total protein concentration in saliva and the prevalence of cavities in the mouth. We hypothesized that there would be a positive correlation with total salivary protein concentration and the prevalence of cavities in the participant. Methods: …

Oral Health Care: An Autoethnography Reflecting On Dentistry's Collective Neglect And Changes In Professional Education Resulting In The Dental Hygienist Being The Prevention-Focused Primary Oral Health Care Provider, Maureen Patricia Mcweeney Harrington

University of the Pacific Theses and Dissertations

Many factors influence poor oral health among disadvantaged populations including socioeconomic circumstances, knowledge of disease prevention strategies and ability to implement those strategies, public policies, insurance status, insurance policies, dental providers and other challenges to accessing dental care. Often these issues converge and result in early disadvantages to achieving good oral health (Horton & Barker, 2010). Addressing even some of the factors that contribute to poor oral health may provide ways to change the dental health status of historically underserved populations. The purpose of this research is to explore my role as a practitioner and researcher in the creation of …

Cementum: Discovering A Methodology Through A Historical Lens, Kortney Dewayne Powell

Masters Theses

This light and scanning electron microscopic research documents structure and measures change in cementum of several historic African American burial ground samples dating from approximately 1820-1920. The populations these samples represent are from the First African- American Baptist Church in Philadelphia (PA), the Cedar Grove Baptist Church, Texarkana (AR), and Providence Baptist Church, Memphis (TN).This research bears dental histological, forensic and historical significance. Of the dental tissues, cementum structure is the lesser known. Because of continual deposition, annuli have been utilized in age estimation. Cementum annuli is potentially a better age-estimation tissue due to its protected alveolar bone location and …

Improving Pediatric Oral-Systemic Health Through Motivational Interviewing: An Interprofessional Training Intervention, Oksana Prodan

Doctor of Nursing Practice (DNP) Projects

Introduction: In response to the prevalence of early childhood carries (ECC) in the United States, recommendations were established for pediatric primary care providers to routinely incorporate oral-systemic health promotion services into clinical practice. An interprofessional education project was developed between Advanced Practice Registered Nurses (APRNs) and dentistry students in San Francisco to assist trainees in the effective delivery of oral systemic health promotion services. Improving health promotion communication skills was identified as an area of need for both sets of learners. Therefore, the IPE activity was designed to incorporate Motivational Interviewing (MI) into the training along with pediatric oral …

Comparison Of Immediate Vs. Delayed Recall Of Orthodontic Information Following An Electronic Reminder, Michael Lenz

Master's Theses (2009 -)

Patients and parents in dentistry often do not remember important information disclosed during the informed consent process, so improvement in the delivery of information is needed. This study explored the effect of an emailed narrated instructional PowerPoint on the immediate vs. delayed recall and comprehension of informed consent information in orthodontics. Thirty-two subjects were recruited from a university and private practice orthodontic clinic. At the initial visit, subjects were alternately assigned to one of two groups and were presented with a mock orthodontic treatment plan and informed consent presentation for a pretend patient. Immediately following the presentation, the subjects’ verbal …

Barriers To Dental Care For Children With Autism Spectrum Disorders, Nidhi Taneja

Master's Theses

Aims: To investigate barriers to dental care for children with autism spectrum disorder (ASD) from dentists’ and caregivers’ perspective.

Methods: This paper documents two cross sectional surveys of barriers to treating children with ASD. 109 general dentists were surveyed at a national conference in study 1, of whom about 74% reported treating children with ASD. In study 2, 83 caregivers were surveyed in hospital clinics, 46 of whom had a child with ASD, and 37 had children without ASD, and acted as a control group. Results: The most commonly endorsed barriers perceived by general dentists were: lack of guidelines …

The Correlation Of Classical, Jazz, And Pop Music To A Reduction Of Dental Anxiety Experienced By Adult Patients, Heather Wright

Undergraduate Honors Thesis Collection

This study explored whether passive music listening caused a decrease in dental anxiety experienced by adult dental hygiene patients and whether there was a difference between genres of music: classical, jazz or pop. This study also looked at the effect of song familiarity and patient music preference on any decrease in anxiety. I worked with sixty adult patients, who were randomly assigned to listen to classical, jazz, pop, or no music at all. Each patient took a dental anxiety survey before and after their teeth cleaning. These surveys were based on the Modified Corah Dental Anxiety Scale. Music was selected …

Examining Practitioner Standards Regarding Periodontal Clearance For The Orthodontic Patient, William P. Brown

Student Theses, Dissertations and Capstones

Introduction: Orthodontic tooth movement relies largely on the physiology of the periodontium, which is comprised of various types of bone and soft tissues that surround and support the teeth. New orthodontic treatment modalities have emerged offering various combinations of improved esthetics and/or speed. However, the impact on standard and quality of care of these alternative treatment modalities is unclear. Institutional concern for the effects of orthodontics on a periodontally-compromised patient remains high, as evidenced by governing dental bodies mandating, and contemporary orthodontic leaders insisting, orthodontic treatment should not be carried out until active dental disease has been addressed. Therefore, this …

The Periodontal Specialty: A Survey Regarding Our Future, John H. White

Theses and Dissertations

Purpose: To determine the characteristics influencing periodontal practices in Virginia and report on the anticipated changes in practice.

Methods: A REDCap survey was emailed to Virginia based American Academy of Periodontology (AAP) members assessing personal and practice demographics, trends in dental treatment and practice models, and how periodontists will adjust to account for these trends.

Results: The response rate was 31% (n=46). Respondents report greater referrals from more experienced general practitioners (GPs). Student debt was associated with age. Respondents ranked biologic advances, treatment of peri-implantitis, digital dentistry, development of corporate and group practice models, and GPs incorporating more periodontal …

Oral Care And The Connection To Adverse Events In Dentistry, Melissa A. Rhoney

Walden Dissertations and Doctoral Studies

As the healthcare industry continues to change, dental providers are concerned about the different types of adverse events that can occur if systemic diseases are not well understood when treating patients. The purpose of this study was to explore the level of understanding among dental care providers of the relationship between oral care and systemic diseases and how these are linked to adverse events. The theoretical foundation that was used for this study was the Swiss cheese model. The research questions were designed to address the level of understanding among dental care providers of the link between oral care and …

The Effect Of Rescheduling Of Hydrocodone On Prescription Writing Among University Of Kentucky Dentists, Robert Taylor

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Opioid abuse has become a public health crisis over the last two decades. Hydrocodone is the most frequently prescribed opioid to patients whose deaths are related to prescription drug abuse. On October 6, 2014, Federal law changed hydrocodone, an opioid-based analgesic, from Schedule III to Schedule II. This limits the number of ways it can be prescribed, including eliminating refills. This study examined hydrocodone and oxycodone prescriptions written across all dental clinics associated with the University of Kentucky College of Dentistry and analyzed three different dental disciplines that perform procedures that require pain management. Prescription data was obtained through axiUm, …