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Client Satisfaction Survey For Hiv/Aids Dental Care Services: An Example From Rural Texas, H. Stephen Cooper Ph.D., LCSW, Freddie L. Avant Ph.D., LMSW-AP, ACSW, C-SSWS, Kim L. Rich-Rice Ph.D., LMSW-IPR 2016 Stephen F. Austin State University

Client Satisfaction Survey For Hiv/Aids Dental Care Services: An Example From Rural Texas, H. Stephen Cooper Ph.D., Lcsw, Freddie L. Avant Ph.D., Lmsw-Ap, Acsw, C-Ssws, Kim L. Rich-Rice Ph.D., Lmsw-Ipr

Journal of Human Services: Training, Research, and Practice

The challenges to examining client satisfaction are demonstrated through an evaluation of dental services provided by a regional service provider to people living with HIV/AIDS. The process of developing and administering a measure of client satisfaction is discussed. Forty-one of 350 (11.7%) dental clients chose to participate. Quantitative and qualitative data suggests that overall participants are satisfied with services. Identified concerns included a lack of specialized dental, medical, mental health, and case management services. Implications of the study for service delivery, future evaluations, and rural social work practice are addressed.


Current Status Of Direct Pulp-Capping Materials For Permanent Teeth, Takashi Komabayashi, Qiang Zhu, Robert Eberhart, Yohji Imai 2016 The University of New England

Current Status Of Direct Pulp-Capping Materials For Permanent Teeth, Takashi Komabayashi, Qiang Zhu, Robert Eberhart, Yohji Imai

Dental Medicine Faculty Publications

Direct pulp-capping is a method for treating exposed vital pulp with dental material to facilitate the formation of reparative dentin and to maintain vital pulp. Two types of pulp-capping materials, calcium hydroxide and mineral trioxide aggregate, have been most commonly used in clinics, and an adhesive resin has been considered a promising capping material. However, until now, there has been no comprehensive review of these materials. Therefore, in this paper, the composition, working mechanisms and clinical outcome of these types of pulp-capping materials are reviewed.


Adult Learning-Focused Professional Development For Dental Hygiene Clinical Instructors, Meghan Ann McGuinness 2016 Walden University

Adult Learning-Focused Professional Development For Dental Hygiene Clinical Instructors, Meghan Ann Mcguinness

Walden Dissertations and Doctoral Studies

At a dental hygiene program within a community college in New York State, clinical instructors are hired based on their expertise as practitioners. Most clinical instructors lack a background in adult learning theory and practice, which is an issue because their students are adult learners whose average age is 26. The instructors' lack of knowledge in this area challenges their effectiveness. The purpose of this qualitative case study was to explore dental hygiene instructors' views about what kind of professional development offerings related to adult learning might help improve their teaching effectiveness. The conceptual framework for this project study was ...


Analysis Of Stresses In Mandible And Skull Under Angular Impact, Dr. Shobha E S, Dr. Suresh Nagesh, Dr. H P. Raghuveer, Mr. Vinay K. S 2015 Dayanand Sagar college of Dental Sciences

Analysis Of Stresses In Mandible And Skull Under Angular Impact, Dr. Shobha E S, Dr. Suresh Nagesh, Dr. H P. Raghuveer, Mr. Vinay K. S

Innovative Research Publications IRP India

Finite element analysis has gained a significant attention in the field of biomechanics. The versatility of finite element analysis is the major reason behind its implementation and adoption has made the study of biomechanics much easier and simpler. FEA, as a tool has helped in analyzing the various organs in human body in different loading conditions. Be it Orthopedic,Maxillofacial fractures,Orthodontics, Prosthodontics, hemodynamics, it is finding its applications in all areas of biomechanics. In this paper, one such study has been carried out to understand the behavior of skull and mandible under inclined impacts. Skull is one of the ...


Strategies For Improving Patient Compliance, Diana V. Macri 2015 CUNY Hostos Community College

Strategies For Improving Patient Compliance, Diana V. Macri

Publications and Research

Patient compliance is the degree to which a person adheres to the professional advice healthcare providers offer. Aside from significantly compromising a person’s health, non-compliance also wastes resources and productivity. The monetary costs of medical noncompliance has been estimated to be around $300 billion a year. Demographic, disease severity and gender effects on compliance are small. In dental hygiene, where practitioners focus on the prevention of oral disease, motivating patients to practice healthy behaviors has long been a challenging, and often frustrating, aspect of practice. Any discussion of compliance must begin with a brief review of human development and ...


Dental Hygienists' Cognitive Process In Periodontal Soft Tissue Charting, Kelsey M. Schwei 2015 University of Wisconsin-Milwaukee

Dental Hygienists' Cognitive Process In Periodontal Soft Tissue Charting, Kelsey M. Schwei

Theses and Dissertations

Introduction: Dental hygienists have not had the opportunity to be involved in the design and development of the periodontal soft tissue charts and the surrounding interface features that are used while examining dental patients in daily practice. In some cases, dentists are able to give their opinions, wants, and needs into the development of the health information systems that they use on a daily basis, but too often, the dental hygienist is forgotten about and no input is ever given to the developers from the dental hygienists. This project considers the impact of well-designed interfaces on effectiveness and workflow particularly ...


The Use Of Lasers For Direct Pulp Capping, Takashi Komabayashi, Arata Ebihara, Akira Aoki 2015 The University of New England

The Use Of Lasers For Direct Pulp Capping, Takashi Komabayashi, Arata Ebihara, Akira Aoki

Dental Medicine Faculty Publications

Direct pulp capping helps extend the life of a diseased tooth by maintaining tooth vitality. Nowadays, lasers are more frequently used during direct pulp capping in the clinic, but their use has not been previously reviewed. This review presents the basic properties of currently available lasers, scientific evidence on the effects of laser application on direct pulp capping, and future directions for this technology. An extensive literature search was conducted in various databases for articles published up to January 2015. Original in vitro, in vivo, and clinical studies, reviews, and book chapters published in English were included. Various laser systems ...


Dexamethasone Regulates Gene Expression Induced By The Mechanosensitive P2x7 Receptor In Osteoblasts, Meena Na 2015 The University of Western Ontario

Dexamethasone Regulates Gene Expression Induced By The Mechanosensitive P2x7 Receptor In Osteoblasts, Meena Na

Electronic Thesis and Dissertation Repository

Orthodontic tooth movement involves activation of osteoblasts and osteoclasts in response to mechanical forces. Extracellular nucleotides, released in response to mechanical stimuli, signal through P2 receptors in osteoblasts. P2X7 receptors are ATP-gated cation channels implicated in mechanotransduction in bone. Corticosteroids such as dexamethasone exhibit anti-inflammatory effects and their chronic use has been linked to serious side-effects such as osteoporosis. We investigated gene expression following P2X7 receptor activation with benzoylbenzoyl-ATP (P2X7 receptor agonist) in osteoblast precursor cells in the presence or absence of dexamethasone. We hypothesized that dexamethasone inhibits the ability of ATP to stimulate the expression of anabolic (bone forming ...


Interventions To Improve Access And Health Behaviors In Individuals With Intellectual And Developmental Disability: A National Resource For Oral Health, Christine J. Clifford, Alexandra Bonardi, Cindy K. Fleming 2015 University of Massachusetts Medical School

Interventions To Improve Access And Health Behaviors In Individuals With Intellectual And Developmental Disability: A National Resource For Oral Health, Christine J. Clifford, Alexandra Bonardi, Cindy K. Fleming

Shriver Center Publications and Presentations

The presentation will describe the process by which the systematic review, designed to uncover interventions to reduce oral health disparities in individuals with intellectual and developmental disability, was conducted, along with the search strategy, interventions and outcomes measured. The presentation will convey the evidence base and promising practices for access, behavior, and prevention to generate discussion among researchers, clinicians and policy makers, about future study topics.


The Mast Cell Receptor Mas-Related Gene X2 (Mrgx2) In Health And Disease, Chizobam N. Idahosa 2015 University of Pennsylvania

The Mast Cell Receptor Mas-Related Gene X2 (Mrgx2) In Health And Disease, Chizobam N. Idahosa

Dental Theses

Mas-related gene X2 (MrgX2) is a receptor expressed on human mast cells (MCs) but its role in health and disease is unknown. We therefore utilized immunohistochemistry and immunofluorescence techniques to determine the expression of MrgX2 in normal and diseased human tissue. We also tested the feasibility of utilizing humanized mice as a model for in vivo functional studies on MrgX2. We analyzed control samples as well as skin, gingiva and lung samples from patients with atopic dermatitis, rosacea, chronic periodontitis and asthma and found that MCs in healthy and diseased skin, gingiva and lungs express MrgX2. The expression of MrgX2 ...


The State Of Oral Health On The African Continent, Megan E. Josefczyk 2015 Liberty University

The State Of Oral Health On The African Continent, Megan E. Josefczyk

Senior Honors Theses

The African continent has continuously suffered from poverty, poor sanitation, and malnutrition, leaving it an open feeding ground for infectious disease and premature death. Along with poor oral hygiene and an unavailability of dental clinics, oral disease is allowed to thrive and cause great harm. In the last two decades, the World Health Organization and others have tried to implement better systems of oral health care for the African people and have advocated for more well-trained dentists, dental clinics, equipment, and affordable dental care. Progress has been made in some African countries, but the continent is still in serious need ...


An Evaluation Of The Constructed Frankfort Mandibular Plane Angle Bisector (Cfmab) Wits' Appraisal In The Assessment Of Anteroposterior Jaw Relationships, Derek R. Tomson 2015 The University of Western Ontario

An Evaluation Of The Constructed Frankfort Mandibular Plane Angle Bisector (Cfmab) Wits' Appraisal In The Assessment Of Anteroposterior Jaw Relationships, Derek R. Tomson

Electronic Thesis and Dissertation Repository

For proper orthodontic diagnosis and treatment planning, an accurate measurement of the relationship of the maxilla to the mandible in the sagittal plane is required. The ANB measurement has long been the gold standard for explaining this association. The purpose of this longitudinal study was to evaluate three linear measurements of the maxillomandibular anteroposterior relationship and determine which one best correlates with ANB. The constructed Frankfort horizontal-mandibular plane angle bisector (cFMAB-Wits), maxillomandibular bisector (MMB-Wits), and Frankfort-mandibular plane angle bisector (FMAB-Wits) were measured using a Wits’-type analysis and compared to ANB.

Pre-treatment (TO), immediate post-treatment (T1), and two years post-retention ...


A Systematic Review Of Oral Health Interventions To Reduce Disparities In Adults With Intellectual Disability: Results Of A Novel Approach, Christine J. Clifford, Alexandra Bonardi, Matthew Holder 2015 University of Massachusetts Medical School

A Systematic Review Of Oral Health Interventions To Reduce Disparities In Adults With Intellectual Disability: Results Of A Novel Approach, Christine J. Clifford, Alexandra Bonardi, Matthew Holder

Shriver Center Publications and Presentations

Research consistently shows that people with I/DD experience poorer oral hygiene, higher prevalence and severity of periodontal disease, and higher incidence of untreated caries when compared to the general population. In a systematic review funded by the Centers for Disease Control (NCBDD), researchers rigorously evaluated evidence for a wide range of interventions that offer the potential to reduce those disparities. More than 4,000 titles/abstracts were identified from a literature search that included peer reviewed as well as gray literature. After criteria were applied to identify the I/DD population and intervention-studies only, the number of full text ...


Experiences With The Streptococcus Mutans In Lakota Sioux (Smiles) Study: Risk Factors For Caries In American Indian Children 0-3 Years, David R. Drake, Deborah Dawson, Katherine Kramer, Amy Schumacher, John Warren, Teresa Marshall, Delores Starr, Kathy Phipps 2015 College of Dentistry, University of Iowa

Experiences With The Streptococcus Mutans In Lakota Sioux (Smiles) Study: Risk Factors For Caries In American Indian Children 0-3 Years, David R. Drake, Deborah Dawson, Katherine Kramer, Amy Schumacher, John Warren, Teresa Marshall, Delores Starr, Kathy Phipps

Journal of Health Disparities Research and Practice

Severe Early Childhood Caries (S-ECC) is a terribly aggressive and devastating disease that is all too common in lower socio-economic children, but none more so that what is encountered in American Indian Tribes. Nationwide, approximately 27% of 2-5 year olds have decay while 62% percent of American Indian/Alaska Native children in the same age group have a history of decay (IHS 2010, NHANES 1999-2002). We have conducted a study of children from birth to 36 months of age on Pine Reservation to gain a better understanding of the variables that come into play in the development of this disease ...


Mass Spectrometric Analyses Of Surface Proteins From Candida Albicans After Treatment With Histatin 5, Shirley Fan 2015 The University of Western Ontario

Mass Spectrometric Analyses Of Surface Proteins From Candida Albicans After Treatment With Histatin 5, Shirley Fan

Electronic Thesis and Dissertation Repository

Current drug therapies have lost their effectiveness in controlling the fungal species known as C. albicans; therefore, the need for newer drugs becomes crucial. Histatin 5 (Hst 5), a naturally occurring peptide found in the oral cavity, has demonstrated strong effects on controlling candidiasis. Here, we have proposed that the adhesion of cells through surface proteins is an important process. To allow the analysis of surface proteins, the concept of on-whole cell tryptic digestions were developed. This on-target approach allows for isolation of the peptides of interest, while greatly reducing digestion times.

To study the effects of Histatin 5 on ...


Effect Of Dexamethasone Prodrug On Inflamed Temporomandibular Joints In Juvenile Rats., Mitchell Knudsen, Matthew Bury, Callie Holwegner, Adam L. Reinhardt, Fang Yuan, Yijia Zhang, Peter J. Giannini, David B. Marx, Dong Wang, Richard A. Reinhardt 2015 University of Nebraska Medical Center

Effect Of Dexamethasone Prodrug On Inflamed Temporomandibular Joints In Juvenile Rats., Mitchell Knudsen, Matthew Bury, Callie Holwegner, Adam L. Reinhardt, Fang Yuan, Yijia Zhang, Peter J. Giannini, David B. Marx, Dong Wang, Richard A. Reinhardt

Journal Articles: College of Dentistry

INTRODUCTION: Juvenile idiopathic arthritis (JIA) often causes inflammation of the temporomandibular joint (TMJ) and has been treated with both systemic and intra-articular steroids, with concerns about effects on growing bones. In this study, we evaluated the impact of a macromolecular prodrug of dexamethasone (P-DEX) with inflammation-targeting potential applied systemically or directly to the TMJ.

METHODS: Joint inflammation was initiated by injecting two doses of complete Freund's adjuvant (CFA) at 1-month intervals into the right TMJs of 24 growing Sprague-Dawley male rats (controls on left side). Four additional rats were not manipulated. With the second CFA injection, animals received (1 ...


Utilizing Dental Hygienists To Improve Health Outcomes In Long-Term Care, Diana V. Macri 2015 CUNY Hostos Community College

Utilizing Dental Hygienists To Improve Health Outcomes In Long-Term Care, Diana V. Macri

Publications and Research

Poor oral health practices contribute to negative health outcomes for residents of long-term care facilities. The abundance of current information on the oral–systemic connection underscores the need for improved oral hygiene among all citizens but specifically for older adults, who face challenges for self-care due to sensory, mobility, endurance and cognitive deficits. Dental hygienists are oral disease prevention specialists and are trained to perform dental procedures that significantly improve a person’s oral health. Dental hygienists are legally permitted to provide many oral healthcare services to residents of long-term care facilities independent of dentist supervision or in collaborative agreements ...


Analgesic Effect Of Cathodal Transcranial Current Stimulation Over Right Dorsolateral Prefrontal Cortex In Subjects With Muscular Temporomandibular Disorders: Study Protocol For A Randomized Controlled Trial, Rivail Almeida Brandão Filho, Abrahão Fontes Baptista, Renata de Assis Fonseca Santos Brandão, Francisco Monteiro Meneses, Jeffrey P. Okeson, Eduardo Pondé de Sena 2015 Federal University of Bahia, Brazil

Analgesic Effect Of Cathodal Transcranial Current Stimulation Over Right Dorsolateral Prefrontal Cortex In Subjects With Muscular Temporomandibular Disorders: Study Protocol For A Randomized Controlled Trial, Rivail Almeida Brandão Filho, Abrahão Fontes Baptista, Renata De Assis Fonseca Santos Brandão, Francisco Monteiro Meneses, Jeffrey P. Okeson, Eduardo Pondé De Sena

Oral Health Science Faculty Publications

BACKGROUND: Temporomandibular disorders are a group of orofacial pain conditions that are commonly identified in the general population. Like many other chronic pain conditions, they can be associated with anxiety/depression, which can be related to changes in the activity of the dorsolateral prefrontal cortex. Some studies have demonstrated clinical improvement in subjects with chronic pain who are given therapeutic neuromodulation. Transcranial direct current stimulation is a noninvasive brain stimulation technique that allows the modulation of neuronal membranes. This therapy can enhance or inhibit action potential generation in cortical neurons. In some instances, medications acting in the central nervous system ...


Role Of Nlrp3 Inflammasome In Pathogenesis Of Pulpal Disease, Su-Min Lee 2015 University of Pennsylvania

Role Of Nlrp3 Inflammasome In Pathogenesis Of Pulpal Disease, Su-Min Lee

Dental Theses

Pulpal disease, specifically dental pulpitis, is triggered by exogeneous stimuli from cariogenic bacteria or traumatic injury. The specific host defense in the dental pulp is regulated by the innate and adaptive immunity, of which the pulp-dentin complex odontoblasts play an essential role in the early stage of the dental immune response. It has been reported that the NLRP3 inflammasome is expressed in human dental pulp cells and tissues of inflamed pulp. However whether the activation of NLRP3 contributes to dental immune defense remains unclear. Inflammasome activation is important for antimicrobial defense because it induces cell death and regulates the secretion ...


The Application Of The Ultrafine Technology In Improving The Biocompatibility And Osteo-Inductivity Of Dental Implants, Nicholas Y. Hou 2015 The University of Western Ontario

The Application Of The Ultrafine Technology In Improving The Biocompatibility And Osteo-Inductivity Of Dental Implants, Nicholas Y. Hou

Electronic Thesis and Dissertation Repository

Dental implants are very effective medical devices. However, although stable, the conventional titanium implants are not very bioactive which in some instances could reduce their efficacy. This thesis described the research progress of using polymeric ultrafine-particles with bioactive additives to enrich the surface of titanium substrate, thereby increasing the biocompatibility and osteo-inductivity of the biomaterial. During this doctoral project, three different types of polymers were examined, initially the conventional polyester, and later the novel epoxy as well as the epoxy/polyester hybrid polymers. Physical characterizations confirmed that all of the coating powders were ultrafine particles, and homogeneous surfaces were constructed ...


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