Dentistry Commons^™

Effect Of Reduced-Fee Dental Hygiene Treatment And Oral Health Perceptions Among Socioeconomically Deprived Persons, Janeime Necole Asbury

Walden Dissertations and Doctoral Studies

Access to oral health care remains problematic for millions of Americans. Factors such as socioeconomic status, age, race, and lack of dental insurance benefits inhibit the ability of many to obtain preventative oral health care. The aim of this study was to explore the effect of preventive oral health treatment and education at reduced-fee dental hygiene facilities on the oral health behaviors and perceptions of socioeconomically deprived persons within the state of Georgia. This study was based on the health belief model constructs. A convenience sample of 102 participants was recruited from the individuals who visited two dental hygiene colleges …

Minnesota Collaborative Agreement: Potential For Dental Hygienists To Increase Direct Access For Underserved Populations, Rachel Jane Kashani-Legler

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this research study was to identify the strengths and limitations of the current Minnesota collaborative agreement (Statute 150A.10 subd. 1a “Limited Authorization for Dental Hygienists”) in addressing the oral health needs of unserved and underserved Minnesotans. Through the identification of needs and gaps in the collaborative agreement infrastructure, this research can inform and provide suggested guidelines for quality measures and policy recommendations. Data for this qualitative research study was collected by interviewing eight Collaborative Practice Dental Hygienists and nine Collaborative Dental Hygiene Practice Advisory Committee Members. An in-depth interview guide, containing 17 interview questions, was utilized for …

Serum Vitamin D, Pth, And Calcium Levels In Patients With And Without Early Childhood Caries, Susan A. Meinerz, Harmeet Chiang, Peter C. Moon, Lorin M. Bachmann, Tegwyn Brickhouse, Al M. Best, Tiffany Williams

Theses and Dissertations

Purpose: The purpose was to determine differences in serum vitamin D, parathyroid hormone (PTH), and calcium levels between patients with early childhood caries (ECC) and patients without dental decay.

Materials and Methods: Serum vitamin D, PTH, and calcium levels were obtained from 30 children without dental decay who acted as controls and 60 children with ECC. A questionnaire was filled out by the parent/guardian of each participant consisting of questions regarding medical and dental history, exposure to sources of vitamin D and demographic information.

Results: The difference in the vitamin D levels of the participants was most …

Social Determinants Of Participation In A Home Visitation Fluoride Varnish Program, James E. Puryear, Tegwyn Brickhouse, Caroline Carrico

Theses and Dissertations

Purpose: The purpose of this study is to examine the social determinants of CHIP (Child Health Investment Partnership) of Roanoke Valley children who participated in the preventive oral health program compared to those who did not.

Methods: This is a retrospective cohort study of children (n=2,425) enrolled in CHIP of Roanoke Valley from September 2008-September 2014. Bivariate analysis and multivariable logistic regression models were used to compare age, gender, race, locality, parents’ education level, age at enrollment, and length of enrollment for oral health program participants versus those who did not participate.

Results: Children who were Hispanic …

Comparison Of Treatment Planning Decisions When Combining Cbct And Digital Radiography Verses Digital Radiography Alone, Mckay Barlow Packer

Theses and Dissertations

Cone beam computed tomography (CBCT) is the recommended imaging modality of choice for evaluating previous endodontic treatment (1). The aim of this study was to compare treatment planning decisions made when evaluating previous endodontic treatment to determine if treatment planned and projected prognosis differs when digital radiography is used alone or in combination with CBCT. A retrospective chart review was conducted. Patients for whom a CBCT was taken were included in the study. Twenty-eight patients qualified. Patient’s periapical digital radiographs (Dexis©) were evaluated by 2 calibrated endodontists, a treatment plan was identified and a prognosis was projected. Later the same …

Parental Perceptions Of Oral Health Related Quality Of Life For Children That Receive Care On Give Kids A Smile Day, Andrew Gibson

Theses and Dissertations

Purpose: The purpose of this study is to evaluate the oral health-related quality of life for patients treated at Give Kids a Smile. Methods: Participants were asked to complete a 25-question survey regarding their child’s oral health-related quality of life (OHRQoL), with answers ranked on a 0 to 4 point scale. Results: A total of 78 questionnaires were completed, with the mean score of 5.19. Conclusions: Give Kids a Smile was created to treat children with unmet oral healthcare needs, therefore it was hypothesized that the OHRQoL for the children treated would be negatively impacted and thus this score high. …

Assessment Of Changes In The Size Of Periapical Radiolucencies 3-12 Months Post Non-Surgical Root Canal Treatment Using Cbct Imaging: A Pilot Study, Jeremy W. Fike Dds

Theses and Dissertations

The purpose of this study was to assess the changes in size of periapical lesions 3-12 months following root canal treatment using CBCT. Patients who had non-surgical root canal therapy (NSRCT) or non-surgical retreatment (ReTx) from July 30,2014 to August 19, 2015 with a periapical lesion of endodontic origin and received NSRCT or ReTx and had a pre-treatment or intra-treatment CBCT were invited to participate. Volumetric and linear measurements of periapical lesions on initial and post- treatment CBCT images were performed. A total of 20 patients with 23 treated teeth with 30 separate periapical radiolucent lesions returned for follow up …

Analysis Of Radiographic Changes Associated With The Periradicular Diagnosis Of Symptomatic Apical Periodontitis, Preeti Batra

Theses and Dissertations

Symptomatic apical periodontitis (SAP) is indicative of inflammation of the periodontal ligament. It may or may not be accompanied by radiographic changes and may occur with vital or necrotic pulpal diagnosis. Purpose of this study was to analyze clinical and radiographic presentations of SAP in a retrospective electronic dental chart and digital radiograph review utilizing the endodontic diagnostic template note of predoctoral dental school patients presenting with SAP. The aim was to determine prevalence of periapical radiolucencies (PARLs) in SAP, association of SAP to pulpal diagnosis, and define associated radiographic changes. Most prevalent pulpal diagnosis with SAP was symptomatic irreversible …

Twitter Analysis Of The Orthodontic Patient Experience With Braces Versus Invisalign, Daniel A. Noll

Theses and Dissertations

The purpose of this study was to examine the orthodontic patient experience with braces compared to Invisalign^® by means of a large-scale Twitter sentiment analysis. A custom data collection program was created to collect tweets containing the words “braces” or “Invisalign.” A hierarchal Naïve Bayes sentiment classifier was developed to sort the tweets into one of five categories: positive, negative, neutral, advertisement, or not applicable. Among the 419,363 tweets applicable to orthodontics collected, users posted significantly more positive tweets (61%) than negative tweets (39%) (p-value = ^® tweets (p-value=0.4189). In conclusion, Twitter users express more positive than negative sentiment …

The Study Of The Regulon Of Oxyr In Escherichia Coli And Porphyromonas Gingivalis, Christopher K. Pham

Theses and Dissertations

The facultative anaerobe, Escherichia coli and the obligate anaerobe, Porphyromonas gingivalis are two bacteria that reside in our body. Although they reside in separate environments, they are both subject to hydrogen peroxide stress and have mechanisms to regulate the stress. OxyR is the primary transcriptional regulator/sensor of oxidative stress response caused by hydrogen peroxide. OxyR in P. gingivalis is not well-characterized compared to OxyR in E. coli. We sought to characterize and compare the two forms of OxyR in order to gain a better understanding of the protein. We determined the oligomeric state of both proteins: primarily a tetramer for …

Comparison Of Treatment Management Between Orthodontists And General Practitioners Performing Clear Aligner Therapy, Alexandra D. Best

Theses and Dissertations

The purpose of this study was to investigate differences in case confidence, treatment management, and Invisalign® expertise between orthodontists and general dentists. A survey was mailed to 1,000 randomly selected orthodontists and general dentists, respectively, who are Invisalign® providers, and results were analyzed. The results indicated that orthodontists treated significantly more Invisalign® cases and received more Invisalign® training than general dentists (P

The Effects Of Amixicile, A Pyruvate Ferredoxin Oxidoreductase Inhibitor, On Oral Treponemes, Lucas A. Reed

Theses and Dissertations

Periodontal disease (PD) is a polymicrobial infection characterized by inflammation of the gingiva, alveolar bone resorption, and tooth loss (edentulism). Treponema denticola along with Porphyromonas gingivalis and Tannerella forsythia are among the “Red Complex” and are main etiological agents in PD. Treponemes are a member of the Spirochaeta phylum and are obligate anaerobes, that express pyruvate ferredoxin oxidoreductase (PFOR). The enzyme catalyzes the oxidation of pyruvate to acetyl-CoA and reduced ferredoxin. Amixicile is a novel bacteriostatic derivative of nitazoxanide and an inhibitor of PFOR. In light of the fact that Treponemes express PFOR, this study was conducted to investigate the …

Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus

Walden Dissertations and Doctoral Studies

Poor oral care is detrimental to the overall health of the population. In the United States, oral health diseases affect millions of individuals, especially children and adolescents. Guided by the health belief model, the purpose of this study was to identify parents' perceived barriers to oral health care access among their 5- to 10-year-old children. A phenomenological approach was used to gather data and thematically analyze interview data from 20 parents who were recruited from a health center in the northeastern United States. All participants had at least one child between 5-10 years old and all identified as under-served. Data …

Clinical Practice Guidelines For Recall And Maintenance Of Patients With Tooth-Borne And Implant-Borne Dental Restorations, Avinash S. Bidra, Diane M. Daubert, Lily T. Garcia, Timothy F. Kosinski, Conrad A. Nenn, John A. Olsen, Jeffrey A. Platt, Susan S. Wingrove, Nancy Deal Chandler, Donald A. Curtis

School of Dentistry Faculty Research and Publications

Purpose

To provide guidelines for patient recall regimen, professional maintenance regimen, and at-home maintenance regimen for patients with tooth-borne and implant-borne removable and fixed restorations.

Materials and Methods

The American College of Prosthodontists (ACP) convened a scientific panel of experts appointed by the ACP, American Dental Association (ADA), Academy of General Dentistry (AGD), and American Dental Hygienists Association (ADHA) who critically evaluated and debated recently published findings from two systematic reviews on this topic. The major outcomes and consequences considered during formulation of the clinical practice guidelines (CPGs) were risk for failure of tooth- and implant-borne restorations. The panel conducted …

Travel Distances By Wisconsin Medicaid Enrollees Who Visit Emergency Departments For Dental Care, Christopher Okunseri, Rabeea Vanevenhoven, Thomas Chelius, Kirsten M.M. Beyer, Elaye Okunseri, William K. Lobb, Aniko Szabo

School of Dentistry Faculty Research and Publications

Objectives: Prior studies document increased numbers of nontraumatic dental condition (NTDC) visits to U.S. emergency departments (EDs). However, the influence of travel distance on ED use for NTDCs, particularly for Medicaid enrollees has hitherto received little attention. The authors examined the effect of travel distance on Wisconsin Medicaid enrollees’ NTDC visits to EDs after adjustment for covariates.

Methods: NTDC-related visits claims data for Wisconsin Medicaid (2001-2009) was analyzed. For each enrollee, travel distance to the nearest of 130 EDs in Wisconsin was determined. The number of NTDC visits per person-year was aggregated by ZIP+4 of residence. Negative binomial regression adjusting …

A Systematic Review Of Recall Regimen And Maintenance Regimen Of Patients With Dental Restorations. Part 1: Tooth-Borne Restorations, Avinash S. Bidra, Diane M. Daubert, Lily T. Garcia, Marissa F. Gauthier, Timothy F. Kosinski, Conrad A. Nenn, John A. Olsen, Jeffrey A. Platt, Susan S. Wingrove, Nancy Deal Chandler, Donald A. Curtis

School of Dentistry Faculty Research and Publications

Purpose

To evaluate the current scientific evidence on patient recall and maintenance of dental restorations on natural teeth, standardize patient care regimens, and improve maintenance of oral health. An additional purpose was to examine areas of deficiency in the current scientific literature and provide recommendations for future studies.

Materials and Methods

An electronic search for articles in the English language literature from the past 15 years was performed independently by multiple investigators using a systematic search process. After application of predetermined inclusion and exclusion criteria, the final list of articles was reviewed in depth to meet the objectives of this …

A Systematic Review Of Recall Regimen And Maintenance Regimen Of Patients With Dental Restorations. Part 2: Implant-Borne Restorations, Avinash S. Bidra, Diane M. Daubert, Lily T. Garcia, Marissa F. Gauthier, Timothy F. Kosinski, Conrad A. Nenn, John A. Olsen, Jeffrey A. Platt, Susan S. Wingrove, Nancy Deal Chandler, Donald A. Curtis

School of Dentistry Faculty Research and Publications

Purpose

To evaluate the current scientific evidence on patient recall and maintenance of implant-supported restorations, to standardize patient care regimens and improve maintenance of oral health. An additional purpose was to examine areas of deficiency in the current scientific literature and provide recommendations for future studies.

Materials and Methods

An electronic search for articles in the English language literature from the past 10 years was performed independently by multiple investigators using a systematic search process. After application of predetermined inclusion and exclusion criteria, the final list of articles was reviewed to meet the objectives of this review.

Results

The initial …

Treatment Of A Periodontic-Endodontic Lesion In A Patient With Aggressive Periodontitis, Mina D. Fahmy, Paul G. Luepke, Mohamed Ibrahim, Arndt Guentsch

School of Dentistry Faculty Research and Publications

Case Description: This case report describes the successful management of a left mandibular first molar with a combined periodontic-endodontic lesion in a 35-year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate. In spite of anticipated poor prognosis, the tooth lesion healed. This case report also discusses the rationale behind different treatment interventions. Practical Implication. Periodontic-endodontic lesions can be successfully treated if dental professionals follow a concerted treatment protocol that integrates endodontic and periodontic specialties. General dentists can be the gatekeepers in managing …

Assessment Formats In Dental Medicine: An Overview, Susanne Gerhard-Szep, Arndt Guentsch, Peter Pospiech, Andreas Söhnel, Petra Scheuzel, Tugba Zahn

School of Dentistry Faculty Research and Publications

Aim: At the annual meeting of German dentists in Frankfurt am Main in 2013, the Working Group for the Advancement of Dental Education (AKWLZ) initiated an interdisciplinary working group to address assessments in dental education. This paper presents an overview of the current work being done by this working group, some of whose members are also actively involved in the German Association for Medical Education's (GMA) working group for dental education. The aim is to present a summary of the current state of research on this topic for all those who participate in the design, administration and evaluation of university-specific …

The Isolated Orbital Floor Fracture From A Transconjunctival Or Subciliary Perspective-A Standardized Anthropometric Evaluation, Gregor F. Raschke, Gabriel Djedovic, Andre Peisker, Rene Wohlrath, Ulrich M. Rieger, Arndt Guentsch, Marta Gomez-Dammeier, Stefan Schultze-Mosgau

School of Dentistry Faculty Research and Publications

Background: The influence of orbital fractures and their repair on the rate of deformities of the lower eyelid is an ongoing source of discussion in the literature. Most of the present studies include isolated blow-out as well as combined orbital fractures. Material and Methods: We present a retrospective evaluation of a series of 100 patients after isolated blow-out fracture repair using reference anthropometric data on standardized photographs. Analysis included eye fissure width and height, lid sulcus height, upper lid height, upper and lower iris coverage, position of cornea to palpebra inferior, canthal tilt, scleral show, ectropion and entropion. It was …

Do The Mechanical And Chemical Properties Of InvisalignTm Appliances Change After Use? A Retrieval Analysis, T. Gerard Bradley, Lauren Teske, George Eliades, Spiros Zinelis, Theodore Eliades

School of Dentistry Faculty Research and Publications

Aim: To investigate the mechanical and chemical alterations of Invisalign appliances after intraoral aging.

Materials and methods: Samples of Invisalign appliances (Align Technology, San Jose, California, USA) were collected following routine treatment for a mean period of 44±15 days (group INV), whereas unused aligners of the same brand were used as reference (group REF). A small sample from the central incisors region was cut from each appliance and the buccal surface was analysed by attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy (n = 5). Then the appliances were cut (n = 25) and embedded in acrylic resin, ground/polished …

Membership Matters January 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters February 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters March 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters April 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters May 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters June-July 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters August 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters September 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.

Membership Matters October 2016

Membership Matters

Membership Matters is produced by the Oregon Dental Association eleven times a year. Issues include regular columns with regional news impacting the Oregon membership including clinical feature articles, regular editorial columns, government relations updates, association activities, member updates, component news, continuing education opportunities, and classifieds.