Dental Hygiene Commons^™

Current Radiation Safety Practices Of United States Dental Hygienists, Kimberly Lintag

Dental Hygiene Theses & Dissertations

Problem: The purpose of this study was to determine licensed dental hygienists’ current radiation safety practices.

Methods: Data was collected with a 22 item, IRB exempt online survey administered to a sample of 1,500 U.S. dental hygienists who were subscribers of a professional journal. Questions focused on respondents’ use of ADA selection criteria guidelines, policies implemented by their dental practice, and hand-held portable x-ray device use and training. A response rate of 38% (N=566) was obtained. Cross tabulations were obtained using logistic regression and general linear models for significance at a 0.05 level.

Results: A majority of respondents had an …

Workplace Bullying: A Survey Of Virginia Dental Hygienists, Gayle B. Mccombs, S. Lynn Tolle, Tara L. Newcomb, Ann M. Bruhn, Amber W. Hunt, Lanah K. Stafford

Dental Hygiene Faculty Publications

Purpose: Workplace bullying in health care has been identified as a problem that negatively affects career satisfaction, career longevity and patient outcomes. The purpose of this pilot study was to determine the prevalence of workplace bullying in a convenience sample of dental hygienists in the state of Virginia.

Methods: Two hundred and forty Virginia dental hygienists attending a continuing education seminar were invited to participate. Using the Negative Acts Questionnaire-Revised (NAQ-R), respondents were asked to indicate how often they had experienced 22 negative acts or behaviors according to rate of occurrence (never, now and then or monthly, weekly or …

A Systematic Review On The Validity Of Teledentistry, Jafar H. Alabdullah, Susan J. Daniel

Dental Hygiene Faculty Publications

Objectives: The aim of this systematic review was to evaluate the validity of using teledentistry in oral care examination and diagnosis.

Methods: In June 2016, a systematic search of the literature was conducted without time restrictions in three electronic databases (Ebscohost, Pubmed, and Scopus). Two reviewers screened the retrieved articles first by title and then by abstract to determine relevant articles for full text review. Studies included were as follows: (1) related to teledentistry, (2) available in full text and English, (3) compared teledentistry application to a gold standard, and (4) provided clear statistical tests for validity. The methodological …

The Relationship Between Obesity And Periodontal Disease, Jean Conover

Dental Hygiene Master's Papers and Projects

Obesity has been targeted as the sixth most significant risk factor worldwide that is known to contribute to both oral and other associated systemic diseases.² According to the Centers for Disease Control and Prevention (CDC), the prevalence of obesity among adults in the U.S. is 40% and 18.5% in youth with prevalence higher among middle aged adults (42.8%) than younger adults (35.7%).³ As of 2016, nearly two billion people worldwide were either overweight or obese.¹ Research indicates accumulated excessive fat from being overweight or obese contributes to serious health impairments.⁴ World-wide obesity is associated with increased …

The Effect Of Magnification Loupes On Dental Hygienists' Posture While Exploring, Emily Ludwig, Gayle B. Mccombs, Susan L. Tolle, Daniel M. Russell

Dental Hygiene Faculty Publications

Purpose: The purpose of this study was to determine the effects of dental magnification loupes on posture during instrumentation.

Methods: A convenience sample of 27 right-handed dental hygienists, with no prior history of injuries or disabilities of the head, neck, or trunk region, enrolled in the study. Baseline posture calibration was taken and tri-axial accelerometers were placed on four locations of the head and trunk (occipital region of head; cervical vertebrae C5; thoracic vertebrae T5; lumbar vertebrae L1) to measure acceleration and the orientation of the body to gravity. Participants were randomly assigned to wear self-supplied magnification loupes during either …

Dental Hygienists' Perspectives On Four Periodontal Instrument Handle Designs, Susan L. Tolle, Jessica Suedbeck, Gayle M. Mccombs, Martha L. Walker

Dental Hygiene Faculty Publications

Problem: Developing new instrument designs to address the ergonomics of instrumentation and to decrease repetitive strain injuries in the dental hygienist is an ongoing area of development. Changing the weight and diameter of instrument handles has been suggested to reduce risk for trauma in the practitioner but minimal research has been conducted to determine design preferences of practicing dental hygienists. Objective: The purpose of this study was to assess dental hygienists opinions on the weight, diameter, balance and maneuverability of four different instrument handles. Methodology: After IRB approval, a convenience sample of 27 practicing dental hygienists from Virginia participated in …

Effects Of Instrument Handle Design On Dental Hygienists' Forearm Muscle Activity During Scaling, Jessica R. Suedbeck, Susan L. Tolle, Gayle Mccombs, Martha L. Walker, Daniel M. Russell

Dental Hygiene Faculty Publications

Purpose: The purpose of this study was to determine the effects of 4 different commercially available instrument handle designs (A. 16 grams and 12.7 mm diameter, B. 23 grams and 11.1 mm diameter, C. 21 grams and 7.9 mm diameter and D. 18 grams and 6.35 mm diameter) on the muscle activity of four forearm muscles during a simulated scaling experience.

Methods: A convenience sample of 27 (n=27) dental hygienists used a Columbia 13/14 curet with four different instrument handles to scale artificial calculus from typodont teeth. Each participant's muscle activity was measured using surface electromyography (sEMG).

Results: Similar muscle …

A Study Of Visible Tattoos In Entry -Level Dental Hygiene Education Programs, Kathryn R. Search, Susan L. Tolle, Gayle Mccombs, Aaron Arndt

Dental Hygiene Faculty Publications

Purpose: The purpose of this study was to survey entry-level dental hygiene program directors in the United States (US) to assess their perceptions of dental hygienists with visible tattoos as well as to determine current policies related to dress codes in US dental hygiene programs.

Methods: Data was collected with an online survey emailed to 340 dental hygiene program directors from March to April 2016, yielding a 43% (n = 141) response rate. Participants indicated their opinions of visible tattoos on the basis of professionalism and school policy requirements.

Results: Eighty percent of respondents reported their program …

Dental Hygiene Alternative Practice Models: Preparedness And Confidence Of 2015 Graduates, Futun Nasser Alkhalifah

Dental Hygiene Theses & Dissertations

Purpose: evaluate dental hygiene graduates’ perceived preparedness and confidence to practice in alternative settings. Methods: a survey was sent through ADHA to all members who graduated within the last year (2015-2016) with a minimum of one-week work experience. The survey consisted of demographics, and two alternative practice scales. Independent variables characterized as follows: (1) graduate of a baccalaureate degree dental hygiene program within an allied health science program, (2) graduate of a baccalaureate degree dental hygiene program within a dental school, or (3) graduate of an associate degree dental hygiene program. The dependent variables were preparedness, confidence and practice management …

A Study Of Visible Tattoos In Entry-Level Dental Hygiene Education Programs, Kathryn R. Search

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to survey entry-level dental hygiene program directors in the United States to assess their perceptions of dental hygienists with visible tattoos as well as their satisfaction with current program tattoo polices. Methods: After IRB approval, a 14-item survey was administered online to 340 entry-level dental hygiene programs. Participants used a seven-point Likert type scale ranging from strongly disagree (1) to strongly agree (7), to indicate their opinions of visible tattoos on the basis of professionalism, concern within the school, dress code policy satisfaction, tolerance toward visible tattoos, whether tattoos needed to be covered, …

The Effects Of Instrument Handle Design On Forearm Muscle Activity During Scaling By Dental Hygienists, Jessica Rae Suedbeck

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of 4 different commercially available instrument handle designs (A. 16 grams and 12.7 mm diameter; B. 23 grams and 11.1 mm diameter; C. 21 grams and 7.9 mm diameter; D. 18 grams and 6.35 mm diameter) on the muscle activity of four forearm muscles during a simulated scaling experience. Methods: A convenience sample of 27 dental hygienists used a Columbia 13/14 curet with four different instrument handles to scale artificial calculus. While scaling, each participant’s muscle activity was measured using surface electromyography (sEMG). Participants completed an end user opinion …

The Effect Of Magnification Loupes On Posture During Instrumentation By Dental Hygienists, Emily Anne Ludwig

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effects of dental magnification loupes on posture during instrumentation. Methods: A convenience sample of twenty-seven righthanded dental hygienists with no history of injuries or disabilities of the head, neck, and trunk regions was enrolled. Baseline posture calibration was taken. Accelerometers were placed on four locations of the head and trunk (occipital pole of head, cervical vertebrae: C5, thoracic vertebrae: T5, lumbar vertebrae: L1) to measure changes in posture. Accelerations in three axes were recorded (anterior/posterior (AP), medial/lateral (ML), vertical (VT)). Mean accelerations of the three axes were used to compute …

Interprofessional Collaboration Between Dental Hygienists And Registered Nurses: The Time Is Overdue, Jacqueline E. Sharpe, Muge Akpinar-Elci

Center for Global Health Publications

The recent publication of an article that is listed as a Critical Issue in the Journal of Dental Hygiene deserves strong letters of endorsement from nursing professionals. It has been twelve years since the Institute of Medicine called for interprofessional education to be adopted by the health professional education community. The increasing numbers of dentists in dental programs and the decreasing numbers of physicians in medical programs lend itself for dentists and physicians to be supportive of such interprofessional collaborations.

Animal Assisted Therapy In A Special Needs Dental Practice: An Interprofessional Model For Anxiety Reduction, Caren M. Cajares, Carolyn M. Rutledge, Tina S. Haney

Ellmer School of Nursing Faculty Publications

Purpose: Individuals with intellectual and developmental disabilities (IDD) suffer from poor oral hygiene and periodontal disease that may predispose them to systemic diseases. In order to receive dental care, the assistance of a certified registered nurse anesthetist (CRNA) is often needed. The role of the CRNA is to provide sedation to reduce the high level of anxiety demonstrated by many individuals with intellectual disabilities in the dental suite. However, this can become a challenge with patients that are anxious when they arrive. The purpose of this paper is to describe an interprofessional dental team that added a certified therapy dog …

Disaster Preparedness And Response: A Survey Of U.S. Dental Hygienists, Brenda T. Bradshaw, Ann P. Bruhn, Tara L. Newcomb, Bridget T. Giles, Kathryn Simms

Dental Hygiene Faculty Publications

Purpose: The purpose of this study was to assess dental hygienists’ interests, current involvement, formal education, views, comfort levels, and intentions for involvement with disaster preparedness and response.

Methods: Dental hygienists (n=400) were asked to respond to a 21-item online survey. Data was analyzed using descriptive statistics, chi-square goodness-of-fit tests, and a paired-samples t-test. Common themes were identified and categorized from open-ended questions.

Results: A response rate of 84% (n=334) was obtained. Most respondents (97%) reported no involvement with disaster preparedness and response; however, a majority (86%) reported interest. Of those who indicated an interest in disaster preparedness and response, …

Interventions For The Reduction Of Dental Anxiety And Corresponding Behavioral Deficits In Children With Autism Spectrum Disorder, Jessica L. Elmore, Ann M. Bruhn, Jonna L. Bobzien

Dental Hygiene Faculty Publications

Autism Spectrum Disorder (ASD) can greatly inhibit a child's communication and social interaction skills, impacting their comfort during dental hygiene treatment and services. Children with ASD may exhibit sensory sensitivities, fear of the unfamiliar and lack of socio-cognitive understanding, leading to anxiety and corresponding behavioral deficits. Since the prevalence rates for ASD have risen significantly in the past decade, increased emphasis has been placed on educational and behavior guidance techniques, which can be helpful for children with ASD because of their increased capabilities in visual-processing. The purpose of this literature review is to summarize the interventions available to reduce dental …

Assessment Of Mass Fatality Preparedness And Response Content In Dental Hygiene Education, Ann M. Bruhn, Tara L. Newcomb, Manasi Sheth-Chandra

Dental Hygiene Faculty Publications

When mass fatality incidents (MFIs) occur, they can quickly overwhelm local, state, and government agencies, resources, and personnel. It is important to have a rapid and effective response with skilled, multidisciplinary victim identification teams since specific skill sets are necessary to participate in mass fatality preparedness and response. The aims of this study were to determine the extent of formal education related to mass fatality preparedness and response training in U.S. dental hygiene programs and to assess program directors' perceptions of the need for such training. A 23-item cross-sectional survey was emailed to 319 U.S. dental hygiene programs in 2015. …

Dental Consumers' Perceptions Of Dental Hygienists With Visible Tattoos, Amanda Brooke Verissimo

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine if visible tattoos affected the perceptions of dental consumers toward the professionalism and credibility of dental hygienists.

Methods: An 11 item, IRB approved investigator designed survey was administered online to 203 subjects invited to participate via a commercial web source. Surveys were randomized according to respondents' birth month. Participants viewed one of three photographs of a dental hygiene model wearing short-sleeved scrubs without a tattoo, with a large sleeve tattoo on the arm or with a small tattoo on the wrist. Participants scored each photograph on a 5-point Likert scale based …

Fibromyalgia Syndrome: Considerations For Dental Hygienists, Amber Walters, Susan L. Tolle, Gayle M. Mccombs

Dental Hygiene Faculty Publications

PURPOSE: Fibromyalgia syndrome (FMS) is a neurosensory disorder characterized by widespread musculoskeletal pain. Typically persistent fatigue, depression, limb stiffness, non-refreshing sleep and cognitive deficiencies are also experienced. Oral symptoms and pain are common, requiring adaptations in patient management strategies and treatment interventions. Appropriate dental hygiene care of patients suffering with this disorder is contingent upon an understanding of disease epidemiology, pathophysiology, clinical characteristics, oral signs and symptoms, as well as treatment approaches. With this information dental hygienists will be better prepared to provide appropriate and effective treatment to patients with FMS.

The Perception And Employability Of Dental Hygienists With Visible Tattoos, Christina Lynn Cox

Dental Hygiene Theses & Dissertations

Purpose: The aim of this study was to determine if the presence of visible tattoos could hinder employment for dental hygienists. Methods: 1,800 electronic surveys were distributed to licensed dentists in the state of Virginia. Surveys were arbitrarily assigned according to subject's birth month. Participants were shown a photograph of a dental hygienist with one of the three conditions: 1) no tattoo, 2) small tattoo, or 3) large "sleeve" tattoo. Respondents were asked to score the image based on five categories: ethical, responsible, competent, hygienic and professional, using a 5-point Likert scale, ranging from 1 (strongly disagree) to 5 (strongly …

The Use Of Fluorescence Technology Versus Visual And Tactile Examination In The Detection Of Oral Lesions: A Pilot Study, Hadeel M. Ayoub, Tara L. Newcomb, Gayle B. Mccombs, Marshall Bonnie

Dental Hygiene Faculty Publications

PURPOSE: This study compared the effectiveness of the VELscope(R) Vx versus visual and tactile intraoral examination in detecting oral lesions in an adult, high risk population.

METHODS: The pilot study compared the intra oral findings between 2 examination types. The sample was comprised of 30 participants who were addicted to either cigarettes or a dual addiction (cigarettes plus hookah). High risk population was defined as males who were current cigarette smokers or had a dual addiction. Two trained and experienced licensed dental hygienists conducted all examinations. Throughout the study, all visual and tactile intraoral examinations were conducted first by one …

The Use Of Immersive Visualization For The Control Of Dental Anxiety During Oral Debridement, Carmelo Padrino-Barrios, Gayle B. Mccombs, Norou Diawara, Gianluca De Leo

Dental Hygiene Faculty Publications

Purpose: The purpose of this study was to evaluate the effects of Immersive Visualization (IV) eyewear on anxious, adult patients during oral debridement.

Methods: Thirty adult volunteers (n=23 females n=7 males) were enrolled in the study. Participants were required to be 18 years or older, exhibit at least moderate anxiety (score 9 or higher) on the Corah's Dental Anxiety Scale-Revised (DAS-R), and be generally healthy. Individuals were excluded from participation if they presented with severe dental calculus, periodontal disease, or dental caries, were taking psychotropic drugs, had a history of convulsive disorders, vertigo, or equilibrium disorders, or required antibiotic premedication. …

Performance Of Dental Hygiene Students In Mass Fatality Training And Radiographic Imaging Of Dental Remains, Tara L. Newcomb, Ann M. Bruhn, Loreta H. Ulmer, Norou Diawara

Dental Hygiene Faculty Publications

Purpose: Mass fatality incidents can overwhelm local, state and national resources quickly. Dental hygienists are widely distributed and have the potential to increase response teams' capacity. However, appropriate training is required. The literature is void of addressing this type of training for dental hygienists and scant in dentistry. Hence, the purpose of this study was to assess one facet of such training: Whether the use of multimedia is likely to enhance educational outcomes related to mass fatality training.

Methods: A randomized, double-blind, pre- and post-test design was used to evaluate the effectiveness of comparable educational modules for 2 groups: a …

Oral Care In The Long-Term Care Of Older Patients: How Can The Dental Hygienist Meet The Need?, Tracee S. Dahm, Ann Bruhn, Margaret Lemaster

Dental Hygiene Faculty Publications

It is estimated that the older population, aged 65 and older, will make up over 20% of the U.S. population by the year 2030. Research acknowledges about 4% of the older population resides in long-term care facilities (LTCFs), where the long-term older patient (LTOP) is under the formal supervised care or custody of institutions with skilled nurses. By the year 2040, 4 million geriatric residents are predicted to move into LTCFs in the U.S. In 2000, the Surgeon General reported LTOPs in LTCFs have greater oral hygiene needs than any other segment of the population to include: root caries, periodontal …

Mass Fatality Incidents And The Role Of The Dental Hygienist: Are We Prepared?, Tara L. Newcomb, Ann M. Bruhn, Bridget Giles

Dental Hygiene Faculty Publications

Dental hygienists can fill critical roles during mass fatality incidents in the area of disaster victim identification, providing much needed support to forensic odontologists. The purpose of this paper is to bring awareness that research is needed to assess current dental hygiene programs, continuing education opportunities and the type of approach being used to develop and implement pedagogy in the forensic specialty area, specifically mass fatality preparedness and response for the dental hygienist. Because of the threat of terrorism in the U.S. and natural disasters like hurricanes, the need to prepare dental professionals in disaster response and fatality management is …

Disaster Preparedness & Response: A Survey Of U.S. Dental Hygienists, Brenda Tallon Bradshaw

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine dental hygienists' interests, formal education, views, comfort levels, and intentions for becoming involved in disaster preparedness and response as measured by a 21-item survey entitled "Victim Identification for Disaster Preparedness & Response: A Survey of Dental Hygienists". Methods: A nonprobability convenience sample (n=400) was recruited for an online survey. Data was analyzed for statistical significance using descriptive statistics, chisquare goodness-of-fit tests, a Mann-Whitney U test, and a paired-samples t-test. Similar themes were identified and categorized from open-ended questions. Results: A response rate of 83.5% (n=334) was attained. Regardless of years …

Analysis Of Electronic Teaching And Reflective Learning For Dental Hygiene Education, Cassandra Huffman

OTS Master's Level Projects & Papers

The problem of this study was to examine if electronic course delivery used reflective learning strategies in educating dental hygiene students.

Oral Health Promotion: Knowledge, Confidence, And Practices In Preventing Early-Severe Childhood Caries Of Virginia Wic Program Personnel, Lorraine Ann Fuller, Sharon C. Stull, Michele L. Darby, Susan Lynn Tolle

Dental Hygiene Faculty Publications

Purpose: This study assessed the oral health knowledge, confidence and practices of Virginia personnel in the Special Supplemental Food Program for Women, Infants and Children (WIC).

Methods: In 2009, 257 WIC personnel were electronically emailed via an investigator-designed 22-item Survey Monkey® questionnaire. Descriptive statistics, Chi-square and Fishers Exact tests compared personnel demographics and oral health knowledge, confidence and practices at the p≤0.01 and 0.05 significance level.

Results: Response rate was 68%. WIC personnel were knowledgeable about basic oral health concepts. More than half of those reporting were not confident assessing for visual signs of dental decay and do not routinely …

Comparison Of Corded And Cordless Handpieces On Forearm Muscle Activity, Procedure Time And Ease Of Use During Simulated Tooth Polishing, Gayle Mccombs, Daniel M. Russell

Dental Hygiene Faculty Publications

Purpose: Dental professionals suffer from a high prevalence of work-related musculoskeletal disorders (MSD). Dental hygienists in particular have a high prevalence of pain in the forearms and hands. The objective of this study was to compare 1 cordless handpiece to 2 corded handpieces during simulated tooth polishing in terms of the muscle loads (recorded as electromyography (EMG) activity), duration of polishing procedure, and dental hygienist opinion about ease of use. Methods: EMG was used to quantify muscle electrical activity of 4 forearm muscles during simulated dental polishing with 2 corded handpieces (HP-A and HP-B) and 1 cordless handpiece (HP-C). A …

Injury Prevention With Physical Therapy, Karen Kott, Margaret F. Lemaster

Rehabilitation Sciences Faculty Publications

(First paragraph) Ergonomics is the study of human performance (positioning and movement) and workplace design, such as equipment, ambience, and placement. The purpose of ergonomics is to maximize productivity by increasing safety, improving work quality, reducing operator fatigue and discomfort, and decreasing the risk of work -related musculoskeletal disorders (MSDs).^1-3