Dental Hygiene Commons^™

Use Of Immersive Visualization For The Control Of Dental Anxiety During Dental Hygiene Treatment, Carmelo Padrino-Barrios

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine the effectiveness of immersive visualization (IV) therapy, a technique that provides visual and stereoscopic display through the use of eyewear, in anxious patients during an oral prophylaxis. Methods: A convenience sample of thirty adults was enrolled. A split mouth design was utilized. Subjects were randomly divided into two groups: group A (use of IV for the right side of the mouth), and group B (use of IV for the left side of the mouth). Subjects received a full mouth oral prophylaxis (removal of supra and subgingival calculus and selective polishing), always …

Fluorescent Technology Versus Visual And Tactile Examination In The Detection Of Oral Lesion: A Pilot Study, Hadeel Mohammed Ayoub

Dental Hygiene Theses & Dissertations

Purpose: The purpose of the study was to compare the effectiveness of the VELscope® Vx, versus a visual and tactile intraoral examination in detecting oral lesions in an adult, high risk population. Methods: A convenience sample of 30 participants (17 cigarette smokers and 13 dual addiction smokers) was enrolled. For the purpose of this study, dual addition was defined as cigarettes plus hookah usage. Two trained and calibrated dental hygienists conducted all examinations. Visual and tactile intraoral examinations were conducted, followed by VELscope® Vx florescence examinations. All subjects received an inspection of the lips, labial mucosa, buccal mucosa, floor of …

Comparing Velscope Vx And Traditional Oral Exams In Shisha (Hookah) Smokers: A Pilot Study, Amanda E. Kimball

Dental Hygiene Theses & Dissertations

The purpose of this study was to compare oral findings using two exam types, the VELscope Vx® screening device versus a modified oral examination in detecting oral potentially malignant lesions in shisha smokers.

Methods: Thirty-one participants who reported currently smoking shisha and tobacco were recruited. Participants were identified for smoking habits to include two groups, to include those who reported smoking shisha exclusively and those who reported smoking shisha and tobacco. Each group received both exam types; examiners used a standardized protocol. A health history questionnaire was also collected to assess participant's oral cancer risk factors such as age, race, …

Teledentistry: A Systematic Review Of Clinical Outcomes, Utilization And Costs, Susan J. Daniel, Lin Wu, Sajeesh Kumar

Dental Hygiene Faculty Publications

Purpose: The purpose of this systematic review is to identify clinical outcomes, health care utilization and costs associated with teledentistry. Relevant databases were searched for articles on teledentistry published until March 2012, reference lists examined and key journals hand searched. Of a possible 58 articles, 19 studies met the inclusion criteria.

Clinical outcomes were generally improved following a teledentistry intervention and satisfaction with teledentistry was consistently high. The few studies examining health care utilization reported mixed findings, but preliminary evidence suggests cost savings for health care facilities.

There is a consistent trend in the literature supporting the efficacy and effectiveness …

Oil Pulling: An Ancient Practice For A Modern Time, Gina M. Bekeleski, Gayle Mccombs, W. Lee Melvin

Dental Hygiene Faculty Publications

The practice of oil pulling or oil swishing is a time-honored Indian folk remedy that involves swishing edible oil in the mouth for oral and systemic health benefits. Oil pulling offers a naturalistic approach to oral health care for a growing body of individuals who desire alternative and complementary medicine. The purpose of this paper was to summarize published research on the effectiveness of oil pulling on oral health. Literature was retrieved from 1992-2011 through databases including Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), Medical Literature Analysis and Retrieval System Online (MEDLINE), and …

Effects Of Low Temperature Atmospheric Pressure Plasma On Tooth Whitening, Denise Michelle Claiborne

Dental Hygiene Theses & Dissertations

Low temperature atmospheric pressure plasma (LT APP) is a novel science being studied as an alternative light source to enhance tooth whitening. The safety and effectiveness of LTAPP has not been established therefore; the purpose of this study was to determine if LTAPP along with H₂O₂ gel would safely and effectively accelerate the tooth whitening process, in terms of lightness and temperature. Two treatment groups were utilized: 36% H₂O₂ gel only and 36% H₂O₂ gel plus LT APP. Control group received no treatment. Experimental teeth were exposed to LT APP at …

Using Modeling And Simulation To Improve Oral Health Services Delivery In Hampton Roads, Virginia, Mohammad J. Alzahrani

Health Services Research Dissertations

The purpose of this study is to examine the system performance in delivering oral health services in a public health district based on the Conceptual Framework to Measure Performance of the Public Health System (PHS). Using modeling and simulation, a predictive model based on the conceptual framework dimensions: mission, structural capacity, processes, and outcomes was developed to predict the performance of public health district in delivering oral health services.

This is a retrospective longitudinal study. The main objective of this study is to use a modeling and simulation approach to predict the performance of public health district dental clinic in …

Magnification Loupes In U.S. Entry-Level Dental Hygiene Programs, Leslie Mchaney Congdon

Dental Hygiene Theses & Dissertations

Purpose: The purpose of this study was to determine policies and practices regarding magnification loupes among accredited dental hygiene programs as measured by a 31- item, self-designed questionnaire titled Magnifying Loupes in U.S. Entry Level Dental Hygiene Programs. In addition, the study compared policies among dental hygiene programs in two year versus four year programs in terms of requirements for the use of magnification loupes.

Methods: After institutional review board approval, the questionnaire was emailed via Survey Monkey to 303 entry-level dental hygiene programs. An overall response rate of 75% was obtained. Data were analyzed using descriptive statistics and …

2011 Adea Annual Session: Poster Abstracts, Susan L. Tolle, Leslie M. Congdon, Michele L. Darby

Dental Hygiene Faculty Publications

Poster session abstracts from the 2011 American Dental Education Association (ADEA) Conference.

Bisphenol A Blood And Saliva Levels Prior To And After Dental Sealant Placement In Adults, Joyce M. Zimmerman-Downs, Deanne Shuman, Sharon C. Stull, Robert E. Ratzlaff

Dental Hygiene Faculty Publications

Purpose: This study examined the effects of a widely used (Delton® Pit & Fissure Sealant – Light Cure Opaque, DENTSPLY Professional, York, PA) pit and fissure sealant material on bisphenol A (BPA) levels in blood and saliva, among both low and high–dose groups over time.

Methods: A convenience sample of 30 adults from the Old Dominion University population were randomly and evenly divided into 2 independent variable groups: a low–dose group (1 occlusal sealant application) and high–dose group (4 occlusal sealant applications). A 2 group, time series design was used to examine the presence and concentration of BPA in serum …

The Advanced Dental Hygiene Practitioner At The Master's-Degree Level: Is It Necessary?, Michele Leonardi Darby

Dental Hygiene Faculty Publications

The article reflects on the Advanced Dental Hygiene Practitioner (ADHP) curriculum proposed by the American Dental Hygienists' Association at the master's degree level. It is stated that dental hygienists and ADHPs can collaborate with other health care professionals for contributing towards the advancement of quality health care to the most vulnerable populations. It is mentioned that preparation at the master's degree is a logical pathway to the expanded scope of practice.

Oral Healthcare In Kenya: Implications For Dental Hygiene Care, Grace Kogi

Dental Hygiene Master's Papers and Projects

This paper is a review of literature describing the educational, healthcare delivery and healthcare finance systems in Kenya. The document discusses the unmet oral health needs of the Kenyan population and how implementing the role of the dental hygienist would positively impact oral health promotion throughout the country. Kenyan communities experience all of the major environmental determinants of oral disease, e.g., widespread poverty, underdevelopment, outdated dental equipment, insufficient supply and distribution of qualified dental care professionals and lack of preventive oral health services. About six in ten Kenyans are unable to afford healthcare, clothing, or food; therefore, oral healthcare has …

Cold Plasma Technology: Bactericidal Effects On Geobacillus Stearothermophilus And Bacillus Cereus Microorganisms, Angela D. Morris, Gayle B. Mccombs, Tamer Akan, Wayne L. Hynes, Mounir Laroussi, Susan L. Tolle

Dental Hygiene Faculty Publications

Introduction: Cold plasma, also known as Low Temperature Atmospheric Pressure Plasma (LTAPP) is a novel technology consisting of neutral and charged particles, including free radicals, which can be used to destroy or inactivate microorganisms. Research has been conducted regarding the effect of cold plasma on gram-positive bacteria; however, there is limited research regarding its ability to inactivate the spore-formers Geobacillus stearothermophilus and Bacillus cereus.

Purpose: The purpose of this study was to determine if cold plasma inactivates G. stearothermophilus and B. cereus vegetative cells and spores.

Methods: Nine hundred eighty-one samples were included in this study (762 experimental and …

Improving Oral Health In Pakistan Using Dental Hygienists, Musarrat Anjum Shah

Dental Hygiene Master's Papers and Projects

This document presents a review of the literature addressing education, healthcare, healthcare delivery and finance in Pakistan and the oral health status of the Pakistani people. Considering the enormous unmet oral health needs, the insufficient supply of dental professionals and the current unstructured dental hygiene curriculum in Pakistan, this document offers a mission, vision, and goals for the new dental hygiene theoretical framework for Pakistan. Moreover, it offers recommendations for competency-based dental hygiene education and practice, professional licensing, a practice act, and a dental hygiene scope of practice to help protect the welfare of the Pakistani public, i.e., increasing the …

Muscle Activity Comparisons In Dental Hygiene Students When Using Different Fulcrums While Scaling, Susan L. Tolle, Mary Elizabeth Cosaboom, Michele L. Darby, Martha L. Walker

Dental Hygiene Faculty Publications

The high incidence rate of cumulative trauma disorders in dental hygienists attests to the musculoskeletal problems experienced by dental hygienists. Research is ongoing to investigate ergonomic practices that will minimize muscle trauma when providing scaling and root debridement. The purpose of this study was to determine differences in the activity of four forearm muscles, (extensor carpi radialis longus, flexor carpi ulnaris, biceps brachii and pronator teres) when using five different finger fulcrums while scaling in dental hygiene students. A convenience sample of 29 consenting senior dental hygiene students participated in the study. Using a 4 x 5 counterbalanced research design, …

Effects Of 5 Different Finger Rest Positions On Arm Muscle Activity During Scaling By Dental Hygiene Students, Mary E. Cosaboom-Fitzsimons, Susan Lynn Tolle, Michele L. Darby, Martha L. Walker

Dental Hygiene Faculty Publications

Purpose. This study was conducted to determine the effects of 5 different finger rest positions: opposite arch, standard intraoral, basic extraoral, cross arch, and finger on finger on the muscle activity of 4 forearm muscles (extensor carpi radialis longus, flexor carpi ulnaris, biceps brachii, and pronator teres) during a simulated periodontal scaling experience.

Methods. A convenience sample of 32 consenting senior dental hygiene students who met inclusion criteria participated. Using a 4 x 5 counter-balanced research design, each participant used a Gracey 11/12 curet to scale one cc of artificial calculus from first permanent molar typodont teeth (#3,14,19,30). Five different …

Bisphenol A Blood And Saliva Levels Prior To And After Dental Sealant Placement In Adults, Joyce Marie Downs

Dental Hygiene Theses & Dissertations

Placement of pit and fissure dental sealants is an effective therapy for tooth decay prevention and is widely accepted as a standard of care throughout the United States. Pit and fissure dental sealants (sealants) are manufactured using the resin component of composite dental materials, formed by reacting glycidyl methacrylate with bisphenol A. Bisphenol A (BPA) is a hormonally active, synthetic chemical that is part of a broad group of chemicals known as endocrine disrupting compounds, xenoestrogens, which mimic bioactivity of estrogen. This study measured BP A in saliva and blood after the placement of a widely used, pit and fissure …

In Vitro Comparison Of 360° Unirotational Disposable Prophylaxis Angles Versus 90° Reciprocating Disposable Prophylaxis Angles On Spatter During Rubber Cup Polishing, Kelly Marie Schulz

Dental Hygiene Theses & Dissertations

The purpose of this in vitro study was to compare the traditional 360° unirotational disposable prophylaxis angle (DPA) to a 90° reciprocating DPA in terms of spatter production. The 2x3x3 factorial design involved: 2 types of DP As x 3 types of prophylaxis pastes (fine, medium and coarse) x 3 dental handpiece revolutions per minute (rpm) settings (1500, 2000, and 3000). The eStylus'™ operated the DP As under controlled speeds. Using a mounted dental manikin, 90° reciprocating DP As and 360° unirotational DP As were evaluated for spatter production with the use of prophylaxis pastes of various grits in 270 …

Debate: A Teaching-Learning Strategy For Developing Competence In Communication And Critical Thinking, Michele Darby

Dental Hygiene Faculty Publications

The article highlights key benefits from debate as a teaching-learning strategy for developing critical thinking and analytical skills while fostering teamwork and communication. According to the author, it is an effective pedagogical strategy because of the level of responsibility for learning and active involvement required by all student debaters. She also notes that the debate strategy can be used as a method to achieve competencies in baccalaureate and graduate dental hygiene programs.

In Vitro Evaluation Of The Reciprocating Disposable Prophylaxis Angle Versus The Rotating Disposable Prophylaxis Angle In Extrinsic Stain Removal Effectiveness, Inma Lacross, Michele Darby, Sharon S. Stull, Carlene M. Lynch

Dental Hygiene Faculty Publications

This study determined the extrinsic tooth stain removing effectiveness of a 90° counter-rotational disposable prophylaxis angle (DPA) with rubber cup compared to the traditional 360° unirotational DPA with rubber cup. Four randomly-assigned groups of cleaned, sterilized, extracted human teeth, artificially stained with coffee, tea, tobacco, and red wine, were polished on the buccal and lingual surfaces using one of the 2 DPAs. Each dependent variable (4 different stain types) was tested 4 times with each prophylaxis angle, using 4 prophylaxis paste conditions, and 3 different rpm; therefore, 2 trials x 2 angles x 3 speeds x 4 stains x 4 …

Bactericidal Effects Of Cold Plasma Technology On Geobacillus Stearothermophilus And Bacillus Cereus Microorganisms, Angela D. Morris, Gayle B. Mccombs, Susan L. Tolle, Mounir Laroussi, Wayne L. Hynes

Dental Hygiene Faculty Publications

Cold plasma is a state of matter that contains a large number of particles that are electrically charged. Plasmas generate chemically reactive species and ultraviolet radiation making them useful in decontamination applications (Kong & Laroussi, 2003). Research regarding the inactivation of gram-positive bacteria by cold plasma has been studied by Laroussi et al (2003); however, there is limited research regarding the germicidal effectiveness of cold plasma on Geobacillus stearothermophilus and Bacillus cereus microorganisms. The purpose of this study was to determine if cold plasma technology inactivates Geobacillus stearothermophilus and Bacillus cereus vegetative cells and spores. This study consisted of 981 …

Predictors Of Student Success In An Entry-Level Baccalaureate Dental Hygiene Program, Mohammad J. Alzahrani, Evelyn M. Thomson, Deborah Blythe Bauman

Dental Hygiene Faculty Publications

PURPOSE: The purpose of this study was to measure the utility of various predictors used by the Old Dominion University Gene W. Hirschfeld School of Dental Hygiene baccalaureate degree dental hygiene program in selecting dental hygiene students who are most likely to graduate and be successful in passing the National Board Dental Hygiene Examination (NBDHE). The following factors were examined: grade point average (GPA); science GPA; final grade in various prerequisite courses; final grade in first-year dental hygiene courses; academic setting where prerequisite courses were completed; multiple attempts to achieve a passing course grade; and admissions criteria points (ACP).

METHODS: …

Dental Hygienists' Contributions To Improving The Nation's Oral Health Through School-Based Initiatives From 1970 Through 1999: A Historical Review, Gayle B. Mccombs, Cynthia C. Gadbury-Amyot, Rebecca S. Wilder, Karen O. Skaff, Margaret Lappan Green

Dental Hygiene Faculty Publications

PURPOSE: The purpose of this literature review is to document the contributions dental hygienists have made over the past 3 decades to improve the nation's oral health. This historical review encompasses selected literature that acknowledged dental Hygienists' direct involvement in U.S. school-based or school-linked oral health programs from 1970-1999.

METHODS: Five researchers independently searched MEDLINE, PubMed, and other electronic databases to identify relevant literature for the years 1970-1999. The search aimed to locate articles authored by or that documented dental Hygienists' involvement as "service provider" in U.S. school-based oral health programs. For the purpose of this review, service provider was …

Vital Tooth Whitening Effects On Oral Health-Related Quality Of Life In Older Adults, Ann Michelle Poindexter

Dental Hygiene Theses & Dissertations

This study determined if vital tooth whitening affects oral health-related quality of life (OHRQOL) in adults ≥50-years old, and if tooth whitening promotes individuals to seek regular professional dental care and participation in social activities. Using a two-group, single blind, randomized, pre-test-post-test design, 62 participants were enrolled. The experimental group used a whitening product twice daily for three weeks, while the control group used no whitening products. Tooth color satisfaction was assessed using the Tooth Color Satisfaction Scale and was correlated with overall oral health-related quality of life. The Oral Health Impact Profile (OHIP), used as the pre-test …

Effects Of Tooth Whitening Use On Oral Health Interests And Values In Adults, Katie Jo Ballantyne Sargent

Dental Hygiene Theses & Dissertations

The primary purpose of this study was to determine if tooth whitening product use influences oral health interests and values in an adult population. A two-group, randomized, pre-test, multiple post-test design was used for studying 60 adults between the ages of 18 and 60. Persons who use tobacco products, have composite/tooth-colored anterior restorations, less than eight anterior teeth, pregnant or lactating women, or those who have previously used a whitening product other than toothpaste were excluded from the study. At baseline, a researcher-designed Oral Health Questionnaire was administered to consenting adults to determine the level of oral health interests and …

Antimicrobial Mouthrinses In Contemporary Dental Hygiene Practice: The Take Home Message, Michele Leonardi Darby

Dental Hygiene Faculty Publications

The article discusses the significance of antimicrobial mouthrinses to the oral hygiene of people in the U.S. Such product is vital to those with or without dental problems because its regular use reduces supragingival plaque and gingivitis. Studies reveal that an American Dental Association (ADA)-Accepted antimicrobial mouthrinse can result in a greater reduction in plaque and gingivitis than brushing

Changing Perspectives On The Use Of Antimicrobial Mouthrinses, Michele Leonardi Darby

Dental Hygiene Faculty Publications

As oral health care professionals, we need to make evidence-based recommendations to our patients. Studies from which we derive our recommendations need to have been conducted with scientific rigor and need to be confirmed with other welldesigned studies. Given the numerous, long-term, peer-reviewed published studies on antimicrobial mouthrinses with consistent statistically and clinically significant outcomes, it is time to change our professional thinking and practices.

Vital Tooth Whitening: Effects On Tooth Color Satisfaction, Beliefs About Dentofacial Appearance, And Self-Esteem In Older Adults, Kelly Marie Seeber

Dental Hygiene Theses & Dissertations

The purpose of this study was to explore the effects of vital tooth whitening on tooth color satisfaction, beliefs about dentofacial appearance, and self-esteem in a population 50 years of age and older. A two-group, randomized, pre-test, post-test, single-blind design was utilized following !RB-approval. Sixty-two participants were enrolled. Fifty-three participants (N=53) completed the study with no adverse events reported. Both the control and experimental groups received instructions for a threeweek oral self-care regimen, a toothbrush, toothpaste, and floss. The experimental group also received a tooth whitening product (independent variable) to be used during the same three-week period. Dependent variable measures …

In Vitro Evaluation Of The Reciprocating Disposable Prophylaxis Angle Versus The Rotating Disposable Prophylaxis Angle In Extrinsic Stain Removal Effectiveness, Inma Lacross

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the extrinsic tooth stain removing effectiveness of a 90° counter-rotating disposable prophylaxis angle (DPA) with rubber cup as compared to the traditional 360° unirotational DPA with rubber cup. Four randomly assigned groups of cleaned, sterilized, extracted human teeth, artificially stained with coffee, tea, tobacco, and red wine were polished on the buccal and lingual surfaces using one of the two rubber cup DP As under study. Each dependent variable (four different stain types) was tested four times with each prophylaxis angle, using each of the four prophylaxis paste conditions, and three different …

Effects Of Daily Oral Care With 0.12% Chlorhexidine Gluconate And A Standard Oral Care Protocol On The Development Of Nosocomial Pneumonia In Intubated Patients: A Pilot Study, Michelle Bopp, Michele Darby, Karin C. Loftin, Sharon Broscious

Dental Hygiene Faculty Publications

Purpose. The purpose of this pilot study was to determine if a difference existed between nosocomial pneumonia rates for intubated critical care unit (CCU) patients who received twice-daily oral hygiene care with 0.12% chlorhexidine gluconate and those who received the standard oral care. Methods. Over seven months (February to August), CCU patients were identified through screening and informed consent procedures, and randomized into 1 of 2 groups. Over the 7 months, due to the critically ill nature of the patients, only 5 subjects were enrolled. While in the study, twice-daily oral hygiene care consisted of brushing the cheeks, teeth, and …