The Dental Hygienist Perspective On Laser Use For Nonsurgical Periodontal Therapy, Tammie A. Nyce Mrs.

Dental Hygiene ETDs

The purpose of this study was to assess the perceptions, attitudes, and experiences of dental hygienists regarding the use of lasers in the non-surgical treatment of periodontal disease.  A descriptive survey was distributed via email to current active and inactive members of the American Dental Hygienists’ Association. The sample consisted of practicing dental hygienists who had received training in laser use and lived in states that allowed laser use by dental hygienists.   Those dental hygienists who are not practicing clinically, who are not trained in the use of lasers, and who do not have experience using lasers in the treatment …

Self-Reported Gum Bleeding, Oral Health Behaviors, And Cardiovascular Risk Indicators Among Adults Aged 45-70 In A Community Dental Setting., Kimberleigh Edwards

Population Health Leadership and Analytics Theses

Cardiovascular disease remains a leading cause of morbidity and mortality among adults in the United States, particularly during midlife and older adulthood. Periodontal inflammation and poor oral hygiene behaviors have been linked to increased cardiovascular risk through systemic inflammatory pathways. This exploratory cross-sectional study described patterns of self reported gum bleeding, oral hygiene behaviors, and cardiovascular risk factors among 29 adults aged 45 to 70 at a community dental clinic using the researcher-developed Oral and Heart Health Study Questionnaire. Fourteen participants reported both gum bleeding and at least one cardiovascular risk factor. Participants who reported inconsistent flossing and infrequent professional …

Dental Hygienists' Views On Salivary Diagnostics, Julie Justice

Dental Hygiene ETDs

This study assessed dental hygienists’ views on salivary diagnostic testing in the United States, including awareness, utilization, perceived barriers, and whether years of experience, clinical setting, or education level influenced these views. A descriptive cross-sectional design was used to collect data via an 18-item email survey distributed through the American Dental Hygienists’ Association’s mailing list. Eligible participants were licensed dental hygienists currently practicing in the United States. The survey included demographic items and Likert-scale questions on knowledge, clinical use, perceived value, and limitations of salivary diagnostic testing. Survey responses were analyzed using descriptive statistics, frequency distributions and Spearman correlations. Despite …

Policy Concerning Student Use Of Magnification Loupes By American Dental Hygiene Schools, Amye M. Burruss

Dental Hygiene ETDs

This descriptive study was to assess whether dental hygiene schools require students to purchase magnification loupes, at what point in the program they implement the use of loupes, and which type of loupes they require students to purchase. A survey link through Microsoft Forms consisting of nineteen multiple-choice questions was emailed to 327 dental hygiene program directors and was open for a total of three weeks. With a response rate of 13% (45 respondents), results indicate that most dental hygiene programs mandate or strongly encourage the use of magnification loupes and allow students to start wearing loupes in the first …

Exploring The Perceptions Of United States Dentists And Dental Hygienists Towards Implementation Of New Workforce Shortage Policies, Hite N. Jones

Dental Hygiene Theses & Dissertations

Background: There is a perceived national dental hygiene shortage causing delays in receiving preventive treatment and potentially increasing oral disease risk. States are proposing alternative pathways to allow less-trained individuals to provide dental hygiene care to fill this perceived gap. There is no research to support whether such measures would mitigate the shortage issue. Purpose: Therefore, the purpose of this study was to examine the perceptions of United States (U.S.) dentists and dental hygienists (DH) towards the implementation of new workforce shortage policies and contributing factors and solutions to the workforce shortage. Methods: This descriptive, cross-sectional study included a convenience …

Perceptions Of Virginia Dentists And Dental Hygienists Towards Emerging Alternative Dental Hygiene Workforce Provider Models, Lauren B. Mangum

Dental Hygiene Theses & Dissertations

Background: A perceived shortage of dental hygienists in the United States has been linked to delays in preventive care and concerns about declining oral health outcomes. In response, some states have proposed alternative pathways permitting internationally trained dentists, dental students, and oral preventive assistants (OPAs) with limited or inconsistent education requirements to provide dental hygiene services. Limited evidence exists regarding whether these strategies would effectively address access to care and workforce challenges. Concerns have also been raised about the potential effects of expanding scope of practice for providers with limited education or training on patient safety and quality of care. …

Pediatric Obstructive Sleep Apnea And The Role Dental Hygienists Play In Achieving Optimal Health And Quality Of Life: A Pilot Study, Kari S. Roth

Dental Hygiene ETDs

ABSTRACT

The purpose of this study was to evaluate the current practice, confidence, barriers, and experience of dental hygienists who screen or identify signs, symptoms, and risk factors of those who struggle with pediatric obstructive sleep apnea. This study was designed to provide a brief perspective to identify gaps or needs for improvement in dental hygiene practice. Members of the American Dental Hygienists’ Association participated in an electronic survey. While 231 participants responded, most reported some familiarity with obstructive sleep apnea in children, but many are unaware of guidelines from other professional organizations for screening protocols. Results depict a lack …

The Incorporation Of Salivary Diagnostic Testing In Dental Hygiene Program Curriculum; A Pilot Study Using A Self-Reported Questionnaire, Carrie B. Palmer-Hawkins

Dental Hygiene ETDs

This study evaluated the incorporation of salivary diagnostic testing in dental hygiene program curricula. A recruitment email and survey link were sent to a convenience sample of 296 CODA-accredited program directors in the United States. Using a descriptive research approach, the survey gathered quantitative and qualitative data exploring directors’ perspectives on the role of salivary testing in dental hygiene education. Thirty-seven responses were gathered over three weeks, and 34 participants were included in the study, resulting in a response rate of 13%. Thirty-eight percent (n=13) reported incorporating salivary testing into their dental hygiene program curriculum through didactic or clinical coursework. …

Integration Of Oral Health Assessment In Medicare Visits: A Survey Of Primary Care Physicians In Montana And Their Role In Patients Aged 65+, Cheyenne R. Smith

Dental Hygiene ETDs

The integration of oral health assessments into primary care settings has been strongly advocated to enhance access to care for elderly individuals. Medical and dental professionals recognize the critical connection between oral health and systemic health. Physicians can play a key role in enhancing oral health care by incorporating an oral health assessment into routine general health appointments, such as the Medicare Annual Wellness Visit (AWV). Physicians in Montana were invited to participate in an anonymous study to gather their opinions on conducting oral health assessments in primary care settings, identify barriers to providing these assessments, and evaluate their knowledge …

An Evaluation Of Dental Hygiene Integration From The Nursing Point Of View Within The Intensive Care Units., Alyssa M. Ramos

Dental Hygiene ETDs

This study analyzes the prospective of the Intensive Care Unit (ICU) nurse and the importance of oral hygiene delivery to ventilated patients within the ICU. The results of the study analyze the correlation of oral hygiene care performed by the ICU nurse and the probability of developing ventilator associated pneumonia, which is a prevalent infection in the intensive care units. A descriptive research method was used, sent out via email, using a likert- like ordinal scale. The survey was sent to two urban hospital intensive care units, the population included ICU nurses (n=17) from the same urban city. The ICU …

A Developmental Evaluation Of A Dental Hygiene Program And A Community Health Partnership, Laura Jacob

Higher Education: Doctoral Research Projects

Today, dental hygiene education commonly occurs in community college settings which are removed from dental schools thus dental hygiene students graduate with relatively little to no exposure to dentistry or directly with a clinically practicing dentist. With dental hygiene workforce shortages at an extremely high level, locally and nationally, it is imperative to matriculate students who are poised to be successful in the changing landscape of healthcare.

The purpose of this program evaluation was to investigate via the developmental program evaluation model, the perceived benefits of a potential collaboration between the Colorado Mountain College (CMC) dental hygiene program and a …

Hyperglycemia And Oral Health: A Review Of Dental Clinicians’ Perceptions And Practices Of Blood Glucose Monitoring In The Dental Office, Kathleen Wozniak

Dental Hygiene ETDs

This study aims to review the current practices and perceptions of dentists regarding the likelihood of dental professionals incorporating blood glucose monitoring into patient care protocol of patients with diabetes mellitus and prediabetes in dental offices. A survey link was shared by DentalOffices, a dental resource center. The survey included a series of questions which aimed to review dentists' current attitudes, practices, and considerations for implementation of in-office blood glucose testing as it relates to the treatment of patients with diabetes mellitus. Forty-seven dentists participated in the survey. This study determined blood glucose testing is not a common protocol or …

An Analysis Of Employment Patterns And Career Decisions Among Dental Hygienists: In A Transforming Healthcare Landscape, Shirley Calderon Jamarck

Dental Hygiene ETDs

The purpose of this study was to identify the factors contributing to dental hygienists’ consideration of changing careers, retiring early, or feeling burned out. A 26-question survey was emailed to members of the American Dental Hygienists’ Association, with 742 responses meeting inclusion criteria. Participants evaluated aspects of their careers, including job satisfaction, wages and benefits, personal growth, work-related stress, burnout, work-life balance, and retirement plans. Results revealed that one-third of respondents planned to leave the profession, citing burnout, physical strain, and limited career growth as reasons. High correlations were found between job satisfaction and feeling valued, professional accomplishment, and growth …

Improving Oral Hygiene Practices In A Long-Term Care Setting For Individuals With Advanced Dementia: A Quality Improvement Initiative, Rachel L. Mcinerney

Capstone Experience: Master of Public Health

This quality improvement project utilized the Plan-Do-Study-Act framework to enhance oral hygiene practices in a long-term care setting for individuals with advanced dementia. Advanced dementia often leads to significant oral health challenges due to the individuals’ inability to communicate needs or independently manage oral care. Poor oral hygiene results in pain, systemic infections, and reduced quality of life. The project aimed to identify and address barriers to effective oral care delivery by focusing on organizational factors such as leadership, training, and caregiver support. This capstone paper provides insights into the quality improvement initiative’s aims, background, and methodology, while emphasizing its …

Assessing Oral Cancer Screenings Provided By Dental Hygienists, Nora N/A Basheer Megerdichian

Dental Hygiene ETDs

Oral cancer remains a significant public health concern, with a five-year survival rate of approximately 50% due to late-stage diagnoses. Dental hygienists play a crucial role in the early screening of oral cancer through routine intraoral and extraoral examinations. This study evaluates the effectiveness of oral cancer screenings conducted by dental hygienists in referring for further evaluation and their overall perception of the importance and frequencies of these examinations. A survey was distributed through the American Dental Hygienists’ Association (ADHA) to practicing dental hygienists across the United States, gathering data on screening frequency, referral patterns, perceived importance, and challenges faced …

Achieving Periodontal Disease Stabilization: Assessing The Impact Of Laser Therapy In Scaling And Root Planing And Periodontal Maintenance Visits, Cassandra Charlotte Cooper

Dental Hygiene ETDs

Purpose: This study examined the effectiveness of laser utilization in stabilizing periodontal disease over a one-year period. This research focused on the results following scaling and root planing with adjunctive laser-assisted periodontal therapy and laser bacterial reduction at subsequent periodontal maintenance visits. While short-term advantages are documented in the literature, research on sustained effectiveness is limited. Methods: A retrospective chart review of 30 adult patients who received the above treatment was conducted. Periodontal charting was recorded at three visits over one year. Data was collected and analyzed utilizing Statistical Package for Social Sciences (SPSS) to determine statistical significance of periodontal …

Subgingival Microbiomes Of Healthy And Periodontitis Subjects, Tareq Abdulrasoul

Theses and Dissertations

Background: Periodontitis is a common chronic inflammatory disease triggered by the dysbiosis of the subgingival microbiome. 16s rRNA sequencing has been used to profile the subgingival plaque samples in healthy and periodontitis subjects. Here, we have collected subgingival plaque samples from subjects and analyzed the microbiome profile from 16s rRNA sequencing. We hypothesized that periodontitis patients will have a different subgingival microbiome profile than that of healthy subjects.

Methods: Subgingival plaque samples were collected from periodontitis and healthy subjects who were indicated for periodontal surgeries (osseous resective and regenerative surgery for periodontitis patients or crown lengthening for healthy …

Dental Hygiene Programs’ Use Of Oral Health Literacy Techniques For Special Needs Patients And Caregivers, Socorro D. Tejeda Diaz

Dental Hygiene ETDs

This study examined oral health literacy communication techniques in dental hygiene programs across the U.S. for special needs patients and their caregivers. The study surveyed 46 U.S. dental hygiene program directors on communication techniques, degrees offered, and subject areas. Two-sample t-tests compared differences in communication techniques between AAS and BAS and subject areas. Most respondents routinely employed printed materials with 2 or 3 concepts, speak slowly, and simple language. When comparing the variances in communication techniques offered in AAS and BAS, we observed a t-statistic of 2.06 with a corresponding p-value of 0.54. This suggests that the mean communication techniques …

Transforming Care: Elevating Oral Hygiene Compliance To Combat Nosocomial Aspiration Pneumonia In Adult Oncology Patients, Karina Larrea

Master's Projects and Capstones

Objective Aspiration pneumonia is a preventable, yet common complication in oncology patients undergoing chemotherapy, steered by suboptimal compliance with oral hygiene protocols and elevated susceptibility due to mucosal barrier injuries. Despite its major impact on healthcare costs and morbidity, compliance with evidence-based practices remains inadequate. Aim This project aimed to decrease nosocomial aspiration pneumonia rates from 1.5% to 1.3% by enhancing oral hygiene compliance from 41% to 70% over a 12-week period. Methods Proposed interventions included implementing paired oral hygiene order sets into electronic medical records, once-per-shift cues, staggered patient education sessions, and staff education on standardized protocols. Pre-intervention data …

Dental Therapy In Washington State: Exploring Dental Hygienists’ Perceptions And Attitudes Towards An Emerging Workforce Model, Soy Mouy Gearheart

Dental Hygiene ETDs

Purpose: This study examines dental hygienists' perceptions of dental therapy in Washington State. Methods: A cross-sectional survey utilizing a Likert-scale questionnaire was conducted among dental hygienists recruited from Washington State Dental Jobs Facebook groups. Descriptive statistics and cross-tabulation analysis examined key variables. Results:Of the 46 participants (n=46), 72% reported that they believed dental therapy could improve access to care in underserved areas. Concerns about current educational standards for safe practice were noted. 11% expressed interest in pursuing a dental therapy degree within the next five years, motivated by interest and career opportunities. Notably, 67% of all male respondents indicated …

Assessing Dental Hygiene Students’ Perspectives: A Survey Of Curriculum Adequacy For Interdisciplinary Settings In U.S. Dental Hygiene Programs, Brittany Elaine Tripp

Dental Hygiene ETDs

This study investigated whether dental hygiene programs implement interdisciplinary care into their curriculum and assessed student preparedness for working in interdisciplinary settings. The study also aimed to identify student preferences for various interdisciplinary care settings. A survey was developed and distributed via email to program directors of accredited dental hygiene programs across the United States. Those programs directors were asked to forward the survey to currently enrolled final-year students. Out of eighty-two responses received, 16 were excluded because those respondents were not final-year dental hygiene students. Sixty-six participants were considered eligible for the survey (n=66). The results indicate that most …

Dental Hygiene Program Admission Criteria Key Indicators To National Board Success, Kacy Goetz

Dental Hygiene ETDs

The study evaluates the admission criteria of entry-level dental hygiene programs in the United States and their relationship to National Dental Hygiene Board Examination (NDHBE) success rates. An online survey was distributed to 327 programs, gathering data on admission criteria and NDHBE outcomes through a 16-question Microsoft Forms survey. With a response rate of 16% (53 respondents), the survey found that GPA was the most common admission criterion used by 92% of programs. The results indicated a strong negative correlation between high school GPA and NDHBE success. The study also evaluated NDHBE pass rates with board review courses taken. The …

Ergonomics And Musculoskeletal Disorders: An Evaluation Of Self-Assessment Using Surveys, Shannon L. Sherman

Dental Hygiene ETDs

Musculoskeletal disorders, MSDs, are a serious issue many dental professionals experience. It is understood that improper ergonomics are a contributing factor to developing MSDs. Several factors can be implemented into a dental hygienist’s everyday routine to help decrease the risk of developing musculoskeletal disorders. The purpose of this study was to investigate how many practicing dental hygienists experience musculoskeletal pain from daily hygiene practice and how ergonomics contributes to their level of pain. The study also discovered through self-assessment, areas participating dental hygienists would be willing to improve on in their daily ergonomic practice to potentially help decrease or prevent …

Dental Hygiene Burnout In Clinical Practice From Covid-19; A Pilot Study Using Self-Reported Questionaire, Yvette Valladares

Dental Hygiene ETDs

The purpose of this study was to determine if the Covid-19 pandemic had increased feelings of burnout in registered dental hygienists who were employed in clinical practice before and during 2020. A survey of registered dental hygienists in California was employed. Participants completed a modified Maslach Burnout Inventory, to evaluate emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA). One open-ended question explored specific aspects of Covid-19 contributing to burnout. 162 surveys were completed and 139 met the inclusion criteria. Data analysis revealed that 40.29% reported high Emotional Exhaustion, 43.17% experienced low Depersonalization, and 85.61% reported high Personal Achievement. Lastly, …

Admission Requirements Among Dental Hygiene Programs: Key Indicators To Student Success, Justin R. Nance

Dental Hygiene ETDs

This descriptive study evaluated both cognitive (academic) and non-cognitive (personal) factors considered in the admission process and their correlation with student retention rates in dental hygiene programs. The research examined admission criteria and student retention rates for students who matriculated in 2021 and 2022, aiming to develop more effective admission criteria that predict student success and retention. A survey consisting of 20 multiple-choice questions was distributed to 327 accredited dental hygiene program directors in order to gather data. The survey achieved a 16% response rate. The results of this study provide insights into how to develop more effective admission criteria …

Prevalence Of Sexuality Implicit Bias In Entry-Level Dental Hygiene Students – A Pilot Study, Monica Mercedez Drew

Dental Hygiene Theses & Dissertations

Purpose: Bias and discrimination may create barriers and affect the delivery of culturally competent care to sexual minorities. An awareness of biases early in education may promote equitable care and increase the quality of oral healthcare delivered to diverse populations. The purpose of this study was to determine the prevalence of sexuality-implicit attitudes in entry-level dental hygiene students at one university. Methods: This cross-sectional study included a convenience sample of junior and senior dental hygiene students (n=74) and was determined exempt by a university Health Sciences Human Subjects Review Committee (2151633-2). The Implicit Associations Test (IAT) is a validated tool …

Toothbrushing And Flossing Sequence: The Most Effective Way To Reduce Dental Plaque Biofilm, Kimberly Ann Obiedo

Dental Hygiene ETDs

Dental plaque biofilm remaining on oral structures causes disease processes such as gingivitis, periodontitis, and dental caries. This study's purpose was to determine which sequence of dental biofilm removal is more effective, toothbrushing followed by flossing or flossing followed by toothbrushing. The study was conducted using an experimental approach with a split mouth design. A pre and post plaque index score was determined for each participant using Ramfjord’s tooth assignment and all data was recorded on a plaque control data sheet. Thirty-two adults were eligible to participate in the study. The average results of the primary plaque score were 78% …

Oral Health Education And Dental Care Access Of Families Of Children With Down Syndrome In New Mexico, Alayna Marissa Holcomb

Dental Hygiene ETDs

ABSTRACT

Purpose: The purpose of this study was to assess the oral health education and dental care access of families of children with Down syndrome in New Mexico.

Methods: The data were gathered from a survey available to members of the Rio Grande Down Syndrome Network for 14 days containing 13 questions.

Results: The most reported age range for the individuals in care were 0-14 years at 41.6%. Most individuals with Down syndrome receive dental services every six months (62.5%) at a regular dental office (54.2%). Caregivers reported the individuals are taking 1-2 prescription medications (54.2%) and not aware of …

Tongue Posture And Effects On Overall Health: A Dental Hygiene Curriculum Assessment, Kelly Brackeen

Dental Hygiene ETDs

Research shows that proper tongue posture can impact quality of life, stability of the mouth, and have effects on overall wellness. Dental hygienists have a unique position to be able to identify tongue placement disorders. The objective of this study was to identify to what extent dental hygiene students are being taught orofacial myofunction during dental hygiene education. A survey link was emailed to all program directors in the United States regarding the teaching of orofacial myofunction within their respective programs. Using descriptive analysis, 44%, or less than half reported that their program curriculum includes teaching students proper resting position …

Increasing Oral Health In A Midwest Elementary School: Quality Improvement Project, Dee Young

Doctor of Nursing Practice Projects

Marginalized communities experience barriers to accessing oral healthcare in the United States (US). Due to this, many children are left to use the emergency department (ED) for dental care. The purpose of this Doctor of Nursing Practice (DNP) project was to improve oral health services access in children at one suburban Midwest elementary school. The objectives of this project were: a) to improve the efficiency of students registering in Fall 2023 to access available oral health exam services, b) to increase the number of students who receive an oral health exam compared to the number in the previous school year. …