Dental Public Health and Education Commons^™

Oral Health Related Quality Of Life In A Group Of Egyptian Preschool Children With Early Childhood Caries: A Cross-Sectional Study, Sara Adel Botros, Sara Magdy, Asmaa Abou Bakr, Ola Abdel Geleel

Dentistry

No abstract provided.

Effect Of Remineralization And Resin Infiltration On Microhardness, Mineral Content And Cervical Leakage Of Restored Demineralized Enamel., Caroline Maged Massieh, Sarah Adel Botros

Dentistry

Purpose: To evaluate the effect of remineralization and resin infiltration on microhardness, mineral content and microleakage in artificially-induced cervical enamel lesions. Materials and Methods: 50 human central incisors were assigned to 5 study groups (n=10) according to different surface intervention: Group 1: Positive Control (sound teeth not subjected to demineralization); Group 2: Negative Control (teeth subjected to demineralization); Group 3: CPP-ACP paste (remineralization of demineralized lesions with CPP-ACP, Tooth Mousse, GC); Group 4: HAp toothpaste (remineralization of demineralized lesions subjected with HAp, Herbadent Remin); Group 5: Resin infiltration (resin infiltration of demineralized lesions with ICON, DMG). Microhardness (MH) was evaluated …

From Silos To Systems: A Conceptual Framework For Workforce Aligned Oral Health Education, Meghan Bastin

2026 Scholarly Teaching Conference: Poster Session Papers

In the current U.S. educational system, becoming a dentist follows a few prescriptive pathways.  Learners typically complete an undergraduate degree before entering time-intensive doctoral training.  This results in only 3-4 years of direct professional education embedded within an eight -year process, while learners accumulate significant financial investment in their education.  With the average cost of graduate-level dental education alone exceeding $300,000 and new federal borrowing limits likely to further constrain access, there is an opportunity to explore alternative ways of structuring oral health education.

This poster presents a conceptual, system-level framework that explores a perspective in which oral health education …

Color Stability Of Enamel Exposed To Chlorinated Water After Remineralization, Sara Adel Botros, Mohamed Samy Salama, Mahmoud Al Ankily, Nora Alzayyat

Dentistry

No abstract provided.

Remineralization Effect On Enamel Physicochemical Properties After Chlorine-Induced Erosion, Sara Adel Botros, Mohamed Samy Salama, Mahmoud Al Ankily, Nora Ahmed Alzayyat

Dentistry

No abstract provided.

Effect Of Sdf Application Versus Diode Laser Irradiation On Incipient Carious Lesion’S Progression In Primary Molars: A Randomize Clinical Trial, Islam Yehia, Noha Samir Kabil, Basma Gamal

Dentistry

The present study aimed to investigate the effect of two different preventive measures a) Silver diamine (SDF) application, b) Diode laser irradiation, on caries progression of incipient carious occlusal lesions in primary second molars. This clinical trial included two equal study groups of patients, for applying; Group I: SDF application, Group II: Diode laser irradiation, the included second primary molars for intervention were selected with incipient carious lesions graded by International Caries Detection & Assessment System (ICDAS)with scores (0,1,2). The involved molars were followed up for 3, 6, 12 months and ICDAS scores were graded to check for caries progression …

Understanding And Predicting Flossing Behavior In A Rural Appalachian Community Using The Multi-Theory Model, Rahib K. Islam, Manoj Sharma, Amanda H. Wilkerson, Bradford Layman, Clyde Dunn, Shamima A. Somi, Ratnesh Sharma, Karen Gruszynski, Syed S. Quadri, Vinayak K. Nahar, Robert E. Davis

School of Medicine Faculty Publications

Effective flossing is essential for preventing periodontal disease. However, in a rural Appalachian community, adherence to flossing routines remains low, contributing to significant oral health disparities. The purpose of this study was to conceptualize intention of initiation and sustenance of flossing behaviors using the multi-theory model (MTM) of health behavior change. A cross-sectional survey was administered to individuals recruited from a shopping mall in rural Appalachia. The MTM constructs were measured and data were analyzed using multiple linear regression models. Of the 228 participants, 55% did not floss daily. Behavioral confidence (β = 0.571, p < 0.001) was a significant predictor for the intention of initiation of flossing among non-daily flossers, while emotional transformation (β = 0.377, p = 0.836) significantly explained sustenance among non-daily flossers. For daily flossers, changes in the physical environment (β = 0.432, p = 0.003) significantly predicted the intention of initiation of flossing, whereas emotional transformation (β = 0.344, p = 0.008) and practice for change (β = 0.594, p < 0.001) significantly predicted sustenance of flossing behavior. The MTM appears to be a robust framework for understanding and predicting flossing behaviors in rural Appalachian populations. Interventions designed to enhance behavioral confidence, physical environment changes, emotional transformation, and practice for change could improve flossing adherence. Further research should explore these constructs to develop targeted public health strategies.

Charting New Territory: Ai Applications In Dental Caries Detection From Panoramic Imaging., Man Hung, Daniel Yevseyevich, Milan Khazana, Connor Schwartz, Martin S. Lipsky

Institute on Aging Publications

Dental caries remains a public health concern, and early detection prevents its progression and complications. Panoramic radiographs are essential diagnostic tools, yet the interpretation of panoramic X-rays varies among practitioners. Artificial intelligence (AI) presents a promising approach to enhance diagnostic accuracy in detecting dental caries. This scoping review examines the current literature on the use of AI programs to analyze panoramic radiographs for the diagnosis of dental caries. This scoping review searched PubMed, Scopus, Web of Science, and Dentistry and Oral Sciences Source, adhering to PRISMA guidelines. The review included peer-reviewed, original research published in English that investigated the use …

Impact Of Coronavirus Disease 2019 On Dental Match Residency Applicant Statistics In The United States Of America: A Cross Sectional Analysis, Vinayak M. Joshi, Eswar Kandaswamy, Sivaraman Prakasam, Veerasathpurush Allareddy, Andrew G. Chapple

School of Dentistry Faculty Publications

Background: The purpose of this paper is to do a cross-sectional analysis to evaluate the impact of the Coronavirus Disease 2019 pandemic on Dental Match Residency statistics from the year 2019–2023. Methods: The Dental Match Residency statistics available from the Dental Match website were analyzed from years 2019–2023 to evaluate the impact of pre-pandemic (2019–2020), pandemic (2021, 2022) and post-pandemic year trends (2023). Important trends were evaluated and summarized using graphs, descriptive statistics, and two sample tests for proportions (chi-square test) comparing different pairs of years. Results: Total Match participants increased in 2021 followed by a drop in 2022, and …

Understanding The Relationship Between Children's Oral Health Utilization And Parent's Use Of Healthcare Services, Shillpa Naavaal, Rashmi Lamsal

Dental Public Health and Policy Publications

Introduction: Parents play an influential role in their children's lives, but little is known about how their healthcare experiences connect. This study examined the relationship between parent's healthcare use and their child's overall and preventive dental care use.

Methods: We pooled three years (2017–2019) of Medical Expenditure Panel Survey (MEPS) data and merged child (0–17 years) and parent data. Our outcomes included any dental visit, preventive visit, and receipt of sealant or fluoride. The primary exposure variable was the parents’ medical and dental care use, grouped into four categories. Descriptive and bivariate analyses were conducted, and multivariable logistic regression analyses …

Investigating The Association Between Parental Paid Sick Leave Benefit And Children's Dental Care Utilization, Rashmi Lamsal, Shillpa Naavaal

Dental Public Health and Policy Publications

Objective: The purpose of this research is to examine the association between paid sick leave (PSL) benefit for employed parents and their child's dental care utilization, including preventive, diagnostic, and treatment services.

Methods: Using pooled data from the 2017–2019 Medical Expenditure Panel Survey, we created a dyadic observational unit linking children aged 0–17 years with their parents (n = 7652) specifically focusing on the younger children of employed parents. Descriptive statistics and a multivariate logistic regression model were employed to examine the association between parental PSL benefit and child dental care utilization, accounting for various child and …

Oral Health Impact And Cost-Effectiveness Of Resealing First Permanent Molars, Christina Scherrer, Pritam Deb, Jayden Ayash, Shillpa Naavaal

Dental Public Health and Policy Publications

Introduction: This study examined the cost-effectiveness and health impact of various dental sealant resealing scenarios for first permanent molars from the payer perspective.

Methods: The authors used a discrete event simulation model for 4,000 recently sealed first molars in a hypothetical cohort of 1,000 children aged 7 years over a 10-year time horizon. Scenarios included a base case of no resealing, resealing at first dental visit, and resealing at the age of 12 years.

Results: Without resealing, only 34.88% of teeth retained sealants after 10 years, whereas resealing at the age of 12 years increased this to …

Role Of Oral Health Providers In Supporting Hpv-Related Cancer Prevention In The Dental Setting, Megan Cloidt, Sarah Vivo, Aubree Thelen, Shillpa Naavaal

Dental Public Health and Policy Publications

Background: Human papillomavirus (HPV) vaccination can prevent HPV-related illness and associated cancers, including oropharyngeal. The safety and efficacy of HPV vaccination has been well-established, but national HPV vaccination rates remain unacceptably low with persistent disparities for certain populations. While vaccination has been one of the biggest public health accomplishments of the last century, vaccine hesitancy continues to grow in the United States, and remains a challenging element of low HPV vaccine uptake.

Description: Oral health providers have been traditionally siloed and largely uninvolved in vaccination counseling and administration, but the COVID-19 pandemic brought oral health providers, pharmacists and …

Effectiveness Of School Fluoride Delivery Programs: A Community Guide Systematic Review, Susan O. Griffin, Mei Lin, Christina Scherrer, Shillpa Naavaal, David P. Hopkins, Anita A. Jones, Tammy Alexander, Virginia A. Black, Elizabeth Clark, Lori K. Cofano, Raúl Isidro García, Anna Goddard, Jane Grover, Susan M. Kansagra, Thomas E. Kottke, Elizabeth C. Lense, Tooka Zokaie, The Community Preventive Services Task Force

Dental Public Health and Policy Publications

Introduction: Although preventable, dental caries remains highly prevalent. Many children do not receive preventive dental services routinely in clinical settings. This review examined the effectiveness of school (preschool through high school) fluoride varnish delivery programs in preventing caries.

Methods: Community Guide systematic review methods were followed. In 2024, databases were searched for studies published through December 2023 on school flouride varnish delivery program effectiveness in increasing fluoride varnish receipt and decreasing caries. Included studies had to be written in English, published in peer-reviewed journals, and conducted in upper-middle– or high-income countries. Data synthesis conducted in 2024 used median …

Improving Dental Hygiene Students' Knowledge, Attitudes, And Confidence Toward Prenatal Oral Health Through Experiential Learning, Denise C. Mckinney, Sinjini Sikdar, Shillpa Naavaal

Dental Public Health and Policy Publications

Purpose Maintaining optimal oral health is essential for maternal health as well as the health of their child. The purpose of this pilot study was to examine dental hygiene (DH) students' knowledge of prenatal oral health before and after receiving an asynchronous prenatal oral health care training (POHCT), and their attitudes and self-perceived confidence before and after receiving an experiential learning opportunity with a pregnant and/or post-partum client at a Women's Infants and Children nutrition program (WIC) clinic.

Methods A one-group pre/post-test design was used. This IRB-approved study (#2027439-4) utilized a convenience sample of DH student participants (n=37) in their …

Occupational Exposures To Chemicals In Dentistry: A Scoping Review, Geneviève Picard, Tisha Prakash, France Labrèche, Sabrina Gravel

Revues de littérature, synthèses de connaissances

The dental workforce comprises a variety of professions, most of which are predominantly occupied by women. Dental workers can be exposed to numerous toxic chemicals such as mercury, methacrylate polymers, and silica. This scoping review aims to synthesize the scientific literature on quantified chemical exposures and to identify research gaps in occupational chemical hazards faced by dental professionals. This review followed the Joanna Briggs Institute approach and PRISMA-ScR guidelines, using three concepts to search PubMed, Embase, and Web of Science: workers, dental care, and chemicals. Studies from high-income countries, published in French or English between 2000 and 2024 and reporting …

Improving Dental Hygiene Students' Knowledge, Attitudes, And Confidence Toward Prenatal Oral Health Through Experiential Learning, Denise C. Mckinney, Sinjini Sikdar, Shillpa Naavaal

Dental Hygiene Faculty Publications

Purpose Maintaining optimal oral health is essential for maternal health as well as the health of their child. The purpose of this pilot study was to examine dental hygiene (DH) students' knowledge of prenatal oral health before and after receiving an asynchronous prenatal oral health care training (POHCT), and their attitudes and self-perceived confidence before and after receiving an experiential learning opportunity with a pregnant and/or post-partum client at a Women's Infants and Children nutrition program (WIC) clinic.

Methods A one-group pre/post-test design was used. This IRB-approved study (#2027439-4) utilized a convenience sample of DH student participants (n=37) in their …

Use Of Clinical Competency Examinations For Dental Hygiene Licensure, Jocelyn D. Weinhagen, Tara L. Newcomb, Brenda T. Bradshaw

Dental Hygiene Faculty Publications

Dental hygiene licensure with a clinical competency examination (CCE) using a live patient has been required by state licensing boards since 1929. Clinical competency examinations were initially used when dental training was poorly developed, non-standardized, and largely based on the apprenticeship model. Currently, Canada and the state of California have removed the requirement of passing a CCE for dental hygiene licensure, provided certain requirements have been met. Dentistry is the last health care profession to mandate that graduates pass a CCE. The vast majority of dental licensing boards continue to require that third party testing agencies validate the clinical skills …

Opportunities For Inter-Cultural Awareness In The Education Of Dental Hygienists, Elizabeth J. Sandell, Lynnette Engeswick

Elementary and Literacy Education Department Publications

Professional standards require that dental hygienists deliver culturally appropriate services and demonstrate respect for patients whose cultural beliefs and values may conflict with normative clinical recommendations. The present study provided a snapshot of undergraduate students in one dental hygiene education program about the students' Intercultural competence (ICC): "the capability to understand and adapt behavior to cultural differences and commonality accurately." Rather than a longitudinal study of a student cohort, investigators sought to understand if program outcomes were congruent with the stated visions and missions of the university, co llege, and department. The participants completed an Informed Consent before taking the …

Prevalence Of Sexuality Implicit Bias In Entry-Level Dental Hygiene Students, Monica Drew, Emily Ludwig, Jessica Suedbeck, Adaira Howell

Dental Hygiene Faculty Publications

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 more equitable oral health care delivery 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 survey study included a convenience sample of dental hygiene students from one university (n=74). The Implicit Associations Test (IAT), a validated tool for measuring implicit bias, was modified for use in dentistry with permission from Project Implicit(®) The IAT requires …

Access To And Utilization Of Dental Care Services By Older Adults In Nigeria: Barriers And Facilitators, Sunkanmi Folorunsho, Victor Ajayi, Munirat Sanmori, Medinah Suleiman, Raji Abdullateef, Abdulazeez Abdulganiyu

Department of Sociology: Faculty Publications

Aims: Nigeria’s rapidly aging population presents urgent challenges for the healthcare system, particularly in oral health, which remains an overlooked aspect of well-being. While older adults are especially vulnerable to dental issues such as tooth loss, periodontal disease, and oral pain, access to care remains limited due to systemic, economic, and cultural barriers. This qualitative study explored the lived experiences of older Nigerians in accessing and utilizing dental care, with the goal of identifying key barriers, facilitators, and policy-relevant insights.

Methods: Fifteen participants aged 50–83 years were purposively selected from urban and peri-urban areas of Ilorin, North- Central …

The Use Of Motivational Interviewing In Preventing Dental Caries Among Young Children, Denise C. Mckinney, Melissa L. Sullivan, Futun Alkhalifah

Dental Hygiene Faculty Publications

Dental caries is a complex, preventable disease that remains a global health burden. The burden of this disease has been shown to impact young children before the age of 6 years. Discussing dental caries prevention with the mother/caregiver(s) prior to childbirth is an ideal time to influence positive oral health behaviors. Motivational interviewing (MI) is a person-centered, goal-oriented, collaborative communication style that has been used to help individuals modify behaviors. The interrelated principles of partnership, acceptance, compassion, and evocation underpin the MI approach while utilizing communication skills such as asking open-ended questions, affirmation, reflective listening, and summarizing (OARS) to engage …

Examining Low-Income Caregivers' Knowledge And Comprehension Of The Dental Caries Process, Melissa Sullivan, Denise C. Mckinney, Deanne Shuman, Qi Zhang

Dental Hygiene Faculty Publications

Purpose Dental caries among young children remains a public health concern in the United States (US). Children of caregivers with low oral health literacy (OHL) tend to have greater unmet dental needs and poorer oral health status. The purpose of this study was to examine the understanding of pediatric dental terms associated with the dental caries process among low-income caregivers.

Methods This study included 14 caregivers with children enrolled in a Special Supplemental Nutrition Program for Women, Infants and Children (WIC) in the Southeastern US. Through structured phone interviews, the validated Oral Health Literacy Inventory for Parents (OH-LIP) was used …

Take Charge Of Your Health: Start With Your Smile, Jordan L. Lacey, Brizette O. Owusu, Sophia Gardner, Madeline Whitehead, Haeun Park, May Ligno

Nursing Leadership in Community Engagement Projects

Take Charge of Your Health: Start with Your Smile

Oral health is a fundamental component of overall health, yet it is often neglected-particularly among vulnerable populations like houseless individuals (Freitas et al., 2019). Houseless individuals face numerous barriers to accessing healthcare, with dental services being limited. This lack of access contributes to a higher prevalence of oral diseases, which if left untreated, can lead to severe complications. Poor oral health doesn’t just affect the mouth; it negatively impacts one’s overall systemic health, psychosocial well-being, and quality of life (Csikar et al., 2019).

As nursing students engaged in a Community Health …

Effect Of Smoking And Finishing/Polishing On Roughness Of Nanohybrid-Composite, Sara Adel Botros, Mohamed Salama Dr., Fatma Makkeyah Ass. Dr., Mohamed Shamel Ass. Prof., Mahmoud Ankily Ass. Prof.

Dentistry

To evaluate effect of conventional cigarette and heated tobacco product smoking and finishing/polishing protocol on surface roughness of a nanohybrid composite. Thirty-six discs (6mm diameter/2mm thickness) fabricated from nanohybrid composite (Palfique LX5, Tokuyama, Japan) were assigned to 6 groups according to: tobacco product (conventional cigarette/LM, Philip Morris International Inc., Egypt; and heated tobacco/Heets, Russet, Philip Morris International Inc., Italy); and finishing/polishing protocol (control /discs cured against Mylar strip; finishing discs/Diamond Master Kit, FGM, Brazil; two-step polishing system/DIACOMP PLUS TWIST, EVE, Germany). Prior to finishing/polishing protocols, all specimens were wet ground with medium grit finishing stone (komet, Germany) as baseline. Following …

Influence Of Smoking And Finishing/Polishing On Composite Color Stability, Mohamed Samy Salama Dr., Sara Adel Botros, Fatma Makkeyah Ass. Dr., Mahmoud Ankily Ass. Prof., Mohamed Shamel Ass. Prof.

Dentistry

To assess the influence of conventional cigarette and heated tobacco product smoking and finishing/polishing systems on color stability of a nanohybrid composite. Thirty-six discs (2mm thickness/6mm diameter) fabricated from nanohybrid composite (Palfique LX5, Tokuyama, Japan) were divided to 6 groups according to: tobacco product (conventional cigarette/LM, Philip Morris International Inc., Egypt; and heated tobacco/Heets, Russet, Philip Morris International Inc., Italy); and finishing/polishing system (control /discs cured against Mylar strip; finishing discs system/Diamond Master Kit, FGM, Brazil; two-step polishing system/DIACOMP PLUS TWIST, EVE, Germany). All specimens were wet ground with medium grit finishing stone (komet, Germany) as baseline before performing finishing …

Effect Of Cigarette Smoking And Carbonated Beverages On The Surface Roughness And Color Change Of Two Single-Shade Resin Composite: In-Vitro Study, Shadwa Kabil, Mohamed M. Zayed, Hatem Mohamed, Hadeel Farouk

Dentistry

No abstract provided.

Covid-19 Safety: Perspectives From Dental Students, Man Hung, Daniel Yevseyevich, Amir Mohajeri, Nicole Hablitzel, Sharon Su, Martin S. Lipsky

Institute on Aging Publications

Background: The coronavirus (COVID-19) pandemic created challenges for healthcare providers, especially dental professionals in practices and universities. This study investigated dental students’ concerns about COVID-19 and whether institutional communication influenced pandemic-related stressors. Methods: An online survey designed to elicit dental students’ concerns about COVID-19 was distributed to all dental students enrolled at a private non-profit academic institution in the Western United States from 26 April 2021 to 25 August 2021. Descriptive statistics were used to characterize the respondents, and Chi-square test and z-test analyses were used to compare students’ experiences. Results: A total of 92 dental students answered the survey. …

Areas Of Interest In Dental Education: A Bibliometric Analysis Of The Last Decade, Eswar Kandaswamy

School of Dentistry Faculty Publications

This study aimed to perform a comprehensive bibliometric analysis of journals focused on dental education (Journal of Dental Education and European Journal of Dental Education) from 2014 to 2023. An ISI Web of Science Search was performed in October 2023 with no filters for language or keywords. Published articles between 2014 and 2018, 2019 and 2023, and 2014-2023, along with the top 100 cited articles published within this period were exported as txt files. Keyword and title word network maps and occurrences were generated using VOS Viewer software. Author-affiliated countries with the most publications were tabulated from the Web of …

Barriers To Dental Utilization Among Medicaid-Enrolled Young Children From Primary Care Practices In Northeast Ohio, David Selvaraj, Neel Agarwal, Jeffrey M. Albert, Suchitra Nelson

Faculty Scholarship

Objectives: To evaluate the individual and community factors that contribute to dental utilization among young children on Medicaid utilizing the Anderson Model and the Socio-Ecological Framework. Methods: This observational cross-sectional study was conducted using baseline data (socio-demographics, clinical dental need) from a cluster-randomized hybrid effectiveness-implementation trial among 1021 child–parent dyads recruited from primary care practices across northeast Ohio. The baseline data were then linked to dental Medicaid claims data (categorized as any dental visit, volume, and type in the past 12 months) and ICD-10 codes from the child's EHR data (individual-level) together with Dental Health Provider Shortage Area (HPSA) status …