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Women Leaders in Academic Dentistry: Barriers, Opportunities, and the Path Forward.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-21 DOI: 10.1002/jdd.13856
Salwa Mekled, Roopwant Kaur
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引用次数: 0
Environmental Factors Increasing the Risk of Poor Posture in Dental Hygiene Students.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-17 DOI: 10.1002/jdd.13855
Trisha M Willie, Yiyang Fang, Nancy A Baker, Jay M Kapellusch, Shawn C Roll

Purpose/objectives: This study examined the relationship between environmental factors (e.g., working position, patient position, and scaling instruments) and poor posture in dental hygiene students.

Methods: A longitudinal cohort study was conducted from 2017 to 2019 to observe dental hygiene students' clinical rotation performance at two undergraduate universities. Samples of video observations (n = 1487) of dental hygiene students performing scaling activities during oral care sessions were evaluated using the Rapid Upper Limb Assessment (RULA). Descriptive analysis and exploratory prediction modeling were performed to assess clinical environmental factors that predicted higher risks of developing WMSDs.

Results: RULA scores (mean = 4.8, median = 5, range = 2-7) indicate dental hygiene students are at high risk of developing upper extremity MSDs. The type of scaling instrument, clock positioning relative to the patient, and sitting versus standing had statistically significant associations (p < 0.001) with the RULA outcome. In univariate analyses, clock positions 7 and 8 were the worst, having an increased risk of poor RULA outcomes (scores 5-7) by nearly nine times over working in clock position 12 (odds ratio [OR] 9.11, 95% CI 5.48-15.60). Multivariate predictive modeling indicated that the riskiest combination of factors is using a manual scaling instrument (OR 1.67, 95% CI 1.28-2.18), standing (OR 1.42, 95% CI 1.03-1.96), and working clock positions 7 and 8 (OR 8.4, 95% CI 5.02-14.50).

Conclusions: There is a need to consider the combined contribution of multiple environmental factors on working positions to optimize ergonomic training during dental hygiene and protect emerging dental health professionals from the negative health impacts of prolonged awkward postures.

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引用次数: 0
Evaluation and Remediation Strategies for Struggling Residents Within Oral & Maxillofacial Surgery Residency Programs.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-17 DOI: 10.1002/jdd.13840
Samuel J Daley, Syed Raza Dmd, Hunter J Martin, Joshua D Segal, Andrew R Salama

Purpose/objectives: Several studies have evaluated resident and trainee remediation strategies across various surgical subspecialties. However, limited research exists on this topic within the Oral and Maxillofacial Surgery (OMS) literature. The purpose of this study was to identify cross-sectional patterns of evaluation and remediation strategies for underperforming OMS residents in the United States.

Methods: A cross-sectional cohort study was conducted using a 22-question survey administered to OMS residency Program Directors of all programs approved by the Commission on Dental Accreditation (CODA) within the United States. The predictor variables included the demographics and resident assessment methods of responding programs. The outcome variables included the results of remediation strategies and corrective action plans for residents identified as struggling over the preceding 10 years. Responses were anonymized, and descriptive statistics were used to analyze the collected data.

Results: Completed surveys were obtained from 29 (29%) CODA-approved programs. Twenty-five of 29 (86%) programs reported placing 64 residents on corrective action plans. Nine of 29 (31%) programs reported that 14 residents were dismissed during that period. The most common deficiencies in residents requiring corrective action plans were cognitive skills (37.9%), clinical skills (20.7%), and interpersonal skills (20.7%). Residents were almost always given a warning prior to initiating remediation or probation (96.6%), with verbal (46.4%) and written (53.4%) warnings being used with nearly equivalent frequency. Remedial action most often included general counseling (15.9%), more frequent feedback sessions (15.9%), assignment of a mentor (15.2%), didactic remediation (13.3%), psychiatric/psychologic counseling (11.26%), and lengthened training time (6.6%). Most programs reported utilization of a formal remediation protocol (75.9%) and 85.7% of programs subjectively felt their process was effective. Almost one-quarter of respondents (24.1%) stated that no formal remediation protocol exists at their institution.

Conclusions: Most OMS programs utilized some form of remediation protocols, but their usage was inconsistent and infrequent. The evaluation and remediation processes among OMS residency programs have significant variability, relying heavily on program or institution-specific protocols.

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引用次数: 0
A Digital-Conventional Integrated Teaching Method Used in Preclinical Full Crown Preparation Courses: A Randomized Controlled Trial.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-16 DOI: 10.1002/jdd.13848
Yanjun Ge, Yi Zhang, Na An, Yong Jiang

Purpose/objectives: The purpose of this study was to evaluate the effects of the digital-conventional integrated teaching method on prosthetics preclinically in full crown preparation courses.

Methods: Fifty-eight undergraduate dental students were randomly divided into a conventional group (CG) and a digital-conventional integrated group (DG). The preclinical course was composed of two phases. In the first phase, students from both groups were trained in full crown preparation with the conventional teaching method. In the second phase, the students in the CG group were still trained with the conventional teaching method, whereas the students in the DG group practiced with a digital real-time training and evaluation system. The crown preparation test was conducted after training. The reduction amount, margin, taper, undercuts, finishing status and protection of the adjacent tooth and gingiva were evaluated by senior experts. Crown preparations were also graded by a digital assessment system. Students' opinions were investigated with questionnaires.

Results: The differences between the scores for the CG and DG groups were not significant, as evaluated by experts (p = 0.398) and a digital assessment system (p = 0.075). The questionnaires response rate was 100%. The digital-conventional integrated teaching method had a significantly higher score for the preparation sequence (p = 0.002), according to the questionnaires. The conventional teaching method had significantly higher scores for efficiency (p < 0.001), posture (p = 0.010) and preference (p < 0.001).

Conclusions: The digital-conventional integrated teaching method can achieve the same effect as the conventional teaching method in crown preparation training. It is beneficial for students to master the preparation sequence and is likely to be promising in preclinical full crown preparation courses.

目的/目标:本研究旨在评估数字-常规综合教学法对全冠预备课程临床前修复的影响:方法:58名口腔医学本科生被随机分为传统组(CG)和数字-传统综合组(DG)。临床前课程由两个阶段组成。在第一阶段,两组学生都接受了传统教学法的全冠预备培训。在第二阶段,CG 组的学生仍然使用传统教学方法进行培训,而 DG 组的学生则使用数字化实时培训和评估系统进行练习。培训结束后进行了牙冠预备测试。由资深专家对牙冠的减薄量、边缘、锥度、下切口、修整状态以及对邻牙和牙龈的保护进行评估。牙冠预备工作也由数字评估系统进行评分。通过问卷调查了解了学生的意见:专家(p = 0.398)和数字评估系统(p = 0.075)对 CG 组和 DG 组的评分差异不大。问卷回收率为 100%。根据问卷调查,数字-常规综合教学法的备课顺序得分明显更高(p = 0.002)。传统教学法在效率方面的得分明显更高(p 结论:传统教学法在效率方面的得分明显更高:数字-常规一体化教学法在皇冠预备训练中能达到与常规教学法相同的效果。它有利于学生掌握预备顺序,在临床前全冠预备课程中很有前景。
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引用次数: 0
The Dental Public Health Workforce: Employer Expectations and Future Directions.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-14 DOI: 10.1002/jdd.13850
Lauren Gritzer, Athanasios Zavras, Enihomo Obadan-Udoh, Evangelin Yeeda, Hend Alqaderi

Objective: This study examines employer expectations within the dental public health (DPH) profession and evaluates the alignment of DPH training programs with workforce demands, identifying critical gaps and opportunities for improvement.

Methods: A qualitative analysis of DPH job postings requiring five or fewer years of experience was conducted across multiple platforms, including LinkedIn, Google Job Postings, Indeed, ADEA, ASTDD, NNOHA, and USA Jobs. Position domains, descriptions, preferred, and required qualifications were systematically categorized to identify trends and workforce expectations.

Results: Of 102 DPH positions analyzed, the most common job domains were community-based (C-B) clinical (39.2%) and academia (19.6%). Leadership (90%), healthcare administration (86%), and clinical experience (64%) were the most commonly preferred skills across all positions. Analysis of DPH positions excluding C-B clinical positions revealed that 53% of position descriptions referenced clinical responsibilities, while 57% required clinical experience. These responsibilities included supervising students in C-B clinical education or providing clinical guidance within administrative roles.

Conclusions: The findings underscore the increasing demand for clinical experience in traditionally non-clinical DPH positions, signaling a shift toward integrated roles that combine public health expertise with clinical practice. This highlights a disconnect between current DPH training programs and market demands, emphasizing the need to incorporate clinical training and leadership development into curricula. Transitioning to an integrated residency model incorporating a clinical competency inspired by preventive medicine frameworks could align graduate preparedness with workforce needs, enhance employability, and strengthen the impact of DPH professionals in advancing oral and overall health equity.

目的: 本研究探讨了雇主对牙科公共卫生(DPH)专业的期望,并评估了DPH培训项目与劳动力需求的一致性:本研究探讨了雇主对牙科公共卫生(DPH)职业的期望,并评估了DPH培训项目与劳动力需求的一致性,找出了关键差距和改进机会:方法: 我们在多个平台上对要求五年或五年以下工作经验的DPH职位发布进行了定性分析,包括LinkedIn、谷歌职位发布、Indeed、ADEA、ASTDD、NNOHA和USA Jobs。对职位领域、描述、首选资格和所需资格进行了系统分类,以确定趋势和劳动力预期:在所分析的 102 个卫生部职位中,最常见的职位领域是基于社区(C-B)的临床(39.2%)和学术(19.6%)。领导力(90%)、医疗保健管理(86%)和临床经验(64%)是所有职位中最受欢迎的技能。对不包括 C-B 临床职位的 DPH 职位的分析表明,53% 的职位描述提到了临床职责,而 57% 的职位要求有临床经验。这些职责包括在 C-B 临床教育中指导学生或在行政职务中提供临床指导:研究结果突出表明,传统上非临床的公共卫生部职位对临床经验的需求日益增加,这标志着公共卫生部正在向将公共卫生专业知识与临床实践相结合的综合职位转变。这凸显了当前公共卫生部培训计划与市场需求之间的脱节,强调了将临床培训和领导力发展纳入课程的必要性。向综合住院医师培训模式过渡,将受预防医学框架启发的临床能力纳入其中,可以使毕业生的准备工作与劳动力需求相一致,提高就业能力,并加强公共卫生部专业人员在促进口腔和整体健康公平方面的影响力。
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引用次数: 0
Leveraging Virtual Reality for Smart Content Delivery in a Special Needs Dental Clinic Curriculum.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-13 DOI: 10.1002/jdd.13851
Noorpreet Kaur, Annetty Soto, Milos Marinkovic, Suman N Challa
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引用次数: 0
Interventions to Reduce Food and Nutrition Insecurity Among Dental Students.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-09 DOI: 10.1002/jdd.13839
Riva Touger-Decker, Emily Sabato, Steven R Singer, Rena Zelig, Steven Toth, Teresa Marshall, Joachim Sackey

Purpose/objective: The prevalence of food insecurity (FI) on university campuses is increasing. This study explored the prevalence of food and nutrition insecurity (NI) among dental students and barriers and interventions to address them.

Methods: A cross-sectional web-based survey was conducted. Validated tools were used to assess FI and NI. Univariate binary logistic regressions and a multivariable logistic regression model identified factors independently associated with FI.

Results: The response rate was 11.9% (n = 67). The mean age was 28.4 years; 67% were D1/D2 students; 53.7% were female, 15.2% identified as Hispanic, and 50.7% as White. Forty percent experienced FI; 24.2% had low nutrition security (NS), and 26.9% reported partial or full responsibility for others' living expenses. Twenty-four percent were married, 25.8% used a food pantry; 11.1% had unsuccessfully applied for Supplemental Nutrition Assistance Program benefits. In the adjusted model, low NS, nonmarried status, and food pantry use increased the likelihood of FI (odds ratios of 16.854, 10.182, and 9.123, respectively). Common barriers and potential interventions to address FI and NI were explored.

Conclusions: The prevalence of FI in this sample was greater than the national average. Those who were unmarried, had low NS, and used a food pantry were significantly more likely to have FI. Proposed interventions include student services enhancements and curriculum modifications on nutrition and wellness. Further research is necessary with a larger sample to understand factors contributing to NI and FI among dental students.

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引用次数: 0
Integrating Generative AI in Case-Based Collaborative Learning: Student's Perceptions.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-09 DOI: 10.1002/jdd.13846
Chu-Chi Huang, Chia-Yu Chen, Supattriya Chutinan
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引用次数: 0
A Pilot Study: Evaluating Disposable Syringes Compared to Non-Disposable Syringes for Dental Training.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-06 DOI: 10.1002/jdd.13847
Robert Glickman, Tara Byrd, Marci H Levine, Gene Sherwin, Elizabeth McAlpin, Colleen Watson, Aaron Soeprono, Chrystalla Orthodoxou, Yvelande Couamin

Background: Needlestick exposures commonly occur with non-disposable metal syringes during the assembly and disassembly of needles due to the manual handling of needles. Disposable syringes are designed to reduce these exposures by using a protective sheath thus eliminating the need to handle needles while uncapping and recapping them.

Purpose: This pilot study compared the two syringes with two alternating groups of third-year (D3) students during clinical practice under faculty supervision to administer local anesthesia to live patients.

Methods: In 2023, two groups of Year 3 (D3) Doctor of Dental Surgery (DDS) students supervised by faculty in each group alternated over two 4-week sessions using disposable (N = 67) and non-disposable (N = 66) syringes to administer local anesthesia injections to live patients. At the end of each session, each group and supervising faculty completed a survey to capture their experience.

Results: While two participants reported needlestick injuries using non-disposable syringes and no injuries incurred using disposable syringes, we found neither a statistically significant increase nor decrease in exposures related to needlesticks using either syringe. Statistically significant outcomes showed that the participants found the non-disposable easier to use and they were more likely to use it going forward than the disposable syringe. Participants preferred using the non-disposable syringe mainly because of the stability and familiarity aspects of prior education. The disposable syringe, while easier and safer to assemble and disassemble, felt less stable to use during the injection procedure, especially during aspiration.

Conclusion: While safety continues to be a concern, students and faculty prefer non-disposable metal syringes over disposable syringes. Most dissatisfaction with using the disposable syringe came from the aspiration system. But prior experience and comfort using non-disposable metal syringes, a lack of experience and confidence with local anesthesia procedures and a lack of experience with disposable syringes, may have contributed to these outcomes. Despite usability issues with the disposable syringe, performance was more impacted by lack of experience than the type of syringe used. Introducing both syringes early into the curriculum may help overcome usability factors, further reduce needlestick exposures, and prepare students for different workplace environments. Providing adequate training for faculty, especially on the differences between the two syringes, such as aspiration, will help alleviate discomfort and better promote the use of both.

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引用次数: 0
Innovative Tobacco Cessation Strategies in Dental Education: Bridging Didactic and Clinical.
IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-02-06 DOI: 10.1002/jdd.13845
Sharon C Perelman, Tunaidi Ansari, John Valdez, David A Albert
{"title":"Innovative Tobacco Cessation Strategies in Dental Education: Bridging Didactic and Clinical.","authors":"Sharon C Perelman, Tunaidi Ansari, John Valdez, David A Albert","doi":"10.1002/jdd.13845","DOIUrl":"https://doi.org/10.1002/jdd.13845","url":null,"abstract":"","PeriodicalId":50216,"journal":{"name":"Journal of Dental Education","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Dental Education
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