Journal of dental hygiene : JDH / American Dental Hygienists'' Association最新文献

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 final year of a baccalaureate program at a public institution located in the southeastern United States. The POHCT program and pre/post surveys were completed in a learning management system. During the WIC rotation, participants assessed the presence of a dental home and oral health needs of the client. The validated Prenatal Oral Health Surveys 2015 and 2016:v0/v2, respectively, were used to measure knowledge, attitudes, confidence, and willingness related to practices for pregnant patients; additionally, demographic and program experience questions were included. Some statements were adapted to align with the POHCT and WIC rotation utilized in this study. All the statistical analyses were performed in the R statistical software and p≤0.05 was set for significance.Results A total of 34 participants (91.9%) completed the POHCT program and pre/post. In general, participants gained knowledge and confidence from the POHCT and WIC rotation. Overall, confidence in discussing proper infant feeding practices increased post-training (p<0.001) and there was a marginal increase in knowledge about fluoride safety during pregnancy (p=0.06) but was not statistically significant. Participants reported that the POHCT and WIC rotation were valuable to their clinical education and would recommend continuing the experience for future DH students.Conclusion The POHCT and WIC rotation was successful in improving DH students' knowledge of pregnancy-related oral health topics and provided them with the opportunity and experience to practice learned skills.

Purpose The purpose of this narrative review of the literature was to examine the current evidence on alcoholism and the consequences on oral and general health, in addition to implications to enhance dental hygiene practice for individuals with alcohol use disorder (AUD).Methods The search was developed for Medline (via Ovid) and then translated to Cinahl, Scopus, and Web of Science Core Collection. Search results were limited to 2016-present, humans, and English language. Results were exported to EndNote 21 (Clarivate Analytics) for deduplication and uploaded to Rayyan for screening. Two reviewers independently screened titles and abstracts against the inclusion criteria and conflicts were discussed until consensus. A second set of reviewers independently screened titles and abstracts, conflicts were discussed until consensus.Results Of the 406 articles, 383 were excluded. A total of 23 articles were included and categorized into five domains: general health (n=6), screening tools and education (n=5), oral health (n=4), periodontal diseases and conditions (n=4), and cancer (n=4). General health conditions identified included: cardiovascular events, ischemic stroke, hemorrhagic stroke, liver cirrhosis, pancreatitis, injuries sustained from traffic accidents, and secondary cancers. Microbial dysbiosis was identified in the gut microbiome, respiratory tract and oral/gut. Oral conditions included: AUD risk of poor oral hygiene, bruxism symptoms/tooth wear, necrotizing periodontal diseases and peri-implant disease. The AUDIT-C was found to be a reliable screening tool to identify patients at risk of hazardous alcohol consumption in the dental setting.Conclusion Excessive alcohol consumption increases morbidity and mortality risk due to the association of chronic health conditions, inflammation and secondary cancers.

Purpose The purpose of this pilot study was to assess allied dental professionals' match accuracy of burned teeth; a skill required by disaster victim identification (DVI) team members.Methods This cross-sectional study used a convenience sample of registered dental hygienists (RDH) (n=15) and dental assistants (DA) (n=15) to assess their match accuracy of burned teeth with simulated antemortem (AM) and postmortem (PM) images. Fifteen human teeth were heated at 400°C for 15 minutes. Prior to and following heat alteration, each tooth was photographed and radiographed. Images were presented to participants in randomized order, and they were instructed to correctly match them with the teeth. Each participant completed 60 matches for the 15 teeth with 1 set of pre- and post-burned photographs and 1 pre- and post-burned periapical (PA) radiographs. Following the match accuracy activity, participants completed an electronic questionnaire to report demographic data and indicate their perceptions of performed tasks.Results A one-sided one-sample binomial proportion test revealed that on average, participants demonstrated more than 80% match accuracy of the teeth with AM and PM images (p=0.0003). When compared by profession, the average match accuracy was 82.1% for RDHs and 72.7% for DAs. A two-sided two-sample binomial proportion test revealed no statistically significant difference of performance between the professions (p=0.8505). A one-sided linear trend test indicated no significant association between match accuracy and years of work experience (p=0.2371).Conclusion On average, participants demonstrated the ability to transfer professional skills to match burned teeth with simulated AM and PM images. Differences in professional background and years of work experience did not have a significant impact. More research is needed to best understand allied dental professionals' transferrable DVI skills.

The purpose of this case report is to present the clinical impacts and outcomes of a patient who applied a non-professionally ('do it yourself' (DIY)) orthodontic treatment to correct a midline diastema post orthodontic relapse. The patient presented for preventative dental hygiene care with a chief complaint of pain and swelling surrounding teeth #8 and #9. The patient reported that a midline diastema appeared after she lost the orthodontic retainer and used rubber bands every night for approximately four years to close the diastema. The DIY orthodontic treatment of the maxillary central incisors caused rapid and severe bone loss, loss of function and pain for the patient. This case highlights the negative impact on periodontal health with DIY orthodontic treatment, ultimately resulting in extraction and implants to restore function and esthetics. It is important that dental and allied oral health professionals are aware of DIY orthodontic trends on social media in order to educate and counsel patients on the consequences to their oral health.

Purpose Oral health care professionals (OHCPs) have the potential to play critical roles in emergency response to public health disasters, both natural and manmade. The purpose of this study was to assess the beliefs, and associated factors, of OHCPs regarding their role in vaccination promotion and administration during the emergency response to the COVID-19 pandemic.Methods Faculty and students in the dental and dental hygiene programs at the University of Missouri-Kansas City (UMKC) School of Dentistry (n=729) were invited to participate in an anonymous electronic survey during the 2021 fall semester. The 24-item survey assessed immunization behaviors, COVID-19 opinions, vaccination training, and scope of practice beliefs. Descriptive statistics were used to summarize the data.Results A total of 150 surveys were returned for a 21% response rate. Most respondents agreed it was their professional responsibility to learn about COVID-19 vaccines (77%) and to recommend COVID-19 vaccines (61%), but fewer than half agreed it was their responsibility to administer COVID-19 vaccines (34%). Only 22% of dental hygiene student respondents agreed that recommending COVID-19 vaccines was their responsibility, significantly less than the dental students (61%) and faculty (73%) who held that belief. Vaccination training increased the odds of agreement that it was an OHCP's responsibility to administer COVID-19 vaccines by a factor of 2.44 (95% CI, 1.10-5.41, p=0.03). None of the respondents who delayed or refused to be vaccinated against COVID-19 themselves agreed it was their professional responsibility to administer COVID-19 vaccines.Conclusion Most OHCPs in this study did not view administering COVID-19 vaccines as their professional responsibility, with personal vaccine hesitancy playing a significant role. Future research is warranted to explore how dental hygiene and dental education can cultivate professional responsibility to engage in vaccination promotion and administration during public health emergencies.

A peer-reviewed journal preserves the quality of evidence in the literature by ensuring the manuscripts and research submitted is reliable and valid. For an article to be published, it must be of significance to the profession and body of evidence, have no flaws in the methodologies, contain suitable and complete statistical analyses, and appropriately interpreted results. Peer reviewers are experts whose role is to determine the quality of the research and how it is reported, protecting the profession and the public via the evidence on which it stands. The genesis of reporting guidelines can be found in medicine's effort to bring the quality of research methods in line with expected standards. Reporting guidelines build in quality control, requiring authors to clearly lay out the methodologies of how their research has been designed and conducted, and assisting peer reviewers in the standardized assessment of manuscripts. These reporting guidelines or "checklists" have become mainstream over the last 20 years as the means for upholding ethical, reliable, and valid research in health professions research. Reporting guidelines are simply the means for authors to easily demonstrate that their research was designed and performed in a valid manner, and that their findings are therefore reliable.

Purpose Escape rooms are a gamification tool that are increasingly implemented in educational contexts. The aim of this scoping review was to examine the breadth and depth of how educational escape rooms are being used in health professions education, what educational goals are being achieved, and how these objectives are being assessed.Methods Following PRISMA guidelines, a search of six databases using the key terms "escape room" and "health professional" was conducted. The resulting publications were selected based on pre-determined inclusion and exclusion criteria. Data was extracted for remaining articles.Results Seventeen studies were included in the scoping review. The results show that educational escape rooms are primarily used to reinforce and integrate knowledge with soft skills, clinical skills and didactic knowledge being the primary competencies being investigated. Researchers primarily examined participant experiences with escape rooms.Conclusion Escape rooms were generally well received by participants and positively impacted motivation and engagement. Educators can greatly benefit from combining escape rooms with traditional teaching methods to improve the learning experiences of health professional trainees.

Purpose Immunization rates can be influenced by community access to immunizations and vaccine promotion from eligible providers. The purpose of this study was to assess the perceptions, willingness, and challenges of vaccine administration among Indiana dental hygienists.Methods This cross-sectional study targeted Indiana-licensed dental hygienists. The survey instrument consisted of six multiple-choice demographic questions; 13 items used a 5-point Likert-type rating scale to measure perceptions about vaccines and willingness to administer vaccines; one rank-in-order question of seven challenges associated with administering vaccines; and two open-ended questions for additional information and comments. Purposive sampling was used, and the electronic survey was promoted through emails, social media, and direct messages. Categorical variables were analyzed and reported using percentages and frequencies. Open-ended answers were examined and reported in the results.Results Seventy-one Indiana-licensed dental hygienists responded to the survey and were included in the analysis. Most had positive perceptions on vaccines and administering vaccines; 62.3% of the respondents agreed that offering vaccinations in the dental office would improve access to immunizations for patients; 76.8% were willing to receive training to administer vaccines and 66.7% were willing to consider administering vaccines if permitted by the Indiana State Practice Act. While most respondents (77.9%) perceived licensed dental hygienists as competent to administer vaccines, fewer felt comfortable administering vaccines to children (57.8%) as compared adults (63.1%). Education and training were identified as the greatest challenges associated with administering vaccines.Conclusion Dental hygienists in this study indicated a willingness to fill the role of non-traditional vaccinators. Increasing the number of eligible healthcare workers, who can administer vaccines in Indiana would increase vaccine access and improve state immunization rates. Policymakers should consider amending the dental hygiene practice act to include vaccine administration as part of the permitted duties for dental hygienists in Indiana.