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

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 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.

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.

The concepts of reliability and validity are explored in this short report. The importance of assuring that data collection tools are both reliable and valid are explored for use in quantitative, qualitative, and mixed method study designs. Quantitative and qualitative attributes for achieving reliability and validity are provided. Discussion of when information collected and presented is not reliable and valid impacts the body of scientific knowledge and researcher credibility.

Purpose Access to dental care has been an ongoing issue in the United States (US), impacting the individuals who directly experience the consequences of limited access to dental services. This study explores the relationship between residence in dental health professional shortage areas (DHPSA) and oral health-related quality of life (OHRQoL) among dental patients.Methods Subjects were recruited from the patient population of the University of Minnesota's prosthodontic clinic. Data were collected from 129 volunteers who completed surveys assessing oral health-related quality of life using the 5-item Oral Health Impact Profile (OHIP) in which higher scores indicate lower impact. The participants' residence in a DHPSA was determined, and demographic factors including age, gender, ethnicity, race, insurance type, education level, and number of teeth were also examined. Descriptive statistics and bivariable analyses were conducted to assess associations between variables.Results No significant association was found between residence in shortage areas and oral health-related quality of life. Participants residing in geographic (p=0.38) and population shortage areas (p=0.32) did not exhibit significantly different mean oral health impact profile summary scores compared to those in non-shortage areas. However, there was a significant difference in mean summary scores based on the number of teeth (p=0.00), with participants having 0-19 teeth reporting a higher mean score (mean=6.6, SD=5.2) compared to those with 20-32 teeth (mean=3.3, SD=3.5). While certain demographic factors showed trends, such as Hispanic or Latino participants reporting higher oral health impact scores, and those with higher education levels reporting lower health impact scores, no statistically significant differences were found.Conclusion Participants reported similar oral health impacts whether or not they lived in an area with a dental health professional shortage. This highlights the importance of considering multiple factors when understanding the impacts on oral health-related quality of life.

Purpose Students can play an influential role in the assessment process of dental hygiene programs; however, little is known about how students contribute to program improvements. The purpose of this study was to explore the correlations between dental hygiene students' participation in program assessments and program improvements.Methods The adapted National Institute Learning Outcomes Assessment questionnaire survey was distributed via email to 325 dental hygiene program administrators in the United States identified from the Commission on Dental Accreditation database. Descriptive statistics were used to summarize the professional characteristics of the respondents. Spearman's rank-order correlation was used to analyze the responses from the closed-ended ranked questionnaire. Responses to open-ended questions were reviewed for common themes.Results Fifty-five eligible program administrators completed the online questionnaire. Correlations were found between students' participation in assessment methods and contribution to program improvements in areas of the self-study process, program learning goals, curriculum, instruction, and overall program performance. The strongest correlations were evident between student participation in the capstone course and revising program curriculum (rs=.444, p=.001), revising program learning goals (rs=.468, p<.001), and improving instruction (rs=.481, p<.001). Open-ended responses revealed changes made in the program curriculum, teaching practice, academic policy, and assessment practice.Conclusion Results from this study showed dental hygiene program administrators felt that students who participate or are represented in assessments made contributions to program improvement. Administrators should consider student participation in the dental hygiene program planning and assessment processes.

In the dental hygiene discipline, evidence-based practice serves as a cornerstone for delivering high quality patient care and moving professional standards forward. As practitioners delve deeper into research to inform clinical decision making, the integration of robust survey methodologies becomes imperative. However, the complexities of survey design, implementation, and analysis pose notable challenges, particularly in ensuring the reliability and validity of research outcomes. This short report provides brief practical guidance about the basics of survey research methodologies for dental hygiene professionals.