Views Of Dental Providers On Primary Care Coordination
[New York NY : NYU College of Dentistry. NYU Academy of Distinguished Educators], 2015
Interprofessional Education and Practice : A Concept Whose Time Has Come [Editorial]
Pregnancy is associated with various degrees of increased gingival inflammation in healthy women
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Effect of pregnancy on gingival inflammation in systemically healthy women: a systematic review. Figuero E, Carrillo-de-Albornoz A, Martin C, Tobias A, Herrera D. J Clin Periodontol 2013;40(5):457-73. REVIEWER: Stefanie L. Russell, DDS, MPH, PhD PURPOSE/QUESTION: How large an effect does pregnancy have on gingival inflammation in healthy pregnant women? SOURCE OF FUNDING: This work was supported by a non-profit group: the Spanish Society on Periodontology (SEPA), a member group of the European Federation of Periodontology, one of the largest dental organizations in Europe TYPE OF STUDY/DESIGN: Systematic review with meta-analysis LEVEL OF EVIDENCE: Level 1: Good-quality, patient-oriented evidence STRENGTH OF RECOMMENDATION GRADE: Grade B: Inconsistent or limited-quality patient-oriented evidence.
Sex/Gender differences in tooth loss and edentulism: historical perspectives, biological factors, and sociologic reasons
This review highlights what is known regarding differences in tooth loss by sex/gender, and describes: gender-related tooth ablation (the deliberate removal of anterior teeth during life) found in skulls from history and prehistory; potential mediators of the relationship between sex/gender and tooth loss; the current epidemiology of gender differences in tooth loss (limited to North America); and risk factors for tooth loss in the general population and in women.
Diabetes-Related Knowledge and Sources of Information among Periodontal Patients: Is There a Role for Dental Hygienists?
PURPOSE: Although there is a bidirectional relationship between periodontal disease and diabetes, little is known about the diabetes-related knowledge of periodontal patients. This study examines what patients with periodontal disease know about diabetes and its association with periodontitis. It also examines their sources of diabetes-related information. METHODS: Patients (n=111) with or at risk for diabetes who were receiving care at a university-based periodontics and implant clinic completed a written survey assessing their socio-demographic characteristics, health-related activities, diabetes knowledge and sources of diabetes-related information. Survey results were summarized using descriptive statistics. Fisher's exact tests were used to compare patients who had and had not been diagnosed with diabetes according to responses on diabetes-related knowledge items and sources of diabetes information. RESULTS: Although respondents endorsed various diabetes-related information sources, including family and friends and health care providers, respondents demonstrated very limited knowledge about the diabetes and periodontal disease association. There were no statistically significant differences between patients who had, and had not been diagnosed with diabetes regarding their diabetes-related knowledge. As compared with patients not diagnosed with diabetes, patients with diabetes were significantly more likely to have learned about diabetes from a health care provider (p=0.05) and significantly less likely to have learned about it from friends or family (p=0.05). CONCLUSION: Periodontal patients need education about the periodontitis-diabetes relationship. Dental hygienists' regular and ongoing involvement with these patients and their primary role in the patients' periodontal care places them in an optimal position to provide this education.
Transforming women's oral-systemic health through discovery, development, and delivery
BACKGROUND: Oral-systemic etiologies solely or disproportionally affect women's health; however, little communication between and among disciplines occurs. METHODS: To bridge this gap, an innovative conference, "Transforming Women's Health: Discovery, Development, and Delivery," was held in Tampa, Florida. The conference aimed to address complex oral-systemic women's health issues by bringing together researchers, providers, and policy experts in dentistry, medicine, nursing, public health, and allied health professions. The program was structured by three organizational themes: (a) discovery (i.e., oral-systemic research specific to women's health issues); (b) development (i.e., translation of oral-systemic research to practice); and (c) delivery (i.e., collaborative practice). RESULTS: Issues discussed during conference proceedings include oral-system health in children, pregnant women, and older women, and cardiovascular disease and human papillomavirus (HPV) as oral-systemic health issues. Team and system-based approaches to reducing disciplinary-specific research, developing cross-disciplinary strategies and methods for improving women's health, and the advantages of creating collaborative networks, as well as effective communication practices with patients, were addressed. CONCLUSION: Based on findings from this innovative conference, it is clear that creating a transdisciplinary paradigm of research and practice may be the most effective vehicle for addressing oral-systemic health issues.
Screening for elder mistreatment in a dental clinic population
The purpose of this study was to establish the feasibility and utility of screening for elder mistreatment in a dental clinic population. We approached older adults in a busy dental clinic and enrolled 139 persons over the age of 65 who completed an Audio Computer Assisted Self Interview (ACASI), which included the Hwalek-Sengstock Elder Abuse Screening Test (HS-EAST). Overall, 48.4% of the participants scored 3 or greater on the HS-EAST, and 28.3% scored 4 or greater. Our study suggests that there is an opportunity to screen in busy dental clinics and to facilitate early detection for those patients who screen positive for elder mistreatment.
Screening for elder mistreatment in dental and medical clinics
Gerodontology 2012; doi: 10.1111/j.1741-2358.2010.00405.x Screening for elder mistreatment in dental and medical clinics Objective: Elder mistreatment (EM) is a potentially fatal and largely unrecognised problem in the United States. The purpose of this study was to determine the prevalence of EM in busy clinics and specifically, we report on the feasibility of screening for EM as well as the appropriate instrumentation for screening. Background: Prevalence estimates for elder mistreatment vary, but recent data from a national sample of community-residing adults over 60 years of age indicate that 11.4% of older adults report some form of elder mistreatment. There is a paucity of research related to screening in dental and medical clinics to understand the prevalence in such practice settings. Methods: A cross-sectional study was conducted from January 2008 to March 2009. We enrolled 241 patients at two clinics: a medical clinic (n = 102) and dental clinics (n = 139). A mini-mental status exam was conducted with a minimum of 18 or better for inclusion. An elder mistreatment screen was next used [elder assessment instrument (EAI-R) for medical and Hwalek-Sengstock elder abuse screening test (HS-EAST) for dental]. Results: For the 241 patients, we were able to compare data from the EAI-R with the HS-EAST. This pilot work demonstrates the feasibility of screening for EM in busy clinics since we documented patient enrolment of 20% in the medical clinics and 66% in dental clinics. Patients are willing to answer extremely-sensitive questions related to elder mistreatment and are also willing to use computer technology for interviewing. Conclusion: Dental and medical clinics are important practice venues to screen for elder mistreatment.
Is motherhood bad for oral health? Effects of parity on periodontal disease, caries and tooth loss in US women [Meeting Abstract]