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This article examines why it is difficult for individuals with disabilities to obtain dental services. It discusses inadequate preparation of dentists, cultural norms that create social, attitudinal, economic, and environmental barriers, and limited participation in the Medicaid dental program. The need for changes in dental school curricula is stressed. (Contains references.) (CR)

Compiled from many of the surveys that the American Dental Education Association routinely publishes, along with data from surveys conducted by the American Dental Association and U.S. Department of Health and Human Services, presents statistical tables and descriptive text on trends among dental patients, among dental practitioners, and in dental education. (EV)

In response to the American Dental Association's (ADA) Future of Dentistry Project, the American Dental Education Association (ADEA) provided perspective on the most critical issues facing the dental profession. ADEA responded in six areas, each corresponding to areas of focus in the ADA project. This report reflects comments provided to the ADEA panel in each of the six areas. (EV)

Compared the dental experiences of 132 women with a history of sexual abuse to 49 women reporting no such history. Findings show that a history of abuse, especially the severity of abuse, predicted different patterns in making and keeping dental appointments, stress-related dental problems, and post-traumatic-stress-disorder-type symptoms while at the dentist. (RJM)

Collaborative relationships between researchers and resources from government, industry, and academia were studied through a survey of research into dental materials. The outcomes of research conducted under various arrangements by 386 targeted respondents were reviewed. Implications of the high rate of collaboration for both industry and academia are discussed. (SLD)

An unsuccessful attempt to develop a standard battery of aptitude measures to distinguish practicing dentists is reinterpreted. A sample of 116 dentists showed few differences from the norm group on 22 potential predictors, with some differences counterintuitive. It is concluded that broad conceptualization of characteristics required to complete dental education is needed. (Author/MSE)

A study examined the economic relationship between growth in dentistry and supply/demand factors. Output, or real per capita dental expenditures, is seen as a function of consumer income, dental insurance, and dentist supply. Analysis indicates a significant relationship between dental sector growth and economic market factors, including growth in dental insurance. (Author/MSE)

A five-year project of postgraduate training in dentistry for patients with severe disabilities resulted in significant cognitive and confidence gains for the participating dentists, dental hygienists, and assistants. Over 75 percent of the graduates were found to actively apply their training, especially in academic dentistry. (MSE)

To treat the elderly more competently and to provide clinical training to undergraduates simultaneously, a geriatric dental program was initiated in 1976 at the University of Illinois College of Dentistry. The program's current status and operation are described. (Author/MLW)

Although dental school faculty as well as practitioners are interested in evaluating products and procedures used in clinical practice, research design and statistical analysis can sometimes pose problems. Sequential trials methods provide an analytical structure that is both easy to use and statistically valid. (Author/MLW)

Four major factors responsible for trends in applicants to dental school are identified: cost, competition, demographics, and the practicing dentist. The initiation of the Pew National Dental Education Program at the University of Pennsylvania School of Dental Medicine is described. (MLW)

The gender differences among recent dental graduates' professional commitment, choice of practice arrangements, and income were examined. Gender remained as a statistically significant predictor of income when controlling for practice ownership, hours per week worked, background, and family/social variables. (Author/MLW)

A continuing education program implemented at the University of Illinois in Chicago is described. The goals of the program were: to provide a comprehensive, long-term approach to continuing education; to emphasize the role of participants in curriculum development; and to use learning strategies that maximize clinical participation. (MLW)

School-based, as contrasted with hospital-based, programs in advanced education for general dentistry (AEGD) will continue to grow because of changing disease patterns favoring provision of a broader range of dentistry services, need for additional training, student demand, and institutional desire for increased enrollments. (MSE)

The differentiation of the workforce in dentistry (dentists, dental auxillaries, others) is discussed in terms of its history, the development of the specialties, and advanced education. ADA policy and requirements are reported, including those dealing with ethics, specialization, development of general practice residencies, and needs for advanced education. (LC)

A study undertaken to determine the extent of orthodontic referrals and treatment performed by general dentists is discussed. Results indicate that general practitioners who graduated after 1945 tend to make more referrals, and general practitioners who had treated patients orthodontically in their predoctoral training tend to continue in practice. (Author/MLW)

Even though research is an integral part of quality advanced dental programs, many dental departments with postdoctoral programs lack faculty and other resources for research productivity. Programs to produce clinical faculty with research training are called for through the development of clinical research centers. (JSR)

A review of the development and present status of departments of social dentistry is provided, along with a discussion of evolving programs and need for a change in the relationship between departments of social dentistry and the general school teaching programs. (JSR)

The possible bias resulting from excluding nonresponders in tabulating data from mail survey questionnaires in a dentist population was investigated. The differences between the responders and the nonresponders were analyzed with respect to the dentists' demographic data, attitudes, and knowledge. Nonresponse bias did not affect the results of dental surveys. (Author/MLW)

A study undertaken to explore how dentists use patient data to plan treatment is presented. Three hundred forty-six general dentists used oral and general health findings to determine periodontal treatment for seven prototypic elderly patients. The results indicated that oral hygiene and major medications best discriminated between treatment plans. (MLW)

The impact of the 1980s on dental practitioners, dental schools, and those needing dental care, particularly the poor, is described. Economic forecasts and opinion polls are discussed in the belief that deans of dental schools can move to significantly limit the deleterious effects of this period. (MLW)

A survey of Washington State dentists in private practice shows generally inaccurate perceptions of the aging process. More experienced dentists held fewer stereotypes, those rating elderly patients as having good oral hygiene held positive stereotypes, and geriatrics coursework did not affect stereotypes. Implications for training and geriatric dentistry are discussed. (Author/MSE)

Acceptance of practical tests for dental school graduates brings with it questions of the reliability and efficacy of the board examinations. The continued existence of state boards has been justified by suggesting that any weakening in curriculum is apparent by the state dental board's annual review. (MLW)

A variety of issues in the debate over assurance of quality of dental care are discussed, including the methods and implementation of quality assessment and the mechanisms of quality assurance among individual dentists. (MSE)

In an effort to market current predoctoral dental courses offered at the University of Colorado Health Sciences Center School of Dentistry to the practicing dentist, a 10-hour forensic odontology course was offered to both predoctoral dental students and practicing dentists and their staffs. Positive reactions and cost effectiveness of this pilot program are described. (LB)

Introduction Information from published studies describing dental treatment of nonmilitary personnel in a military theater of operations is sparse. The primary objective of this study is to determine the number of dental emergencies (DEs) and the types of dental treatment rendered on non-U.S. military (civilian) personnel treated by Navy dentists in 2007-2008 in Iraq and 2009 in Afghanistan. The second objective is to compare the type of DE treatment procedures provided to civilian personnel to the type of DE treatment procedures performed on U.S. military personnel. Materials and Methods Navy Dental Officers documented the diagnoses of unscheduled DEs. All treatment provided was described at the time of treatment using the Current Dental Terminology codes of the American Dental Association. Current Dental Terminology Code A0145 (2007 and earlier) and A0199 (2008 onward) in the patient encounter indicated a DE. This study is limited to DE occurring in (1) patient categories: U.S. civilian employees, other beneficiaries of the U.S. Government, foreign national civilian/dependents, and civilian, no government connection and (2) U.S. military service members. Chi-square analysis was performed to compare the proportion of dental treatment category procedures on civilian patients compared to those on U.S. military patients. Results During the reporting period, 308 patients were treated for DE in Afghanistan. Civilians treated accounted for 18.5% (n  = 57) of all DEs. Nearly 93.0% of civilians who were treated were U.S. (DoD) civilian employees. Of the 57 civilian patients treated for DE, 61.4% of patients (n  = 35) received oral surgery. There were 251 U.S. military patient encounters (81.5% of all DEs). Restorative dentistry was the most common dental procedure for military personnel DE. When comparing civilian and military patients, civilian patients are statistically more likely than military patients to receive oral surgery treatment for DE (P  < .00001). In Iraq, 3,198 patients were treated for DE during the reporting period. Civilians treated accounted for 18.8% (n  = 601) of all DEs. About 56.9% (n  = 342) of civilians who were treated were U.S. contract employees. Of the 601 civilian patients treated for DE, 37.1% (n  = 223) received oral surgery. There were 2,597 U.S. military patient DE encounters, and restorative dentistry was the most common dental procedure. When comparing civilian and U.S. military patients in Iraq, civilians are statistically less likely to have their DE treated by restorative dentistry (P  < .00001) and are more likely have it treated by oral surgery/extractions (P  < .00001). It is significantly more likely for civilians to have multiple categories of DE that must be treated (P < .00001). Conclusions The primary group of civilians treated for DE in Afghanistan was U.S. civilian employees. The primary group of civilians treated for DE in Iraq were contract employees of the U.S. Government. The primary dental treatment of civilian beneficiaries in both the theaters of operation was oral surgery. This brings into question what dental fitness standards are there for primarily U.S. civilian and contract employees. [ABSTRACT FROM AUTHOR]

Background: Molar incisor hypomineralisation (MIH) is a developmental enamel defect in the first permanent molars and frequently in the incisors. It poses a unique challenge to the dental practitioner because of its nature, clinical presentations and treatment strategies. Aim: This study assessed the perception of Libyan dentists in Benghazi regarding MIH and its management. Design: Paper‐based, self‐administered questionnaires were distributed to dentists in Benghazi, Libya. The questionnaires investigated the awareness of MIH, knowledge of MIH aetiology, clinical challenges of MIH treatment and choices of restorative management. Descriptive statistics, chi‐squared test and binary logistic regression analysis were performed at a significance level of ≤.05. Results: A total of 389 questionnaires were completed and analysed, giving an overall response rate of 76% (389/511). Most participants were female (85%, 332), with an average of 6.05 (SD = 6.24) years of experience. The majority of participants (67%) recognised MIH in their practice. Statistically significant differences in the awareness of MIH and its prevalence were observed according to the type of practice (p ≤.001) and experience of dentists (p ≤.001). Dentists working in public dental practice were less familiar with MIH and less likely to report it. Likewise, novice dentists were less aware of MIH than more experienced colleagues. The most reported aetiological factor in MIH was genetics by 60.2% of respondents, followed by environmental contamination (47.6%) and fluorides (42.9%). Most participants (92.3%) considered MIH a clinical problem. Aesthetics and diagnosis were the most reported challenging aspects (59.4% and 44.2%, respectively). The most commonly selected restorative options were high‐fluoride glass ionomer cement (43.2%) and preformed metal crowns (41.6%). Conclusion: The majority of participants reported awareness of the existence of MIH condition. Nevertheless, variations in estimating MIH prevalence and its proper treatment, as well as factors influencing its treatment and diagnosis, were recorded. It is recommended that the current dental curriculum is reviewed, and scientific evidence providing dental practitioners with updated information on the diagnosis and clinical management of MIH should be circulated. [ABSTRACT FROM AUTHOR]

Background: Many new technologies are being used in dentistry, enhancing and accelerating dental procedures. However, there is still a lack of a comprehensive and coherent understanding of the extent of technology use and the factors influencing its adoption in any specific society. Objectives: This study aimed to investigate the frequency of digital technology use among dentists in Zahedan, Iran, in 2023. Methods: In this descriptive-analytical study, ninety-three dentists working in Zahedan city were investigated. Simple random sampling was used to select participants, and a questionnaire was administered that included sections on demographic information (gender, experience, workplace, level of degree, level of education), administrative and communicative aspects (4 questions), clinical and diagnostic aspects (9 questions), and reasons for not using certain technologies. The validity of the questionnaire was 100%, and the reliability was 0.8. Data analysis was performed using frequency analysis and comparisons between groups, which were conducted using the chi-square or Fisher's exact test. A P-value of less than 0.05 (P < 0.05) was considered statistically significant. Results: The usage rate of digital technologies among dentists in Zahedan was 60.2% low, 35.5% moderate, and 4.3% high. There was a significant relationship between the use of digital technologies and factors such as gender (P < 0.001), workplace (P < 0.001), experience (P < 0.006), and level of education (P < 0.002). However, no significant relationship was found between digital technology use and the level of degree. Digital radiography was the most commonly used technology, with a usage rate of 74.3%. The most frequently used administrative and communicative technology was the "use of communication program or software with other centers," at 49.9%. The majority of digital technologies began to be adopted from 2019 onwards. The main reason for not using administrative and communicative technologies was "inaccessibility," while the primary reason for not using clinical and diagnostic technologies was deemed "unnecessary use." Conclusions: The use of digital technologies by dentists in Zahedan was found to be low. Given the limited adoption of digital technologies in dentistry, it is essential to provide more training for dentists and to facilitate better access to these technologies in the field. [ABSTRACT FROM AUTHOR]

Objectives: Antimicrobial resistance is an alarming global public health concern, threatening the effective treatment of common infections. This phenomenon is driven by the improper prescription of antibiotics. This study aimed to elucidate the patterns of antibiotic prescription in implant dentistry among European dentists and their awareness of antibiotic resistance. Materials and Methods: An anonymous online validated questionnaire was distributed via e‐mail to 6431 recipients through the European Association for Osseointegration. It comprised of 17 structured questions investigating demographic variables, working environment, clinical experience, attitude towards antibiotic prescription in particular in relation to implant dentistry and COVID‐19 pandemic, and awareness of antibiotic resistance. Data were collected from April to May 2023. Results: 281 dentists from 33 European countries completed the survey. Almost 80% affirmed to routinely prescribe antibiotics as prophylaxis as well as after dental implant placement, especially in medically compromised patients or in cases of bone grafting. Amoxicillin, alone (61%) or in combination with clavulanic acid (56%), was the most common antibiotic of choice. Awareness of penicillin resistance among respondents was high. For peri‐implantitis treatment, more than half reported the use of systemic antibiotics. The large majority (95%) did not prescribe more antibiotics since the beginning of COVID‐19 pandemic. Less than 40% declared to follow national guidelines for antibiotic prescription. Conclusion: This survey revealed a high prescription rate of antibiotics in implant dentistry, despite the awareness about antibiotic resistance among the respondents. The development and adherence to European guidelines has been identified as a potential strategy for improving antimicrobial stewardship. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. −ΔL*), the observer group (dentists vs. laypersons), and the gender and age of the observers. Materials and Methods: A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full‐portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. Results: Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p < 0.001), as was gender (p = 0.03). The effect of the magnitude of ΔL* interacted with its direction and the observer group (p = 0.045), and the effect of age interacted with the direction of ΔL*, and the gender and the group of the observers. Estimated 50%:50% perceptibility thresholds ranged from 0.1 to 2.7, and 50%:50% acceptability thresholds ranged from 2.3 to 4.5. Overall, dentists perceived lightness differences at lower magnitudes than laypersons; difference in lightness was perceived and accepted at lower magnitudes when the tooth become lighter instead of darker; and female observers perceived and accepted lightness differences at lower magnitudes compared to males. As age increased overall, differences of lightness were perceived and accepted at higher magnitudes. Conclusions: Perceptibility and acceptability of lightness differences of a single maxillary central incisor are affected by the magnitude and the direction of lightness change, as well as the gender, the age, and the type of the observers. Clinical Significance: Even small changes in lightness are perceivable; however, thresholds of perception and acceptance are dependent on the magnitude and the direction of change and are also dependent on the observer, with women, dentists and younger people perceiving and accepting changes at lower magnitudes of ΔL*. [ABSTRACT FROM AUTHOR]

Objective Clinical Considerations Conclusions Clinical Significance The aim of the present study was to provide recommendations in order to facilitate communication between dental professionals and surgeons who are collaborating in the field of dentofacial esthetics.Smile esthetics are beyond the scope, both of the surgeons who are collaborating with facial esthetics and of the dentists, as a wide range of treatment options from both sides is available. It can be difficult for the surgeon or the dentist that first comes in contact with the patient to conduct an individualized global treatment plan, in order to find out how the various phases of the treatment can be sequenced, as a workflow for an efficient interaction between facial surgery and dentistry still does not exist in the scientific literature.Facial cosmetic procedures and dental treatment have to be planned as individual elements of the whole dentofacial esthetic rehabilitation. The treatment has to be initiated with the design of the smile and the intraoral mock‐up, followed by the required surgical interventions, and to be finished with the delivery of the definitive dental restoration.Dentofacial esthetics require comprehensive communication between surgeons and dentists. Following the proposed recommendations, an individualized interdisciplinary treatment plan can be conducted, defining the role of each specialty. [ABSTRACT FROM AUTHOR]

Background: Today, one of the most important factors threatening everyone is stress. Objectives: Considering the problems caused by stress in people’s careers and the fact that dentistry has been introduced as a stressful profession, the purpose of this research was to investigate the relationship between occupational stress and demographic variables among dentists in Khorramabad, Iran, in 2022. Methods: The current research is a cross-sectional analytical study. Of the 120 working dentists, 92 were enrolled in the study according to the inclusion criteria. Of these, 28.3% were women and 71.7% were men. The data collection instrument was Osipow’s Occupational Stress Inventory. The researcher completed the questionnaires by referring to dentists’ offices. All statistical tests were performed using SPSS version 25, with P < 0.05 as the significance level. Results: The findings showed that the average occupational stress in dentists was 184.01 ± 9.88, showing that 89.1% of dentists had moderate to severe stress and 10.9% had severe stress. The average occupational stress was 180.42 ± 6.35 in women and 185.42 ± 10.68 in men. Thus, the level of occupational stress in men was significantly higher than that of women (P = 0.007). In addition, 2 variables (age and workplace) had a significant relationship with the level of occupational stress of dentists (P < 0.05). Conclusions: Since most dentists participating in this study had moderate to severe stress, knowing the sources of stress and ways to deal with them can help reduce fatigue and increase job performance among dentists. [ABSTRACT FROM AUTHOR]

Objectives: The aim of this study was to develop an assessment tool for automatic detection of dental caries in periapical radiographs using convolutional neural network (CNN) architecture. Methods: A novel diagnostic model named ResNet + SAM was established using numerous periapical radiographs (4278 images) annotated by medical experts to automatically detect dental caries. The performance of the model was compared to the traditional CNNs (VGG19, ResNet-50), and the dentists. The Gradient-weighted Class Activation Mapping (Grad-CAM) technique shows the region of interest in the image for the CNNs. Results: ResNet + SAM demonstrated significantly improved performance compared to the modified ResNet-50 model, with an average F1 score of 0.886 (95% CI 0.855–0.918), accuracy of 0.885 (95% CI 0.862–0.901) and AUC of 0.954 (95% CI 0.924–0.980). The comparison between the performance of the model and the dentists revealed that the model achieved higher accuracy than that of the junior dentists. With the assist of the tool, the dentists achieved superior metrics with a mean F1 score of 0.827 and the interobserver agreement for dental caries is enhanced from 0.592/0.610 to 0.706/0.723. Conclusions: According to the results obtained from the experiments, the automatic assessment tool using the ResNet + SAM model shows remarkable performance and has excellent possibilities in identifying dental caries. The use of the assessment tool in clinical practice can be of great benefit as a clinical decision-making support in dentistry and reduce the workload of dentists. [ABSTRACT FROM AUTHOR]

Abstract Introduction The increasing interest in teledentistry since the COVID-19 pandemic warrants an evaluation of dentists’ willingness to adopt it. This study aimed to develop a questionnaire to assess dentist’s intention to use teledentistry and the associated factors. Methods A literature search was used to identify items for the questionnaire. The Unified Theory of Acceptance and Use of Technology (UTAUT2) was adopted as framework. A Delphi panel was constituted of researchers with relevant publications and the International Association of Dental Research e-Oral Health Network members. Three Delphi consultations were conducted to establish consensus on items. Consensus was set at 80% agreement and content validity ratio (CVR), reaffirmed iteratively. Results Nineteen out of 25 (76%) invited experts participated in the first round, 17 in the second and 15 in the third. The preliminary questionnaire had 81 items in three sections, reduced to 66, 45 and 33 items in the first, second and third rounds. After revision, the final version comprised eight items assessing dentists’ backgrounds in Sect. 1, seven items identifying teledentistry uses in Sect. 2, and 17 items assessing intention to use teledentistry and its determinants in seven dimensions in Sect. 3. The initial CVR was 0.45, which increased to 0.80 at the end of the third round. Conclusion A survey tool was developed to assess the acceptance of teledentistry, and its determinants based on the UTAUT2 framework through consensus among teledentistry experts. The tool had excellent validity and needs further evaluation of its psychometric properties.

Objective: : It may be necessary to systematically apply objective, measurable and repeatable rules for physicians to provide an aesthetic smile in patients and for evaluations. The aim of this study was to evaluate the consistency of the aesthetic perception of physicians with the results of objective dentolabial and facial analyses and the state of being affected by professional experience.Methods: In the current study 4 prosthodontists, 4 research assistants and 4 intern dentists were determined as observer and they were asked to evaluate the full face and smile photographs taken from 100 volunteers in the context of 6 criteria for aesthetics. The relevant photographs were analyzed objectively in digital environment, taking into account the values determined as reference with the support of the literature. Statistically, the comparisons between subjective results of the observers and the objective reference values were determined with Cohen's Kappa test; consistency between observers were with Fleiss Kappa statistic; the comparisons of facial and dentolabial esthetic perceptions were made by Chi-square test.Results: The results obtained by the subjective perceptions of all observers and the objective results of computer measurements were not completely compatible with each other statistically, but a great deal of agreement was achieved. The harmony of aesthetic perception with objective results was not affected by increasing professional experience and no difference was observed between the observer groups.Conclusion: Examining not only the mouth but also the whole face analysis results in aesthetic evaluations has the potential to positively affect the success of the treatment.

Purpose This study investigated the knowledge differences between general practitioners and orthodontists about the Invisalign system.Materials and methods A web-based survey regarding 10 Invisalign treatment domains was distributed to 161 orthodontists and 213 general practitioners. The responses were ranked using a Likert-type scale and analysed with the Chi-square test and Bonferroni adjustment.Results The response rate was 52.1% for general practitioners and 63.4% for orthodontists. Comparing Invisalign to conventional fixed appliances, orthodontists agreed/strongly agreed that Invisalign aligners are suitable for all types of cases (p = 0.001). Orthodontists also agreed that it causes less tooth discomfort (p = 0.01) and an increased number of attachments can affect its esthetic perception (p = 0.014) but general practitioners opted for the ‘Do Not Know’ option (p ≤ 0.01). General practitioners also responded ‘Do Not Know’ to whether Invisalign treatment finishes in a shorter duration (p = 0.001), achieves all types of tooth movement (p

Abstract Background/purpose Oral cancer, including malignancies of the tongue, lips, floor of the mouth, cheek mucosa, gums, palate, and oropharynx, is life-threatening. Early diagnosis and appropriate treatment are crucial for long-term survival. Dentists frequently encounter oral cancers due to the nature of their work. This study aimed to evaluate the knowledge and experience of dentists in Turkey regarding oral cancers. Materials and methods A total of 361 participants were included in the study, and survey questions were sent via email. The survey consisted of 16 questions measuring demographic data and knowledge about oral cancerous lesions. Participants were grouped based on their specialization and knowledge level, and differences in responses among groups were examined. Results Only 21.3% of the participants felt they had sufficient knowledge and experience about oral cancerous lesions. Overall, the correct answer rates indicated a moderate level of knowledge and experience. When grouped by specialization, oral surgeons had the highest accuracy in their responses (p

Abstract Objective Disturbances in the oral mucosa is a major concern among patients undergoing chemotherapy. One of the most significant barriers in the implementation of oral care is the lack of knowledge. The aim of the study was to assess gingival and periodontal health status of chemotherapy patients before and after the provision of oral hygiene instructions. Methods A single group, pre-post test was conducted to assess oral health status of patients at the daycare chemotherapy, Aga Khan University Hospital, Karachi, Pakistan. Oral hygiene instructions were given with study models and leaflets. Patients were followed for 6-weeks. Oral health was assessed by using Simplified-Oral Hygiene Index (OHI-S) and Community Periodontal Index (CPI). Differences in indices were analyzed in STATA version-15.0 using Generalized Estimating Equation (GEE) and Wilcoxon Signed-rank test. Results Out of 74, 53 (72%) patients completed study follow-up. Improvement in the OHI-S was found in 14 (26%) patients (p-value

Abstract Background Dentists have a legal and ethical obligation to obtain informed consent from patients before carrying out treatment. In Uganda, the process of obtaining informed consent in dentistry is not well documented. The aim of the present study was to determine dentists’ perspectives and practices regarding informed consent to fixed prosthodontic treatment (FPT) in Kampala Metropolitan, Uganda. Methods A quantitative cross-sectional study was conducted among 153 dentists from July to September 2023. Data were collected using a semi-structured self-administered questionnaire that included both closed- and open-ended questions. The questionnaire included items on participants’ sociodemographic information, perspectives, and practices about informed consent for FPT. Perspectives were rated using ten items on a five-point Likert scale. The minimum possible total score was 10, and the maximum possible score was 50. Descriptive statistics and Poisson regression were used to summarize and analyze the quantitative data, and the significance level was set at p

Background: Social media has become an influential tool with its usage increasing immensely in recent years. This study aimed to assess the impact of social media on the perception of dentofacial aesthetics and its gender-wise comparison among general population of Pakistan. Methods: This cross-sectional study was conducted from November 2022 to March 2023 using an online questionnaire developed on Google Forms, distributed among 500 participants via WhatsApp and Facebook groups among males and females with 18 years or above operating any social media account, using non-probability convenience sampling. SPSS version 25 was used, and categorical variables were compared using Chi-Square Test. p< 0.05 was significant. Results: Out of a total of 455 people who responded, 125 (27.5%) were male, and 330 (72.5%) were female. Females were very frequent (n=244, 53.6%) users of social media (p=0.029), spending 4 to 6 hours every day (p=0.01). There was a significant gender disparity in social media usage, with females predominantly using Instagram (n=308, 93.3%) (p

Abstract Background Dentists and oral surgeons are leading prescribers of opioids to adolescents and young adults (AYA), who are at high risk for developing problematic opioid use after an initial exposure. Most opioids are prescribed after tooth extraction, but non-opioid analgesics provide similar analgesia and are recommended by multiple professional organizations. Methods This multi-site stepped wedge cluster-randomized trial will assess whether a multicomponent behavioral intervention can influence opioid prescribing behavior among dentists and oral surgeons compared to usual practice. Across up to 12 clinical practices (clusters), up to 33 dentists/oral surgeons (provider participants) who perform tooth extractions for individuals 12–25 years old will be enrolled. After enrollment, all provider participants will receive the intervention at a time based on the sequence to which their cluster is randomized. The intervention consists of prescriber education via academic detailing plus provision of standardized patient post-extraction instructions and blister packs of acetaminophen and ibuprofen. Provider participants will dispense the blister packs and distribute the patient instructions at their discretion to AYA undergoing tooth extraction, with or without additional analgesics. The primary outcome is a binary, patient-level indicator of electronic post-extraction opioid prescription. Data for the primary outcome will be collected from the provider participant’s electronic health records quarterly throughout the study. Provider participants will complete a survey before and approximately 3 months after transitioning into the intervention condition to assess implementation outcomes. AYA patients undergoing tooth extraction will be offered a survey to assess pain control and satisfaction with pain management in the week after their extraction. Primary analyses will use generalized estimating equations to compare the binary patient-level indicator of being prescribed a post-extraction opioid in the intervention condition compared to usual practice. Secondary analyses will assess provider participants’ perceptions of feasibility and appropriateness of the intervention, and patient-reported pain control and satisfaction with pain management. Analyses will adjust for patient-level factors (e.g., sex, number of teeth extracted, etc.). Discussion This real-world study will address an important need, providing information on the effectiveness of a multicomponent intervention at modifying dental prescribing behavior and reducing opioid prescriptions to AYA. ClinicalTrials.gov NCT06275191.