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PubMed1966

Library statistics of schools in the health sciences: part I.

During the winter of 1965/66, statistics on library staff, clientele, resources, expenditures, salaries, and services of medical, dental, pharmacy, osteopathic, and public health schools were collected by the MLA Committee on Surveys and Statistics. In an attempt to provide standardized information on these libraries, the Committee utilized questionnaires provided by the U.S. Office of Education. The survey was conducted in co-operation with the American Dental Association, the American Association of Dental Schools, the American Council on Pharmaceutical Education, and the American Association of Colleges of Pharmacy.

Journal Article↗
PubMed2002

A response from the American Association of Dental Examiners.

The American Association of Dental Examiners supports a testing environments that include supervision of patient care. Extensive steps are taken in licensure examinations to ensure content validity through standardization by practice surveys, standards of competency, common core content, dental school curricula, and the limitations of practical constraints. Examining agencies report consistent, high collaboration among examiners. The examining community has developed comprehensive standards that compare favorably with standards in the testing community generally. When more reliable and valid alternatives to existing testing methods become available, they will be employed.

Clinical Competence↗
PubMed2002

Implementing an infant oral care program.

The American Academy of Pediatric Dentistry, American Dental Association, American Public Health Association, Association of State and Territorial Dental Directors, California Dental Association, and California Society of Pediatric Dentists currently recommend that children receive their first dental evaluation within the first year of life. Providing early care to children from ages 6 months to 5 years offers an opportunity to educate and inform parents about their children's oral health. Anticipatory guidance - counseling of parents by health providers about developmental changes that will occur in their children between health visits - for children's dental health is an important part of preventive care. It may be the most effective way to prevent problems that traditional infectious disease models have failed to address, such as early childhood caries. The model of anticipatory guidance is valuable for dental professionals because it emphasizes prevention of dental problems rather than restorative care. A comprehensive infant oral care program utilizes (1) oral health assessment at regularly scheduled dental visits, (2) risk assessments, (3) counseling sessions with parents during either regular dental visits or additional visits scheduled if a child is deemed at risk, (4) preventive treatment such as the application of fluoride varnish or sealants, and (5) outreach and incentives to reinforce attendance. Facilitating access to early and regular dental care is a crucial part of any effective intervention strategy, and intervention techniques should be tailored to the community being served.

California↗
PubMed2006

Dental student enrollment and graduation: a report by state, census division, and region.

The purpose of this study is to provide descriptive data on the presence of dental schools, dental school graduates, instate enrollment, and interstate dental education agreements for U.S. states, districts, and regions. This information may be helpful in deciding to open or maintain a dental school. Data from the American Dental Association (ADA), American Dental Education Association (ADEA), and U.S. Census Bureau were used to conduct cross-sectional comparisons for states, census divisions, and regions for 2000. In 2000, there were fifty-four dental schools in thirty-two states and the District of Columbia. Total graduation across 1990-2000 was 43,289 dentists. Over half (56 percent) of the graduates were from public schools. The distribution of schools and graduates differed by geographic region. Alaska, Utah, Hawaii, and Nebraska were outliers with respect to high and low numbers of dental schools in states, in-state enrollment, and dentists to population. U.S. states, districts, and regions vary widely on the number of dental schools, dentists to population, first-year dental school enrollees, and dental school graduates. Further assessment on additional factors such as dental health provider shortage areas, state oral health status, and attractiveness of locations to dentists is needed to more fully understand the impact of these factors.

Censuses↗
PubMed1991

Prophylactic antibiotics revisited.

This article discusses the more practical and safer oral prophylactic antibiotic regimens recently approved by the American Heart Association and the American Dental Association. The new guidelines are strongly supported by the scientific data combined with an appreciation of the substantial logistic and financial barriers to parenteral prophylactic antibiotic administration to dental outpatients.

Administration, Oral↗
PubMedDate not supplied

Ways to improve/increase appropriate use of dietary fluorides.

Dietary fluoride supplements are not now being prescribed appropriately by health care providers, an example of the slow rate of acceptance of an effective caries preventive regimen available for nearly a quarter-century. Industry, the American Dental Association Council of Dental Therapeutics, the American Academy of Pediatric Dentistry, the American Association for Dental Research, the National Foundation of Dentistry for the Handicapped, the W.K. Kellogg Foundation, and the National Institute of Dental Research have all initiated or supported a variety of activities to educate health care providers on the use of fluoride supplements and developing educational materials for providers to use in educating the public. Barriers to appropriate use include the following factors: complexity of the dosage schedule; priority of preventive regimens in educational institutions; economic factors; and lack of public knowledge--clearly a barrier to their acceptance, appropriate use, and compliance. Dental school faculty have a responsibility, to both their students and the general public, to provide appropriate information about dietary fluoride supplements and their use. Emphasis should be placed on educating dental students on the best ways of achieving compliance in their patients. Federal agencies might join the ranks as well, along with the individual dentist, in educating all relevant groups and promoting health through disease prevention.

Delivery of Health Care↗
PubMed2005

Knowledge of oral and physical manifestations of anorexia and bulimia nervosa among dentists and dental hygienists.

Despite the crucial role oral health care providers can have in the early identification of eating disorders and the referral and case management of patients with these disorders, little is known concerning their knowledge of oral complications of these disorders. The purpose of this study was to determine the knowledge among dentists and dental hygienists concerning the oral and physical manifestations of eating disorders. Employing a randomized cross-sectional study, data were collected from 576 dentists and dental hygienists randomly selected from the American Dental Association and the American Dental Hygienists' Association. Results indicated low scores concerning knowledge of oral cues, physical cues of anorexia, and physical cues of bulimia among study participants. More dental hygienists than dentists correctly identified oral manifestations of eating disorders (p=.001) and physical cues of anorexia (p=.010) and bulimia (p=.002). As the first health professional to identify oral symptoms of eating disorders, the most important task of the dental care provider when identifying oro-dental signs of eating disorders is to ensure that the patient receives treatment. Implications for education include the addition of conceptual, procedural, and skill-based curricula objectives addressing etiologic assessment and patient communication--thus increasing behavioral capacity for delivery of restorative care and patient referral.

Anorexia Nervosa↗
PubMed2003

ADA members weigh in on perceptions of the ADA and association priorities.

BACKGROUND: The American Dental Association conducted the 2000 Membership Needs and Opinions Survey to evaluate the professional needs and personal perceptions of ADA members on selected topics. METHODS: A questionnaire was sent to a sample of 6,310 ADA members in January 2000 with follow-up mailings in February, March and April 2000. Data collection was completed in July 2000. The survey included questions on critical professional issues, perceptions of the American Dental Association and its priorities. A total of 3,558 surveys were received for an adjusted response rate of 59.5 percent. Only professionally active dentists who were ADA members were included in the sampling frame. RESULTS: Members evaluated statements about the American Dental Association, revealing their perceptions of the ADA on key issues. Findings showed strong support for the ADA Seal program, agreement that the ADA enhances the integrity and ethics of the profession and that the ADA is the premier professional association for dentists. Findings also provided information regarding the relative importance of ADA priorities by allocating "dues dollars" in $5 increments. The highest priorities were "providing continuing education to dentists," "lobbying members of Congress and federal regulatory agencies" and "influencing national public health policy." CONCLUSIONS: ADA members, both new and established dentists, had positive perceptions of the Association and its programs. Although there was general agreement between these groups concerning ADA priorities, there was a substantial difference between some subgroups (especially graduate students and federally employed dentists) and the overall membership on the issue of changes in the licensure process to facilitate dentists' freedom of movement. PRACTICE IMPLICATIONS: The Association should continue to take into account the membership's perceptions of the ADA and its priorities, as well as note issues of special interest to selected membership subgroups, in the planning and implementation of Association activities.

American Dental Association↗
PubMed2000

ADA guidelines for the acceptance of tooth-whitening products.

Since the introduction of at-home tooth whitening using peroxide-containing agents in 1989, the procedure has been well-received by the public and is becoming one of the most popular cosmetic dental procedures today. To ensure the safety and efficacy of this treatment, the Guidelines for the Acceptance of this category of products by the American Dental Association were developed. This article provides background on the American Dental Association (ADA) Seal of Acceptance Program. It also offers an overview of the ADA Acceptance Program Guidelines for Home-Use Tooth Whitening Products as well as the process through which the document was developed.

American Dental Association↗
PubMed2004

The use of CDA best management practices and amalgam separators to improve the management of dental wastewater.

Concerns over the persistence and effects of mercury in the environment, particularly in wastewater, have increased significantly over the past decade. Because mercury is a component of dental amalgam, comprising about 50 percent of amalgam among other metals, in recent years the concern has affected dental practices and even educational curricula in the dental schools. While numbers vary widely from area to area, on average, it is estimated dentistry contributes less than 1 percent of the mercury generated from human activity to the environment. Despite dentistry's low contribution to the environmental mercury load, organized dentistry's position is that dentistry's role as a public health profession includes environmental stewardship, as well as patient safety, and that dental professionals must act responsibly by taking steps to prevent amalgam waste or any potentially harmful materials from entering the environment, no matter how small the amount. In support of this belief, both the California Dental Association and the American Dental Association have developed recommendations for best practice that dental offices should follow when handling dental amalgam waste. Many dental schools and auxiliary programs have shown their commitment to minimizing detrimental effects to the environment, evidenced by the fact that most, if not all, have incorporated safe work practices including mercury hygiene procedures as part of clinical coursework. Some local jurisdictions hardest hit by the effects of mercury in wastewater have gone even further to recommend, or even require, the installation of amalgam separators in dental offices. This article will describe the history of BMPs and amalgam separators usage in California, and examine the practical aspects of their usage in reducing the discharge of dental amalgam into waste streams.

California↗
PubMed2003

Antibiotic prophylaxis for dental patients with total joint replacements.

BACKGROUND AND OVERVIEW: In 1997, the American Dental Association and the American Academy of Orthopaedic Surgeons convened an expert panel of dentists, orthopaedic surgeons and infectious disease specialists and published their first Advisory Statement on Antibiotic Prophylaxis for Dental Patients with Prosthetic Joints. This represented the first time that national health organizations had gone on record on this topic. This 2003 advisory statement is the first periodic update of the 1997 statement. In addition, the organizations have created a new patient handout (included at the end of the statement) that dentists may share with their patients. The 1997 Advisory Statement has been well-used by dentists and orthopaedic surgeons. Following their standard protocols for periodic review of existing advisory statements, the ADA and AAOS and their expert consultants recently reviewed the 1997 statement. CONCLUSIONS AND CLINICAL IMPLICATIONS: The 2003 statement includes some modifications of the classification of patients at potential risk and of the incidence stratification of bacteremic dental procedures, but no changes in terms of suggested antibiotics and antibiotic regimens. The statement concludes that antibiotic prophylaxis is not indicated for dental patients with pins, plates or screws, nor is it routinely indicated for most dental patients with total joint replacements. However, it is advisable to consider premedication in a small number of patients who may be at potential increased risk of experiencing hematogenous total joint infection.

Antibiotic Prophylaxis↗