Abstract:
OBJECTIVE:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relative effectiveness of different examination procedures. METHODS:A 38-item survey instrument was e-mailed to dentists in a western US, multistate dental practice group. Questionnaires were received by 241 dentists, and 102 responded. An Oral Cancer Knowledge scale (0 to 14) was generated from correct responses on oral cancer general knowledge. An Oral Cancer Examination Thoroughness scale was calculated from the two dimensions of reported usage and frequency of procedures in oral cancer examinations. RESULTS:Nearly all responding dentists were in general practice (90%), with a median year of graduation from dental school of 1994. The Oral Cancer Knowledge scores ranged from 5 to 14 with a mean of 10.4. The mean Thoroughness of Examination score was 11.34 (range 0 to 20). The two scales were not statistically correlated (r = -0.015, P = 0.883). Statistically, recency of continuing education was significantly associated with knowledge (P = 0.0284) and appears to be marginally associated with thoroughness (P = 0.075). CONCLUSIONS:This study documents considerable variability in dentists' knowledge and thoroughness of examinations. The scales provide tools for future studies for improving understanding of early detection of oral cancer in clinical practice.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
LeHew CW,Epstein JB,Kaste LM,Choi YKdoi
10.1111/j.1752-7325.2009.00148.xsubject
Has Abstractpub_date
2010-04-01 00:00:00pages
93-100issue
2eissn
0022-4006issn
1752-7325pii
JPHD148journal_volume
70pub_type
杂志文章abstract:OBJECTIVE:This article provides an overview of statistical mediation analysis methods in the evaluation of public health dentistry interventions. METHODS AND RESULTS:First, reasons for conducting mediation analysis are outlined, followed by a discussion of the link between the mediation model and theoretical bases of ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2011.00252.x
更新日期:2011-01-01 00:00:00
abstract::The American Dental Association's Strategic Plan for the Future of Dentistry is primarily a self-serving document in that it attempts to protect the dentist regardless of the changing oral health needs of the population. Marketing, even if initially successful, will not increase the absolute demand for dental services...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1985.tb01125.x
更新日期:1985-07-01 00:00:00
abstract:OBJECTIVES:This cross-sectional study examined Early Head Start (EHS) teachers' oral health program activities and their association with teacher and program characteristics. METHODS:Self-completed questionnaires were distributed to the staff in all EHS programs in North Carolina. Variables for dental health activitie...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2011.00245.x
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. METHODS:Cross-sectional analysis of 2,745 community-dwellin...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12072
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:This paper describes the development of a new literacy assessment instrument, the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (HKOHLAT-P). Its relationship to literacy theory is analyzed to establish content and face validity. Implications for construct validity are examined by an...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12033
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine: a) the sociodemographic and health factors associated with poor school performance among North Carolina children; and b) the impact of poor oral health status on school performance while controlling for other health and sociodemographic factors. METHODS:We used data...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2007.00062.x
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVES:The "optimal" intake of fluoride has been widely accepted for decades as between 0.05 and 0.07 mg fluoride per kilogram of body weight (mg F/kg bw) but is based on limited scientific evidence. The purpose of this paper is to present longitudinal fluoride intake data for children free of dental fluorosis in t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2008.00108.x
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:To describe perceived benefits and safety of community water fluoridation (CWF) and investigate factors associated with those perceptions of CWF among respondents to a proprietary survey in the United States. METHODS:We obtained data from the 2009 HealthStyles survey, a convenience sample of 4,556 responden...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12104
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:We estimated the effect of South Carolina's (SC) Medicaid fluoride varnish (FV) reimbursement policy on children's receipt of fluoride varnish in medical (MFV) and dental (DFV) settings. METHODS:We obtained data from SC Medicaid enrollment and claims files for children ≤ 47 months of age across State Fiscal ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12163
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:This evaluation assesses the Medical Oral Expanded Care (MORE Care) initiative in four states that focused on oral health integration into primary care practices located in dental shortage areas. METHODS:This analysis is conducted using self-reported primary data collected from each of the participating MORE...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12407
更新日期:2020-09-01 00:00:00
abstract::The high prevalence of disorders in the mouths of elderly residents in long-term care (LTC) facilities suggests that the dental services available to the residents are inadequate. A questionnaire was sent to most of the dentists practicing in Vancouver (British Columbia) to solicit their opinions on treating older pat...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02280.x
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVES:Preventive dental health services are intended to reduce the likelihood of development of tooth decay and the need for more intensive treatment overtime. The evidence on the effectiveness of preventive dental care in reducing treatment services and expenditures is lagging for adults, particularly those with ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12262
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental rec...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12435
更新日期:2020-12-06 00:00:00
abstract::An evaluation of the effectiveness of the Toothkeeper program was performed in Houston to determine if participation in the program by elementary school children would result in their having cleaner teeth and better gingival health than seen in similar children not in the program. Assessments for plaque and gingivitis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1975.tb04029.x
更新日期:1975-04-01 00:00:00
abstract:OBJECTIVE:To compare perceptions of general health versus oral health within two populations. METHODS:Secondary analysis of cross-sectional survey data obtained from representative samples of dentate adults in Australia and the United States. Australian data were collected in the 2002 National Dental Telephone Intervi...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2006.tb04078.x
更新日期:2006-10-01 00:00:00
abstract::Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.2000.tb03338.x
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:To identify factors associated with dental utilization and expenditures for children enrolled in Washington State (WA) foster care (FC). METHODS:This cross-sectional study used 2008 Medicaid enrollment and claims files for children ages <18 years enrolled in the WA FC program for ≥11 months (N = 10,177). Re...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12027
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:To test the feasibility of colocating registered dental hygienists (RDHs) into medical practices and to evaluate parent/caregiver oral health characteristics. METHODS:From December 2008 to April 2009, we colocated five RDHs into five medical practices identified for their service to low-income children. Dua...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12010
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this paper is to describe the Hispanic/Latino (H/L) dentist workforce, their general practice patterns, and their contributions to oral health care for H/L and underserved patients. METHODS:A national sample survey of underrepresented minority dentists was conducted in 2012 and received a 35....
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12194
更新日期:2017-03-01 00:00:00
abstract::In order to investigate the similarity and differences between male and female dental students, the Bentler inventories, which utilize both self and peer report formats, were administered to first year students at U.C.L.A. Results indicated that male and female dental students are basically similar in terms of a wide ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1978.tb03742.x
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVES:Tobacco use accounts for 75 percent of oral cancer deaths in the United States. One objective of Healthy People 2010 is to increase the percentage of dentists who provide smoking cessation counseling. However, studies of dentists have shown that the majority feel inadequately prepared to do so. The objective...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2006.tb02550.x
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:The aims of this study were to examine dentists' recommendations for in-office fluoride to patients and identify dentists' characteristics associated with these recommendations. STUDY DESIGN AND SETTING:The study was conducted using a cross-sectional questionnaire survey in Japan. The survey queried dentists...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12114
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems. METHODS:A cross-sectional comprehensive oral health survey conducted with a random, multiethnic (...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00121.x
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to document the association between socioeconomic status (SES) and the prevalence and impact of orofacial pain by anatomical location. In addition, differential effects of SES on orofacial pain across levels of sex, race, and age were documented. METHODS:The subjects were 724 p...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2003.tb03495.x
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To assess and compare examiner reliability of clinical and photographic fluorosis examinations using the Fluorosis Risk Index (FRI) among children in the Iowa Fluoride Study (IFS). METHODS:The IFS examined 538 children for fluorosis and dental caries at age 13 and obtained intraoral photographs from nearly a...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00315.x
更新日期:2012-04-01 00:00:00
abstract::When used properly, sealants result in improved dental health. However, their use on all occlusal tooth surfaces for preventive reasons will result in wasted dental care resources. To optimize the preventive effects of sealants, a delivery model should be initiated that uses specially trained dental hygienists or dent...
journal_title:Journal of public health dentistry
pub_type: 评论,杂志文章,评审
doi:10.1111/j.1752-7325.1995.tb02384.x
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVES:Italy, together with Spain, is second only to France in the total number of AIDS cases in Europe, with over 16,800 as of March 1993. The purpose of this study was to evaluate knowledge, attitudes, and behavior concerning AIDS and infection control among Italian dentists. METHODS:A questionnaire was mailed t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1994.tb01206.x
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care. METHODS:Data were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00367.x
更新日期:2013-04-01 00:00:00
abstract::Since 1973 the government of Alberta, a Canadian province of 2.4 million people, has funded a dental care plan for all residents over 64 years old and their dependents. It is the only dental plan in North America that covers all seniors and their dependents residing in a state or province. Under this plan, just over 2...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02286.x
更新日期:1992-10-01 00:00:00
abstract::The widespread availability of fluoride from many sources is accepted as a major reason for the caries decline among children in developed countries. There is still controversy, however, about its principal mode of action. This article reviews the evidence on fluoride's preeruptive and posteruptive effects, and sugges...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.1988.tb03204.x
更新日期:1988-10-01 00:00:00