Dental education and changing oral health care needs: Disparities and demands

Journal of Dental Education

Volumn 76, Issue 1, 2012, Pages 75-88

  Albino, Judith E N ^a   Inglehart, Marita R ^b   Tedesco, Lisa A ^c  

^a UNIVERSITY OF COLORADO   (United States)

^b UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY   (United States)

^c EMORY UNIVERSITY   (United States)

Author keywords

Access to oral health care; Children; Demographic change; Dental education; Oral health of children; Patients with special needs; Poverty; Socioeconomically disadvantaged; Underrepresented minorities

Indexed keywords

DENTAL EDUCATION; DENTAL PROCEDURE; HEALTH; HEALTH CARE DELIVERY; HEALTH CARE DISPARITY; HEALTH CARE PLANNING; HEALTH SERVICE; HUMAN; POVERTY; REVIEW; UNITED STATES; VULNERABLE POPULATION;

DENTAL CARE; EDUCATION, DENTAL; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTHCARE DISPARITIES; HUMANS; MEDICALLY UNDERSERVED AREA; ORAL HEALTH; POVERTY; UNITED STATES; VULNERABLE POPULATIONS;

EID: 84856645740     PISSN: 00220337     EISSN: 19307837     Source Type: Journal    
DOI: None     Document Type: Article

References (90)

1. Wendell Cox Consultancy/Demographia. U.S. population from 1900 (statistics from U.S. Census Bureau). At: www.demographia.com/db-uspop1900.htm. Accessed: November 14, 2011.
2. Rosenberg M. Current U.S.A. population. At: http://geography.about.com/ od/obtainpopulationdata/a/uspopulation. htm. Accessed: November 14, 2011.
3. U.S. Census Bureau. Aging boomers will increase dependency ratio, census bureau projects: older American population to become more diverse. At: www.census.gov/ newsroom/releases/archives/aging-population/cb10-72. html. Accessed: November 14, 2011.
4. Oral health in America: a report of the surgeon general. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research, 2000.
5. Dao LP, Zwetchkenbaum S, Inglehart MR. General dentists and special needs patients: does dental education matter? J Dent Educ 2005;69(10):1107-15.
6. Rich JP III, Straffon L, Inglehart MR. General dentists and pediatric dental patients: the role of dental education. J Dent Educ 2006;70(12):1308-15.
7. Smith CS, Ester TV, Inglehart MR. Dental education and care for underserved patients: an analysis of students' intentions and alumni behavior. J Dent Educ 2006;70(4):398-408.
8. Brown B, Inglehart MR. Orthodontic care for underserved patients: professional attitudes and behaviors of orthodontic residents and orthodontists. Angle Orthod 2011;81(6):1090-6.
9. Brown BR, Inglehart MR. Orthodontists' and orthodontic residents' education about treating underserved patients: effects on professional attitudes and behavior. J Dent Educ 2009;73(5):550-62.
10. Garfinkle AJ, Richards PS, Inglehart MR. Providing care for underserved patients: periodontists' and periodontal residents' educational experiences, attitudes, and behavior. J Periodontol 2010;81(11):1-9.
11. U.S. Department of Health and Human Services. The 2011 HHS poverty guidelines. At: http://aspe.hhs.gov/ poverty/11poverty.shtml. Accessed: October 16, 2011.
12. U.S. Census Bureau. Income, poverty, and health insurance coverage in the United States: report P60, n. 238, table B-2. Washington, DC: U.S. Census Bureau, 2010:68-73.
13. Wight VR, Chau M, Aratani Y. Who are America's poor children? The official story. New York: National Center for Children in Poverty, Mailman School of Public Health, Columbia University, March 2011.
14. Hoffman ED Jr, Klees BS, Curtis CA. Overview of the Medicare and Medicaid programs. Health Care Financing Rev: Statistical Suppl 2005;281:283-304.
15. Valentine AE, Inglehart MR. Medicaid patients in dental school clinics: do personal and professional experiences matter? J Dent Educ 2011;75(9):1225-35.
16. U.S. Department of Health and Human Services. Centers for Medicare & Medicaid Services. At: www.cms.hhs.gov. Accessed: November 14, 2011.
17. American Dental Association Survey Center. Just the facts: Medicaid. ADA News 2009;40(11):1.
18. Medicaid reimbursement for dental care too low, witnesses testify. Medical News Today, April 2, 2007. At: www.medicalnewstoday.com/ printerfriendlynews. php?newsid=66614. Accessed: December 1, 2011.
19. Im JL, Phillips C, Lee J, Beane R. The North Carolina Medicaid program: participation and perceptions among practicing orthodontists. Am J Orthod Dentofacial Orthop 2007;132(2):144.
20. Hughes RJ, Damiano PC, Kanellis MJ, Kuthy R, Slayton R. Dentists' participation and children's use of services in the Indiana dental Medicaid program and SCHIP: assessing the impact of increased fees and administrative changes. J Am Dent Assoc 2005;136(4):517-23. (Pubitemid 40545739)
21. Iben P, Kanellis MJ, Warren J. Appointment-keeping behavior of Medicaid-enrolled pediatric dental patients in eastern Iowa. Pediatr Dent 2000;22:325-9.
22. Gold RB. Immigrants and Medicaid after welfare reform. Guttmacher Rep Public Policy 2003;6(2). At: www. guttmacher.org/pubs/tgr/06/2/gr060206.html. Accessed: December 1, 2011.
23. Piskorowski WA, Fitzgerald M, Mastey J, Krell RE. Development of a sustainable community-based dental education program. J Dent Educ 2011;75(8):1038-43.
24. Wang SJ, Briskie D, Hu J, Majewski R, Inglehart MR. Illustrated information for parent education: parent and patient responses. Pediatr Dent 2010;32(4):295-303.
25. Institute of Medicine. Health literacy: a prescription to end confusion. Washington, DC: National Academies Press, 2004.
26. Kutner ME, Greenberg E, Jin Y, Paulsen C. The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy. Washington, DC: National Center for Education Statistics, U.S. Department of Education, 2006.
27. Rudd RE. Health literacy skills of U.S. adults. Am J Health Behav 2007;31(Suppl 1):S8-S18.
28. Kiresh IS, Jungeblut A, Jenkins L, Kolstad A. Adult literacy in America: a first look at the results of the National Adult Literacy Survey (NALS). Washington, DC: U.S. Department of Education, Office of Educational Research and Improvement, National Center for Education Statistics, 1993.
29. Special Care Dentistry Association (SCDA). SCDA definitions, policies, and guidelines. At: www.scdaonline. org/?page=Definitions. Accessed: November 14, 2011.
30. Brault M. Disability status and the characteristics of people in group quarters: a brief analysis of disability prevalence among the civilian noninstitutionalized and total populations in the American community survey. February 2008. At: www.census.gov/hhes/www/disability/GQdisability.pdf. Accessed: December 16, 2011.
31. U.S. Census Bureau. American community survey/ Puerto Rico community survey, 2006 subject definitions. At: www.census.gov/acs/www/Downloads/data- documentation/SubjectDefinitions/2006-ACSSubject Definitions.pdf. Accessed: December 16, 2011.
32. Lawton L. Providing dental care for special patients: tips for the general dentist. J Am Dent Assoc 2002;133(12):1666-70.
33. Lamster IB, Northridge ME, eds. Improving oral health for the elderly: an interdisciplinary approach. New York: Springer Science and Media, 2008.
34. Campbell JT, McCaslin FC. Evaluation of a dental training program for the care of the handicapped. Spec Care Dent 1983;3(3):100-7.
35. Bentz GS, Lotzkar S. Appendix 11: curriculum guidelines for dentistry for the handicapped. J Dent Educ 1979;43(7):337-41.
36. Fenton SJ. 1993 survey of training in the treatment of persons with disabilities. InterFace 1993;9:1,4.
37. Fenton SJ. Universal access: are we ready? Spec Care Dent 1993;13:94.
38. Fenton SJ. People with disabilities need more than lip service (editorial). Spec Care Dent 1999;19:198-9.
39. Romer M, Dougherty N, Amores-Lafleur E. Predoctoral education in special care dentistry: paving the way to better access? J Dent Children 1999;66(2):132-5.
40. Commission on Dental Accreditation. Accreditation standards for dental education programs. Chicago: American Dental Association, July 30, 2004.
41. American Dental Education Association. Proceedings of the 2004 House of Delegates: Resolution 18-H-2004. J Dent Educ 2004;68(7):705.
42. Dehaitem MJ, Ridley K, Kerschbaum WE, Inglehart MR. Dental hygiene students and patients with special needs: a survey of U.S. programs. J Dent Educ 2008;72(10):1010-9.
43. Krause M, Vainio L, Zwetchkenbaum S, Inglehart MR. dental education about patients with special needs: a survey of dental school programs. J Dent Educ 2010;74(11):1179-89.
44. Vainio L, Krause M, Inglehart MR. Patients with special health care needs: dental students' educational experiences, professional attitudes and behavior. J Dent Educ 2011;75(1):13-22.
45. Weil TN, Bagramian RA, Inglehart MR. Treating patients with autism spectrum disorder: specialists' perspectives. Spec Care Dentist 2011;31(1):817.
46. Weil TN, Inglehart MR. General and pediatric dentists' professional attitudes and behavior concerning patients with autism: does dental education matter? J Dent Educ 2010;74(12):1294-307.
47. Weil TN, Inglehart MR. Pediatric patients with autism spectrum disorders: severity of symptoms and oral health and oral health-related behavior. Pediatr Dent, forthcoming.
48. Munz SM, Edwards SP, Inglehart MR. Adolescents with cleft lip/palate: quality of life and satisfaction with treatment and treatment outcomes. Int J Oral Maxillofac Surg 2011;40:790-6.
49. Kanjirath PP, Kim SE, Inglehart MR. Diabetes and oral health: the importance of oral health-related behavior. J Dent Hyg 2011;85(4):264-72.
50. McFarland M, Inglehart M. Depression, self-efficacy, and oral health: an exploration. Oral Health Dent Management Black Sea Countries 2010;9(4):214-22.
51. Evans CA, Kleinman DV. The surgeon general's report on oral health: opportunities for the dental professional. J Am Dent Assoc 2000;131(12):1721-8.
52. Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G. Trends in oral health status: United States, 1988-94 and 1999-2004. Vital Health Stat 2007;11(248).
53. National Health and Nutrition Examination Survey III, 1988-1994, Series 11, nos. 1 and 1a. Atlanta: National Center for Health Statistics, 1997.
54. O'Sullivan DM, Tinanoff N. The association of early dental caries patterns with caries incidence in preschool children. J Public Health Dent 1996;56(2):81-3. (Pubitemid 126673976)
55. Al-Shalan TA, Erickson PR, Hardie NA. Primary incisor decay before age 4 as a risk factor for future dental caries. Pediatr Dent 1997;19(1):37-41. (Pubitemid 127735287)
56. Sheller B, Williams BJ, Lombardi SM. Diagnosis and treatment of dental caries-related emergencies in a children's hospital. Pediatr Dent 1997;19(8):470-5. (Pubitemid 127735227)
57. Willershausen B, Haas G, Krummenauer F, Hohenfellner K. Relationship between high weight and caries frequency in German elementary school children. Eur J Med Res 2004;9(8):400-4.
58. Napoles B, Arruda AO, Inglehart MR, Sohn W. Children's oral health and nutritional intake in rural Brazil. Presentation at International Association for Dental Research, Toronto, Canada, July 2008.
59. Gift HC, Reisine ST, Larach DC. The social impact of dental problems and visits. Am J Public Health 1992;82(12):1663-8.
60. Jackson SL, Vann WF, Kotch JB, Pahel BT, Lee JY. Impact of poor oral health on children's school attendance and performance. Am J Public Health 2011;101(10):1900-6.
61. Inglehart MR, Filstrup SL, Wandera A. Oral health-related quality of life and children. In: Inglehart MR, Bagramian RA, eds. Oral health and quality of life. Chicago: Quintessence, 2002.
62. Filstrup SL, Briskie D, da Fonseca M, Lawrence L, Wandera A, Inglehart MR. Early childhood caries and quality of life: child and parent perspectives. J Pediatr Dent 2003;25(5):431-40.
63. Patel RR, Tootla R, Inglehart MR. Children's smiling patterns: a function of oral health? Community Dent Oral Epidemiol 2007;35:44-52.
64. Pew Center on the States. The cost of delay: state dental policies fail one in five children. Washington, DC: Pew Center on the States, February 2010.
65. Valachovic RW. Dental workforce trends and children. Ambul Pediatr 2002;2(2 Suppl):154-61. (Pubitemid 34467656)
66. Nainar SMH, Tinanoff N. Effect of Medicaid reimbursement rates on children's access to dental care. Pediatr Dent 1997;19(5):315-6.
67. American Academy of Pediatric Dentistry. Policy on workforce issues and delivery of oral health care services in a dental home. Pediatr Dent 2011;33:26-30.
68. Casamassimo P, Berlocher WC, Cheney W, Donly K, Lee J, Nowak A, et al. The future of pediatric dentistry advanced education: the need for change in training standards. Pediatr Dent 2009;31(4):298-309.
69. American Academy of Pediatric Dentistry. Guideline on infant oral health care. Pediatr Dent 2006-07;28(7 Suppl):73-6.
70. Malcheff S, Pink TC, Sohn W, Inglehart MR, Briskie D. Infant oral health examinations: pediatric dentists' professional behavior and attitudes. Pediatr Dent 2009;31(3):117-24.
71. Ananaba N, Malcheff S, Briskie D, Inglehart MR. Infant oral health examinations: general and pediatric dentists' attitudes and professional behavior. J Mich Dent Assoc 2010;92(12):38-43.
72. Albino JE, Garcia R, Weintraub JA, Gansky SA. NIH-funded collaborating research centers to reduce oral health disparities: ECC. Presentation at the National Oral Health Conference, St. Louis, MO, April 2010.
73. Darby ML, Walsh M. Dental hygiene: theory and practice, 3rd ed. Philadelphia: Saunders Elsevier, 2010.
74. Inglehart MR, Tedesco L. Increasing orthodontic patient cooperation in the 21st century: the role of cross-cultural communication issues. In: McNamara JA, Trotman CA, eds. Creating the compliant patient. Ann Arbor: Craniofacial Growth Series, Center for Human Growth and Development, University of Michigan, 1997:181-93.
75. Sullivan Commission on Diversity in the Health Care Workforce. Missing persons: minorities in the health professions, 2004. At: http://health-equity. pitt.edu/40/. Accessed: November 14, 2011.
76. Gurin P. The compelling need for diversity in education. Mich J Race & Law 1999;5(1):363-425.
77. Tedesco L. The role of diversity in the training of health professionals. In: Smedley BD, Stith AY, Colburn L, Evans CH, eds. The right thing to do, the smart thing to do: enhancing diversity in the health professions. Washington, DC: National Academy Press, 2001:36-56.
78. Tedesco LA. Post-affirmative action Supreme Court decision: new challenges for academic institutions. J Dent Educ 2005;69(12):1212-21.
79. Woolfolk MW, Price SS. Efforts to increase student diversity in allied, predoctoral, and advanced dental programs in the United States: a historical perspective. J Dent Educ 2012;76(1):51-64.
80. Drisko CL, Whittaker LP. Dental school faculty and the academic environment from 1936 to 2011: familiar features in a new context. J Dent Educ 2012;76(1):65-74.
81. Richards PS, Inglehart MR. An interdisciplinary approach to case-based teaching: does it create patient-centered and culturally sensitive providers? J Dent Educ 2006; 70(3):284-91.
82. Anderson JI, Patterson AN, Temple HJ, Inglehart MR. Lesbian, gay, bisexual, and transgender (LGBT) issues in dental school environments: dental student leaders' perceptions. J Dent Educ 2009;73(1):105-18.
83. Edelstein BL. Examining whether dental therapists constitute a disruptive innovation in US dentistry. Am J Public Health 2011;101(10):1831-5.
84. Wetherhall S, Burrus B, Shugars D, Bader J. Cultural context in the effort to improve oral health among Alaska Native people: the dental health aide therapist model. Am J Public Health 2011;101(10):1836-40.
85. Batliner T, Brinton JT, Daniels DM, Wilson A, Gallegos J, Janis M, et al. 2011. An assessment of oral health on the Pine Ridge Indian Reservation. Battle Creek, MI: W.K. Kellogg Foundation, 2011.
86. Commission on Dental Accreditation. Accreditation standards for dental education programs. Chicago: American Dental Association, 2010. At: www.ada.org/sections/educationAndCareers/pdfs/predoc.pdf. Accessed: December 1, 2011.
87. Inglehart MR, Tedesco LA, Valachovic RW. Quality of life: refocusing dental education. In: Inglehart MR, Bagramian RA, eds. Oral health and quality of life. Chicago: Quintessence, 2002:183-92.
88. Formicola AJ, ed. New models of dental education: the Macy study report. J Dent Educ 2008;72(2 Suppl):3-136.
89. Bailit HL, Formicola AJ. About the Pipeline program. J Dent Educ 2010;74(10 Suppl):S5-S6.
90. Otto M. For want of a dentist. Washington Post, February 28, 2007.