The impact of teledentistry on travel distance and carbon emissions at a children's hospital.

Background: Health care emissions account for approximately 8.5% of total US domestic greenhouse gas emissions. Staff member and patient travel is the largest contributor to dental office-related emissions, and this number has been increasing.

Estimated Carbon Emissions Associated With Dental Treatment For Early Childhood Caries.

The purpose of this study was to evaluate the environmental impact of travel and anesthetic gas emissions associated with treating early childhood caries at a single institution. Outpatient preventive, treatment, and modeled general anesthesia (GA) cases in children 71 months old and younger were included in this retrospective chart review. The main outcomes were kilograms of carbon dioxide equivalents (kgCO₂e) for travel- and anesthetic gas-related emissions.

Acceptance of voice assistant technology in dental practice: A cross sectional study with dentists and validation using structural equation modeling.

Voice assistant technologies (VAT) has been part of our daily lives, as a virtual assistant to complete requested tasks. The integration of VAT in dental offices has the potential to augment productivity and hygiene practices. Prior to the adoption of such innovations in dental settings, it is crucial to evaluate their applicability.

Age of first dental visits: A benefit of the pediatric medical home.

Objective: This retrospective cohort study compared differences in age one dental visit use and age at first dental visit according to fluoride varnish receipt at the pediatric medical home.

Methods: Enrollment and claims data were used from Partners For Kids, a pediatric accountable care organization covering Medicaid-enrolled children living in 47 of 88 counties in Ohio. The main outcomes were having an age one dental visit and the mean age at first dental visit.

Adverse childhood experiences, dental insurance, and developmental disability: Association with unmet dental needs in Ohio.

Objective: This study investigated whether insurance status and/or developmental disability moderated the association between adverse childhood experiences (ACE) and unmet dental needs among children aged 0 to 17 in Ohio.

Methods: We utilized cross-sectional data from the 2021 Ohio Medicaid Assessment Survey to assess the dental needs of children. ACE scores, dental insurance status, and developmental disability status were analyzed using multivariable logistic regression to identify their potential association with parental-reported unmet dental needs.

Triazolam for Pediatric Dental Sedation: A Retrospective Evaluation of Safety and Changes in Visit Behavior.

To describe triazolam in pediatric dental mild to moderate sedation and report changes to overall visit behavior for permanent first molar extraction. This retrospective chart review from 2018 to 2022 analyzed demographic, procedural, and behavioral data for children eight years and older receiving triazolam for a permanent first molar extraction. The outcomes included adverse events measured by deviations in heart rate and oxygen saturation and changes to overall visit-level Frankl scores from the referral to sedation visit.

Evaluating the type of pediatric dental care use in the context of neighborhood opportunity.

Background: Increasing evidence supports the influence of neighborhood factors on health care use and outcomes. This study measured the association between area-level social determinants of health (SDH) and type of dental care use among Ohio pediatric Medicaid beneficiaries.

Methods: A retrospective dental claims analysis was completed for children aged 1 through 5 years enrolled in Ohio Medicaid with a dental visit in 2017.

Perception of nurses applying silver diamine fluoride to children's teeth: A mixed methods study.

Background: No studies have evaluated the unique potential of nurse-led silver diamine fluoride (SDF) application for children to bridge the gap in interprofessional collaboration.

Aim: To investigate the attitudes, beliefs and perceptions of nurses regarding nurse-led SDF application at the well-child visit and identify possible barriers and make recommendations.

Design: Mixed methods design involving a questionnaire and semi-structured individual interviews were conducted.

Assessing Pediatric Dental Resident Sedation Skills and Confidence with Simulation: A Pilot Study.

To conduct a pilot study assessing resident performance and self-efficacy during sedation-related simulations. Residents completed one informed consent and two sedation-related emergency simulations. Performance was measured for each simulation.

Impact on Dental Utilization of the Integration of Oral Health in Pediatric Primary Care Through Quality Improvement.

Objectives: To evaluate child-level dental utilization and expenditure outcomes based on if and where children received fluoride varnish (FV) at quality improvement (QI) medical practices, at non-QI medical practices, at dental practices, or those who never received FV from any practice.

Design: Retrospective claims-based analysis cohort study.

Setting: Children with Medicaid insurance through an Ohio pediatric accountable care organization.

Dental Care Differences Among the Behavioral Health Population in an Accountable Care Organization: A Retrospective Cohort.

Objective: To compare dental utilization and expenditures between children with and without behavioral health (BH) diagnoses in an accountable care organization.

Methods: This retrospective cohort study used enrollment and claims data of Medicaid-enrolled children in Ohio. Children with 7 years of continuous enrollment from 2013 to 2019 were included.

Calibrating Pediatric Dental Faculty: Caries Management in Primary Teeth.

Purpose: The purpose of this study was to evaluate caries treatment decisions agreement in primary teeth among board-certified pedi- atric dentistry faculty at a single teaching institution.

Methods: Ten full-time faculty selected a treatment for each of 64 primary teeth in 17 children based on clinical photos and radiographs. Cases were presented under three different social and behavioral scenarios.

Caries and Oral Health Behaviors Among Children With and Without Intellectual and Developmental Disabilities.

This study evaluates oral health behaviors and caries in children with and without intellectual and developmental disabilities.

Implementing Standardized Patient Caregivers to Practice Difficult Conversations in a Pediatric Dentistry Course.

Introduction: Standardized patient (SP) methodology has been used in health professional education to help students develop communication, deeper diagnostic reasoning, and critical thinking skills. Few examples demonstrate the use of SPs to practice difficult conversations with pediatric caregivers in the pediatric dentistry literature. The objective of this educational activity was to describe the implementation of three SPs in a pediatric dentistry course for second-year dental students.

Examining Parental Treatment Decisions Within a Contemporary Pediatric Dentistry Private Practice.

Purpose: The primary objective of this study was to compare relationships between child, parent, and clinical factors with patient-level treatment decisions for early childhood caries. A secondary objective was to describe children that received silver diamine fluoride (SDF) as interim versus long-term treatment.

Patients And Methods: Parents of 2-6-year-old children seeking care at a multi-center pediatric dentistry private practice were enrolled in this cross-sectional study.

Comparing Dental Treatment between Children Receiving and not Receiving Silver Diamine Fluoride.

Objectives: The objective was to compare dental visits, procedures, and expenditures in children with newly diagnosed caries.

Study Design: A retrospective chart review was conducted in a two dentist private practice in North Carolina. Demographic data, health status, and dental treatment data was collected.

Cohort Profile: ZOE 2.0-A Community-Based Genetic Epidemiologic Study of Early Childhood Oral Health.

Early childhood caries (ECC) is an aggressive form of dental caries occurring in the first five years of life. Despite its prevalence and consequences, little progress has been made in its prevention and even less is known about individuals' susceptibility or genomic risk factors. The genome-wide association study (GWAS) of ECC ("ZOE 2.

Introducing legislative advocacy into the dental school curriculum: A mixed-methods evaluation.

The aim of this project was to evaluate a legislative advocacy exercise in pediatric dentistry at 1 North American dental school. A mixed-methods approach was employed using focus groups and questionnaires. All third-year dental students (n = 84) participated in an exercise as part of the pediatric dentistry course.

Pre-doctoral special healthcare needs education: Lost in a crowded curriculum.

We explored academicians' experiences with pre-doctoral special healthcare needs (SHCN) education using one-on-one interviews with academic leaders. We assessed their personal experience with SHCN, the current state of SHCN education at their institution, and their opinions about SHCN education in the pre-doctoral curriculum. Interviews were transcribed verbatim and analyzed using a qualitative descriptive framework to identify emerging themes.

Parental acceptance of silver diammine fluoride in children with autism spectrum disorder.

Background: Parents of children with autism spectrum disorder (ASD) may have concerns with fluoride/silver content in silver diammine fluoride (SDF).

Aim: To compare parental acceptance of SDF and dental fear between children with and without ASD.

Design: Three hundred parents were enrolled.

Assessing Dental Students' Knowledge, Attitudes, and Beliefs About Medicaid and Health Care Reform: A Mixed-Methods Study.

The aim of this study was to conduct a needs assessment of Medicaid and health care reform education in the current dental curriculum of one U.S. dental school.

Development and testing of a patient-centered dental home assessment for low-income families.

Objectives: The purpose of this study was to develop an instrument in English (ENG) and Spanish (SPA) for use in assessing perceptions of dental home characteristics among low-income adults.

Methods: An expert panel selected 21 items from a pool of 81 items mapped to domains in the American Academy of Pediatrics' medical home. Pilot testing with mothers (n = 795) of children in Early Head Start (EHS) resulted in an expanded 36-item scale, which was field-tested in interviews with ENG- (N = 665) and SPA-speakers (N = 116).