Oral lesions associated with SARS-CoV-2 (COVID-19) include aphthous-like ulcers, herpetiform eruption of vesicles and erosions and other findings. Reactive infectious mucocutaneous eruption (RIME) has recently been used to describe non-Mycoplasma pneumoniae pathogens that can lead to rash and mucositis. RIME secondary to SARS-CoV-2 infection is consistent with reports in the literature. The patient in this case report is significant in that it involves only the oral mucosa, although there are cases reported where mucosal involvement is limited to one site. The degree of mucosal involvement in our case report was in the presence of an acute COVID-19 infection without ocular or genital involvement. Oral lesions associated with COVID-19 infection vary in presentation. This paper adds to the understanding of systemic manifestations of COVID-19 infection and provides a reference of clinical findings, management, and interdisciplinary collaboration for caring for this patient.

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. One approach to reduce such emissions is to use telehealth instead of in-person office visits. Methods. This pilot retrospective cross-sectional study included all children who completed a teledentistry visit from November 15, 2022, through June 23, 2023 in a pediatric dentistry clinic. Electronic health record data collected included age, race and ethnicity, insurance type, preferred language, and street address. Patient miles and travel time saved were calculated using mapping software. Emissions prevented were calculated using a miles-per-gallon fuel efficiency of 25 miles per gallon and 8.82 kg of carbon dioxide (CO2) produced per gallon of gasoline consumed (standard US Environmental Protection Agency ratios). Results. For the 101 patient visits, teledentistry saved 13,822.1 patient miles of round-trip travel distance, with a mean of 136.9 miles saved (range, 5.4-309.5 miles), and more than 15,000 minutes of round-trip drive time, with a mean of 150.3 minutes saved (range, 14.8-318.6 minutes), and resulted in 552.9 fewer gallons of gasoline consumed and 4,875.4 fewer kilograms of CO2 emissions from gasoline consumption than in-person clinic visits. Most reduced carbon emissions realized were contributed from patients living in rural communities. Conclusions. Teledentistry consultations reduced patient miles traveled and drive time traveled and resulted in fewer kilograms of CO2 emissions and fewer gallons of gasoline used. Practical Implications. Teledentistry is a tool for patients and contributes to reducing greenhouse gas emissions and waste in dentistry.

ABSTRACTBackground Resource-limited communities across the globe face dramatic health disparities augmented by the shortcomings of translating research into practice. Community-based participatory research (CBPR) empowers communities through research and engagement to generate knowledge and improve global oral health. This case study presents findings and methods from a CBPR oral health project with an Indigenous Community in Costa Rica (La Casona).Methods Interviews were conducted with public health dentists, community stakeholders, and community health leaders. Qualitative content and direct coding analysis of 8 interview transcripts was used to develop initial themes. Initial themes were grouped into final themes with representative quotations with framework analysis.Results Final themes identified included health education, financial status, structural influences on health, diet and nutrition, sociocultural characteristics, and environmental factors. Community partners guided development of a conceptual framework identifying common protective factors and common risk factors for oral health in La Casona.Conclusion This study is an example of CBPR that explores interconnected determinants of oral health in La Casona and uniquely identifies common protective factors in addition to common risk factors for oral health.Practical Implications Dental practitioners can apply the CBPR principles applied for this study in other clinical and research initiatives to better align with the WHO Strategic Objectives.

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. Participants: Children aged 1 to 5 years with 1 or more well-child visits between 2015 and 2017. Intervention: FV receipt versus no FV. Among children who received FV, categorized if FV delivered by a QI-participating medical provider, a non-QI-participating medical provider, and a dental provider. Main Outcome Measure: Dental claims from 2014 to 2019 were collected for preventive dental visits, caries-related treatment visits, dental general anesthesia (GA) visit, and emergency department visit for a dental problem to examine utilization patterns, expenditures, and dental outcomes. Results: The QI group had a significantly higher incidence of preventive dental visits than the dental (incidence rate ratio [IRR] = 0.93; 95% confidence interval [CI], 0.91-0.96) or non-QI groups (IRR = 0.86; 95% CI, 0.84-0.88). Compared with the QI group, the non-QI (adjusted odds ratio [aOR] = 2.6; 95% CI, 2.4-2.9) and dental (aOR = 2.9; 95% CI, 2.6-3.3) groups were significantly more likely to have caries-related treatment visits. The dental group children were significantly more likely to have dental treatment under GA than the QI group (aOR = 5.3; 95% CI, 2.0-14.4). Conclusions: Children seen at QI practices appear to have an increased uptake of preventive dental services, which may explain the lower incidence of dental caries visits and GA treatment.

Purpose The purpose of the paper is to describe the current state of leadership and leader-member exchange (LMX) theory in dentistry and develop a novel conceptual model of LMX to guide future research and highlight the importance of enhancing leadership training for new dentists. Design/methodology/approach A literature review exploring leadership in dentistry and LMX in dentistry was completed. The findings were analyzed with framework analysis to develop a novel conceptual model of LMX specific to dentistry. Findings LMX theory was applied to leadership in dentistry, including a focus on new dentists, senior dentists, other dental team members and the patient. A new conceptual model of the New Dentist LMX Quartet, which is unique and specific to new dentist teams, was developed. Research limitations/implications The study identifies the need for research in LMX in dentistry, contributes a new conceptual model for LMX theory and identifies future research. Practical implications Practitioners, policymakers and educators can utilize this information to explore concepts in leadership and improve training and dental practice. Originality/value No other studies specifically exploring LMX in dentistry for new dentists exist. The current literature review and conceptual paper begins the conversation on developing understanding of leadership in dentistry through further research.

The fifth annual summer research summit organized by the Center of Excellence (COE) in Health Equity, Training and Research, Baylor College of Medicine (BCM), was held on May 17, 2022. The theme of this year’s summit was ‘Academic-Community Partnerships: Change Agents for Advancing Health Equity.’ Given the ongoing pandemic, the summit was conducted virtually through digital platforms. This program was intended for both BCM and external audiences interested in advancing health equity, diversity, and inclusion in healthcare among healthcare providers and trainees, biomedical scientists, social workers, nurses, and individuals involved in talent acquisition and development, such as hiring managers (HR professionals), supervisors, college and hospital affiliate leadership and administrators, as well as diversity and inclusion excellence practitioners. We had attendees from all regions of the United States as well as from Saudi Arabia. The content in this Book of Abstracts encapsulates a summary of the research efforts by the BCM COE scholars (which includes post-baccalaureate students, medical students, clinical fellows, and junior faculty from BCM) as well as the external summit participants. The range of topics in this year’s summit was quite diverse, encompassing disparities in relation to maternal and child health (MCH), immigrant health, cancers, vaccination uptakes, and COVID-19 infections. Various solutions were ardently presented to address these disparities, including community engagement and partnerships, improvement in health literacy, and the development of novel technologies and therapeutics. With this summit, BCM continues to build on its long history of educational outreach initiatives to promote diversity in medicine by focusing on programs aimed at increasing the number of diverse and highly qualified medical professionals ready to introduce effective and innovative approaches to reduce or eliminate health disparities. These programs will improve information resources, clinical education, curricula, research, and cultural competence as they relate to minority health issues and social determinants of health. The year’s summit was a great success! Copyright © 2022 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

Introduction: Early childhood caries burdens children, their families, and the health care system. Utilizing fluoride varnish at medical well-child visits with non-dental primary care providers can be an interprofessional strategy to combat early childhood caries. The COVID-19 pandemic dramatically altered preventive health care delivery and the effects on preventive oral health care delivery have not been previously described. Methods: This analysis used descriptive statistics and non-parametric Wilcoxon Mann-Whitney tests to compare preventive oral health utilization among 1 to 5-year old children in two state Medicaid agencies before and during the pandemic. Fluoride utilization rates at dental visits and medical well-child visits were calculated as number of users per 1,000 enrolled children. Additionally, the proportion of well-child visits that included fluoride application was calculated for each state. Results: During the pandemic, the quarterly fluoride utilization rate significantly decreased at dental visits (pre-pandemic = 153.5 per 1,000 enrolled children; pandemic = 36.1 per 1,000 enrolled children, p < 0.001) and signficantly decreased at medical well-child visits (pre-pandemic = 72.2 per 1,000 enrolled children; pandemic = 32.3 per 1,000 enrolled children, p = 0.03) during the pandemic. Conclusions: The findings highlight the importance of interprofessional collaboration among non-dental primary care providers and dental providers to provide access to preventive oral health services, particularly when access to dentists is limited. Future directions might include rigorous evaluations of co-located medical and dental services or the use of interprofessional telehealth technologies.

Journal of Dental EducationVolume 85, Issue S1 p. 975-976 ADVANCING THROUGH INNOVATION Recruiting from a distance, part 2: Virtual open houses Kimberly J. Hammersmith DDS, MPH, MS, Corresponding Author Kimberly J. Hammersmith DDS, MPH, MS [email protected] orcid.org/0000-0002-5111-8311 The Ohio State University College of Dentistry, Columbus, Ohio, USA Correspondence Kimberly J. Hammersmith, The Ohio State University College of Dentistry, Columbus, OH (614) 722-1561, USA. Email: [email protected]Search for more papers by this authorDavid O. Danesh DMD, David O. Danesh DMD The Ohio State University College of Dentistry, Columbus, Ohio, USASearch for more papers by this authorDaniel B. Claman DDS, Daniel B. Claman DDS The Ohio State University College of Dentistry, Columbus, Ohio, USASearch for more papers by this author Kimberly J. Hammersmith DDS, MPH, MS, Corresponding Author Kimberly J. Hammersmith DDS, MPH, MS [email protected] orcid.org/0000-0002-5111-8311 The Ohio State University College of Dentistry, Columbus, Ohio, USA Correspondence Kimberly J. Hammersmith, The Ohio State University College of Dentistry, Columbus, OH (614) 722-1561, USA. Email: [email protected]Search for more papers by this authorDavid O. Danesh DMD, David O. Danesh DMD The Ohio State University College of Dentistry, Columbus, Ohio, USASearch for more papers by this authorDaniel B. Claman DDS, Daniel B. Claman DDS The Ohio State University College of Dentistry, Columbus, Ohio, USASearch for more papers by this author First published: 07 October 2020 https://doi.org/10.1002/jdd.12457Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat No abstract is available for this article. REFERENCE 1Boyd CJ, Inglesby DC, Corey B, et al. Impact of COVID-19 on away rotations in surgical fields. J Surg Res. 2020; 255: 96-98. 10.1016/j.jss.2020.05.049 CASPubMedWeb of Science®Google Scholar Volume85, IssueS1Supplement: Advancing Through Innovation in a Challenging TimeJune 2021Pages 975-976 This article also appears in:Advancing Through Innovation in a Challenging Time ReferencesRelatedInformation

INTRODUCTION:Outdoor smokefree (SF) policies have the potential to decrease secondhand smoke exposure and denormalize smoking. In order to inform dissemination and evaluation of this emergent tobacco control strategy, this study examined the prevalence of SF park policies in the United States and the community-level characteristics associated with enactment of such policies. METHODS:Counties with existing SF park policies in one or more jurisdictions were identified using passive surveillance data from the American Nonsmokers' Rights Foundation (ANR). ANR data were validated in a random subsample of counties. County-level characteristics were obtained from public data sources and included population demographics, socioeconomic status (SES), urbanicity, and voter affiliation. State-level tobacco control variables included presence of indoor SF policies and adult smoking prevalence. General estimating equations were used to identify predictors of having a SF park policy while accounting for clustering of counties within states. RESULTS:Eleven percent (n = 355) of counties in the United States (n = 3,143) had at least 1 jurisdiction with a SF park policy. The odds of a county having a SF park policy decreased as the percentage of older residents, recent movers, and smokers increased, and the odds increased as the percentage of Democratic voters increased. Odds were higher for counties with higher SES versus low-SES counties and urban/suburban versus rural counties. CONCLUSIONS:SF park policies are currently limited to relatively few jurisdictions, and there is evidence of disparities in adoption of these policies. Public health practitioners should focus promotion of SF park policies on low-SES communities with children and youth and rural areas.

INTRODUCTION:Not all smokers receive tobacco cessation advice from health care providers (HCPs) and, although factors associated with receiving HCP advice to quit smoking and the effectiveness of such advice have been examined, no recent study has explored differences between types of HCPs (eg, physicians vs dentists). Our objective was to determine the prevalence of HCP-delivered advice and the characteristics of patients who receive advice to quit smoking from any HCP and, separately, from a physician or a dentist.METHODS:This study used data from the Sample Adult Core questionnaire, Sample Family Core questionnaire, and Sample Adult Cancer Control Module of the 2010 National Health Interview Survey. The sample for the analysis was limited to current smokers who saw an HCP in the previous 12 months. The characteristics of smokers who received advice to quit were compared with those who did not receive advice and further analyzed by which type of HCP delivered the advice.RESULTS:Half of current smokers reported receiving advice to quit smoking from any HCP, but only 1 in 10 smokers who visited a dentist received advice to quit. Receipt of advice was associated with sex, age, race, marital status, region, type of health insurance, quit attempts in the previous 12 months, and extent of tobacco use.CONCLUSION:Only half of all smokers receive advice to quit from any HCP and even fewer from dentists. Changes in professional organizations' policies, health profession education curriculum, and continuing education requirements are needed to improve compliance with the Clinical Practice Guideline.