T i m e To A c t :B u i l d i n g B r i d g e s B e t w e e n

P r a c t i c e a n d R e s e a r c h

Thursday February 20, 2014 Breakout Session I: World Café

1. How can we meaningfully engage our PBRN clinicians who are not participating in a study?• Wantedtoseespecificstudyemails• Networkingsites• Socialsite• Quickanswers?• Studyclubthatmeetsmonthly• Touchbasewithstudyclubsalreadydeveloped

2. What would you like to see us change, or do differently, with our Network’s e-newsletters and updates (i.e. general info, study info, CE info)?• Likesthenewsletters• Questionsaboutcontent;abstracts?• Detailsofstudies• Linkstopaststudies• Futurestudies?• Biggeremailnetwork• Sometopicsaretoolong

3. What concerns do you and/or your staff have on conducting in-office studies? How could the Network address those concerns?• Somethingforeveryoneineverystudy• Designedforitnottobeaburdenonanyone• Howtogetstafftobuyin?• Incentiveforstaff?• Commitmentforpatients?• Whatifyoulosepatientsinstudies?

4. What issues might PATIENTS encounter that we are most likely to not recognize when developing our research concepts and future projects?• Languageandclarityofgoalsandstudyforpatients• Clearandcommunicatewell• Presentingconsentfortopatient• Makethelanguagesimplerforthepatient

5. In what ways is the Network fulfilling your expectations? How can the Network better meet your expectations?• Greatteamfacilitating• Greatstaffresponse• HowtoearnCE?• What’sinitforme?• CITI:boring-firstimpressionofnetwork

6. What are your hopes and anticipations for this meeting? What would you like addressed in future meetings?• Process?• Potentialnetworkingamongthemselves• Howdoesitwork?• Whathappenedtotheideasfromlastyear?

“It was very informative and insightful. I have reenergized the love for dentistry and what we can achieve as a network. It

was great meeting you.”

Members, who were present Thursday night, were able to attend the World Café. This breakout session asked six

important questions the Southwest Region wanted to

address. Members were asked to draw and write their answers on the butcher paper at each table.

Friday February 21, 2014 Presentations

ATTENDANCE:74SouthwestRegionmembers(dentists,

hygienists,non-practicing)wereabletoattendthe

annualmeeting!

Dr. Paul Benjamin DMD: Practice-Based Research Networks and Evidence-Based Dentistry – How do they fit together and why should I care? Dr.Benjaminprovidedanoverviewofevidence-baseddentistry;notonlywhatitisbutalsowhatitisnot.Thedifferentlevelsofevidencewereexplainedandwhatsourceswecanusetoanswerclinicalquestionsindentistryandmedicine.

All presentations are available on our post-meeting website

www.southwestmeeting.com

“This was a really good meeting and I was so thrilled to be able to attend. Still talking about it today!”

Breakout Session II

Few study ideas generated from the Guitar and Confetti group will be introduced into our Southwest

Newsletter using the CATs search engine

Presentations

Dr. Dan Beachler PhD: Oral HPV Infection and the Changing Epidemiology of HPV-Associated Head and Neck Cancer Dr.BeachlerdescribedanoverviewoftheepidemiologyoforalHPVinfectionandHPV-associatedheadandneckcancer.Recentlypublishedstudieswerediscussedincludingthosedescribinganincreasingincidenceofthiscanceraswellasmanuscriptsexploringthepotentialco-factorsrelatedtothisinfectioninducedcancer.Dr.BeachleralsogaveanoverviewoftheupcomingHumanPapillomaVirusandOropharyngealCancerPilotStudy.

Dr. John Rugh PdD: Disseminating Research Findings: The UT Dental School Critically Appraised Topics (CATs) Program Dr.Rughprovidedanoverviewoftheproblemsrelatedtothedisseminationofnewresearchfindingsinthemedicalanddentalpracticesetting.TheuseofCriticallyAppraisedTopics(CATs),metasearchenginesandotherinternettechnologyskillstomakeevidence-baseddecisionsaboutnewproductsandprocedureswerereviewed.

“Loved all the programs today, very informative, loved learning about CATs”

“Great info! I so appreciate the opportunity to network with dental professionals who are excited about

dentistry and want to move our profession forward using real world

info and research. I’m so glad to be a part of the PBRN.”

Dentists, hygienists and non-practicing members were divided into three separate groups for the second breakout session

Guitar Group:Dentists-StudyIdeaGenerationwithToPsConsensusBuildingworkshopConfetti Group:DentalHygienists-StudyIdeaGenerationwithToPsConsensusBuilding

workshopCactus Group: EnvironmentalScanofOralHealthoverthepast20yearsusingWave

Methodology

ToPs Idea Generation ToPs Idea GenerationW

hat r

esea

rch

topi

cs d

o de

ntist

s in

our S

outh

wes

t Reg

ion

wan

t to

addr

ess o

ver t

he n

ext t

wo

year

s th

at tr

uly e

nhan

ce cl

inica

l pra

ctice

? Gu

itar R

oom

Lo

ng T

erm

Ef

fect

s of

Blea

chin

g

Man

agin

g Pa

tient

s w

ith Sp

ecia

l Ne

eds

Best

Pr

actic

es in

Im

plan

t De

ntist

ry

Effic

acy a

nd

Long

evity

of

Dent

al

Mat

eria

ls

Carie

s Di

agno

sis,

Mat

eria

ls an

d Tr

eatm

ent

The

Conn

ectio

n be

twee

n Or

al

and

Syst

emic

Heal

th

Diag

nosis

, Tr

eatm

ent

&

prev

entio

n of

Occ

lusa

l Di

sord

ers

Carie

s Pr

even

tion

and

Risk

As

sess

men

t

Best

Pr

actic

es

in P

erio

De

ntist

ry

Role

of

Micr

obe

in

the

Dent

al

Trea

tmen

t En

viro

nmen

t

Blea

chin

g lon

g-te

rm e

ffect

on

Enam

el (o

ver

time

stud

y)

Oral

Car

e fo

r to

tal d

isabl

ed

peop

le in

re

tirem

ent

facil

ity

RCT

vs

Extra

ctio

n &

Impl

ant

Com

para

tive

Prov

ision

al

Cem

ents

–

Effic

ienc

y (P

olyc

arbo

nate

s vs

Tra

ditio

nal

with

mor

e Ch

air

time

Outc

omes

and

Cr

iteria

for s

eala

nt

vs p

last

y/se

al vs

pr

even

tativ

e re

sin

rest

orat

ions

Prev

entio

n-sm

oke

cess

atio

n, ca

ries-

soft

drin

k,

perio

dont

al-

chro

nic m

edica

l ris

k ass

essm

ent

Occlu

sal

Trea

tmen

t m

odal

ity

Prev

entio

n Ri

sk

Asse

ssm

ent

Trea

ting

perio

with

la

sers

Wat

er Li

ne

safe

ty.

Wha

t W

orks

?

Pa

tient

anx

iety

Bo

ne fo

r Im

plan

ts

Conv

entio

nal

PFM

vs O

ther

Al

tern

ative

s

Long

evity

of

Bond

ing o

f res

ins

Oral

/sys

tem

ic he

alth

W

hen

& ho

w to

tre

at

abre

actio

n le

sions

Bottl

ed W

ater

–

Wha

t are

the

conc

erns

? (No

Fl 2

)

Does

per

io-

prot

ect

wor

k?

Rubb

er d

am

succ

ess r

ate

of

its u

sage

on

treat

men

t

Im

med

iate

pl

acem

ent a

nd

load

ing o

f Im

plan

ts

Tech

with

Im

pres

sion

Takin

g

Pulp

capp

ing,

pu

lpot

omy

mat

eria

ls in

im

mat

ure

teet

h

Wha

t are

the

risks

&

bene

fits o

f usin

g Fl 2

toot

hpas

te in

ch

ildre

n un

der 3

?

Wha

t is t

he

best

trea

tmen

t fo

r cer

vical

se

nsiti

vity

How

effe

ctive

is

floss

ing i

n re

ally

prev

entin

g ClII

le

sions

?

Cr

own

& Br

idge

Ad

hesiv

es

Data

base

carie

s pr

ogre

ss vs

risk

re

latio

n

Bisp

hosp

hona

tes

treat

men

t or

refe

rral

CTS –

Cau

ses:

Occlu

sion

vs

rest

orat

ive si

ze

vs m

ater

ial

failu

res

Mos

t effe

ctive

m

ater

ial/p

roto

col

for p

ulpa

l re

gene

ratio

n

Rela

tions

hip

of

toot

h lo

ss to

ov

eral

l hea

lth

Caus

es o

f wor

n de

ntiti

on

Idea

l bon

ding

ag

ents

? W

hat i

s DDS

role

in

diag

nosin

g non

-de

ntal

hea

d an

d ne

ck p

ain?

Valid

ity o

f car

ies

dete

ctio

n de

vices

vs

dye

s. W

hich

m

ost e

ffect

ive &

co

st e

ffect

ive

Wha

t % o

f DD

S/RD

H fo

llow

ing

ADA

antib

iotic

gu

idel

ines

, if n

ot

why

?

What research topics seem

uniquely appropriate and feasible for dental hygienists to examine in

the PBRN setting? Confetti Room

Hom

eopathic Options

HPV & Oral

Cancer Know

ledge Base of DH &

Dentist

Oral Effects of Substance

Use

Fluoride Im

plications at the

Practice Level

Evidence for Periodontal

Care Decisions

Dental Conditions Related to System

ic Diseases

Salivary Im

plications and Testing

Efficacy of Sealants

Efficacy of Desensitizing

agents

Access to Care Trends

Naturalpathic/ antioxidant perio

Oral cancer diagnostics

Marijuana use

T-cell imm

unity Definitive study of effectiveness of fluorides (Brand to Brand)

Arestin abuse Recognizing &

referring patients w

ith possible sleep apnea

Scientific research diet/hom

e care salivary stim

ulation high cam

bra

Retention of sealants (tim

e?) M

easuring success of treatm

ent options for hypersensitivity

Would m

id-level providers increase access to care (dental therapists)?

Probiotics tx for frequent caries

HPV-16 cancer/younger patients

Effects of E-Cigs Effectiveness of coated flosses

Are we using

antimicrobials to

improve perio

condition? W

hy/Why not?

Medical/Social

history affecting treatm

ent options

Salive pH-does it affect calculus form

ation?

Sealants -Help/not -W

hat age best?

Efficacy of Desensitizing agents

Electronic dental records m

ining for diagnostic &

tx trends

HPV &

oral cancer know

ledge base of DH &

DDS?

How to help

meth abuse

patients

Fluoride varnish vs gel/rinse

Effectiveness of pre-rinse on bacterem

ia

Not on size fits all: recom

mendation

s for all patients

Dry mouth study

(effective tx options)

Are sealants benefiting or hurting oral conditions?

Know

ledge of current fluoride usage

SCRP w

ith/without

laser w

ith/without

arestin

Is there a link betw

een obesity and perio?

Saliva testing: BRCA 1 &

2 gene

Safety/Honest Research of fluoride

Does irrigation help periodontal condition?

Dementia and

perio Types of saliva: type of calculus

Are we using

cavitrons before and after handscaling?

Behavior m

odification in the uncontrolled diabetic

Effective clinical m

anagement of

implants

Related to diabetes: acanthosis nigricans screenings

When to refer

5mm

pocket? Severe bleeding w

ith no indicators

Causes of acid erosion (root surface decay)

Dental H

ygiene Participants: Darly

Barkley,KatrinaButh,M

onicaCate,

SherryCline,Tam

myFisher,Betty

Garner,JenniferG

reer,HildaG

uerrero,BeckyH

arris,GaleJancsics,D

ianaKeffer,ShelliLankford,K

imberlyLovell,

SherriMangum

,DorisM

archi,ShelleyM

ayfield,JaniceMcElhaney,Rahm

aM

ungia,PamelaM

yers,SandraPena,StephanieRow

an,LauraUtt,Terry

Vaughn

Facilitator:SarahTheisen

Den

tist P

artic

ipan

ts: M

icha

elB

ates

,Alii

shaCho

ucair,

Shih

abD

iais,

M

erce

desD

omin

guez

,Vin

cent

Fon

tana

,Jo

seG

arcia,C

ynth

iaG

rave

s,Be

atriz

Hicks

,Dem

etra

Jo

nes,

Thom

asK

arr,

Sher

ifK

eriake

s,Pa

melaM

cMah

on,C

arl

Men

tesa

na,L

ynn

Otte

,Fr

edR

abin

owitz

,Pa

ulR

eaga

n,R

ebec

caSch

affer,R

ay

Scot

t,Ant

hony

Sha

rber,M

artin

Sob

iera

j,St

anleyW

endt

,Lin

daW

inter

Faci

litat

or:St

epha

nieRe

yes

Wave Methodology Breakout Session III

Facil

itate

d by

: Hol

ly H

ayes

ha

yesh

@ut

hscs

a.edu

In th

e Fi

eld

of O

ral H

ealth

: Env

iron

men

tal S

can

Wha

t are

the t

rend

s, pa

radi

gms,

and

appr

oach

es em

ergi

ng in

the f

ield

of o

ral h

ealth

? 2nd

Ann

ual S

outh

wes

t Nat

iona

l Den

tal P

BRN

Mee

ting

Feb

ruar

y 21,

201

4

ON T

HE H

ORIZ

ON

(BOU

NDAR

Y)

#S

ystem

ic sc

reenin

g

#Slee

p apn

ea

Micro

bionic

effec

ts (pr

obiot

ics)

#S

aliva

ry dia

gnos

tics

HP

V – p

reven

tion &

ma

nage

ment,

role

of de

ntist

Mi

d-lev

el pro

viders

No

vel to

bacc

o prod

ucts

Im

muno

therap

hy

Open

and s

eal v

s. se

al vs

. res

tore

3-D

C &

Br.

St

em ce

ll: reg

rowing

teeth

#S

tem ce

ll res

torati

on

Repa

ir vs.

replac

e

Wate

r fluo

ridati

on –

tap w

ater

vs. b

ottle

water

, fluo

ride

amou

nt no

t stan

dardi

zed

HP

V tes

ting

Co

unse

ling a

bout

healt

h iss

ues

(weig

ht, sm

oking

)

EMER

GING

#Gen

etics

– dia

gnos

is of

perio

/OH

in ge

neral

, sali

vary

marke

rs for

syste

mic

cond

itions

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w tec

hnolo

gy us

age

{E

mergi

ng D

MOs a

ffecti

ng de

ntal p

ractic

e

HPV-

scree

ning p

ts in

denta

l offic

e

Oral-

syste

mic c

onne

ction

s - pe

rio/ca

rdio

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ri-Imp

lantiti

s – W

hy? H

ow to

treat?

{M

arket

drive

n trea

tmen

t

Oral

probio

tics

Me

lted m

outh

–Mou

ntain

Dew

and b

ottled

wa

ter

Nutrit

ional

coun

selin

g

#Bett

er ma

terial

s –va

lplas

t, viny

l/syn

thetic

ma

terial

s

CA sc

reenin

g dev

ices

Int

ernet

misin

forma

tion

To

bacc

o ces

satio

n prod

ucts/

beha

vior

chan

ge (c

ouns

eling

)

Oral-

syste

mic h

ealth

Gr

oup p

ractic

e tren

ds

Altern

ative

med

icine

ESTA

BLIS

HED

Flu

oride

– go

ld sta

ndard

, carr

ies pr

even

tion

#C

all fo

r cos

metic

care

{

Digit

al x-r

ays

Im

plants

CA

D-CA

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wns

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ectio

n con

trol

All

oy- g

old st

anda

rd, fo

r indig

ent s

pecia

l ne

eds p

ts

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nts –

carie

s prev

entio

n

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entat

ive C

are

{Corp

orate

denti

stry

Or

al ca

ncer

scree

ning –

denti

sts do

ing an

d kn

ow w

hen t

o biop

sy

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Healt

h edu

catio

n

Comp

osite

s -go

ld sta

ndard

whe

n don

e pro

perly

To

bacc

o use

and o

ral/m

ed im

plica

tions

De

ntists

appro

achin

g kids

abou

t toba

cco

use

Er

gono

mic c

once

rns/de

sign f

or all

offic

e sta

ff (ma

le/fem

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d han

dedn

ess)

W

ater fl

uorid

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-effec

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f pts

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drink

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ntures

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viron

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pt fir

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?

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ls

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the p

rofe

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prov

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BRN

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ld st

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the h

oriz

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ergi

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ries

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exam

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he ef

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of t

he A

fford

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on d

entis

try

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Dentist Specific Studies

Hygienist Research Questions

Two different sessions were conducted during the last breakout session of the day. Dentists were able to see which studies they would be able to participate in over the next few years and asked questions to a panel of dentists/office staff who were involved in previous dental PBRN studies. Hygienists created three research questions from ideas generated from

Breakout Session II.

1. Decision aids for management of suspicious occlusal caries•4-8month,in-officestudyusingoneoftwodifferentdevicestodetectsuspiciousocclusalcaries.

•Assessthecontributionofthesedevicesindentists’decision-makingprocessessurroundingSOCLs

• Full enrollees can participate• Status: Recruitment open, expected start date late 2014

2. Management of dentin hypersensitivity•4-6month,in-officecomparativeeffectivenessstudyoftreatmentsalreadybeingused

•Patientsreportat1,4,and8weeksaftertreatment• Full enrollees can participate• Status: Recruitment open, expected start date late 2014

To see all the research studies occurring over the next few years, please see Dr. Gilbert’s presentation on the post-meeting website: www.southwestmeeting.com

The three research questions generated by the hygienists will be handled by Rahma Mungia, Deputy Director of the Southwest Region. She will be contacting the hygienists involved to see if they would like to help

further develop each question into a Study Concept.

1.Whatmethod/typeofin-officefluorideareyoucurrentlyusing?Whatistheefficacyofthemethodforhypersensi-tivity?

2.Howoftenasignorsymptomnotedduringahygieneappointmentthatwouldgenerateareferralforamedicalconsultation?a.Focusedonsleepapneaanderosion.

3.WouldMLPincreaseaccesstocareforunderserved?Pa

rtic

ipan

ts: P

eggy

Alexa

nder,D

anB

each

ler,

Larr

yBe

lling

er,P

aulB

enjam

in,M

iche

leB

right

,San

dyB

urge

,Claud

iaC

avaz

os,J

ohn

Cha

ndler,

Terr

yCoo

k,

Den

aFi

sche

r,Dav

isGau

ntt,

Gre

ggG

ilber

t,Iv

enG

onza

lez,

CelieH

arde

n,L

anH

oang

,Melan

iHul

l,M

icha

elH

ull,Alic

eJo

hnso

n,D

ebor

ahK

linke

fus,

Galin

La

tham

,Miche

leM

oren

o,Th

omas

Oates

,Way

neP

arks

,Spe

ncer

Red

ding

,Joh

nRu

gh,V

idya

San

kar,

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alde

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rn

National Dental PBRNSTRF MC 8258

8403 Floyd Curl Dr.San Antonio, TX 78229

Fax: 210-567-8022

Going to the ADA National Meeting this year? Be sure to register of our session: Practice-Based Research:

How Can It Help My Practice?October9,2014:11:30am-2pm

RegistrationopensinMay!CourseCode:5385

Want to help develop one of the ideas or suggest your own?

Contact a Regional Coordinator today!

REGIONAL COORDINATORS

Sarah TheisenTheisen@uthscsa.edu

210-562-5686Stephanie Reyes:

ReyesS@uthscsa.edu210-562-5654