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Introduction
Current institution
Additional affiliations
June 2018 - present
Bellevue Hospital
Position
- Attending
September 1997 - present
Education
September 2000 - December 2004
July 1994 - May 1997
July 1993 - May 1996
Publications
Publications (65)
https://jada.ada.org/article/S0002-8177(25)00041-8/fulltext
Dentistry has traditionally been male-dominated in North America, although “primary care” dentistry disciplines, including dental public health (DPH), have greater gender equity than other areas. However, gender gaps are likely to persist, specifically in academia. As an example of the measurement of inclusion, we sought to identify gender equity i...
Background: The 14-item version of the Oral Health Impact Profile (OHIP-14) has been widely used as a measure for oral health-related quality of life (OHQoL) since its publication in 1997. However, few studies have examined its psychometric properties and relationship with patient-reported oral health in pregnant women. Aim: To offer empirical evid...
Despite evidence-based guidelines that advocate for dental care during pregnancy, dental utilization among pregnant women remains low, especially among low-income and racial–ethnic minority women. We investigated self-reported dental care referral and self-reported dental care attendance among a group of 298 low-income, largely racial–ethnic minori...
Background:
Despite evidence-based guidelines advocating for the provision of oral health care throughout pregnancy, dentists remain hesitant to provide dental treatment for pregnant women. However, little is known about attitudes toward treating pregnant women among dental school faculty, who may transmit their attitudes and treatment preferences...
[Abstract]
Background: The oral health impact profile 14-item version (OHIP-14) has been highly influential as a measure for oral health-related quality of life (OHQoL) since its publication in 1997. However, intensive empirical studies on its psychometric characteristics is sparse, especially among pregnant women.
Objectives: To fully investiga...
[Abstract]
Objectives: Severe periodontitis may greatly reduce oral health-related quality of life (OHRQoL). The oral health impact profile (OHIP) is one of eight major measures for OHRQoL. In this cross-sectional study, we aim to assess the association of severe periodontitis with OHRQoL as measured by the OHIP-14.
Methods: We recruited 280 patie...
[Abstract]
Objectives: To understand dental faculty barriers to providing evidence-based dental care during pregnancy.
Methods: For this QI project we designed a questionnaire exploring dental care for pregnant women comprising knowledge (10 items) and attitude (3 items) scales. All items were 7-point Likert type. After pilot testing, we administe...
[Abstract]
Objectives: To test dental students’ knowledge and attitudes regarding dental care during pregnancy.
Methods: For this QI project we designed a questionnaire exploring dental care for pregnant women comprising knowledge (10 items) and attitude (3 items) scales. All items were 7-point Likert type. After pilot testing, we administered th...
Objectives
To compare the glycemic control in non-smoking patients with type 2 diabetes according to their periodontal and dental status.
Research design and methods
This cross-sectional study investigated patients previously diagnosed with type 2 diabetes and under antidiabetic medication. Clinical data and fasting blood glucose (FBG) levels were...
Lesbian, gay, bisexual, and transgender (LGBT) persons are a diverse group, but they share a common need for competent, accessible health care, dispensed without intolerance and with an understanding of their unique health needs. Dental practitioners need to understanding that LGBT persons have distinctive health (and oral health) needs. This artic...
Purpose:
There is a need for research to facilitate the widespread implementation, dissemination and sustained utilization of evidence-based primary care screening, monitoring and care coordination guidelines, thereby increasing the impact of dental hygienists' actions on patients' oral and general health. The aims of this formative study are to e...
Introduction: The goal of this project was to develop a web-based clinical decision support system (CDSS) for screening and care coordination by dental hygienists at chairside for four general health issues (diabetes, hypertension, tobacco use and nutrition counseling) to improve patient health.
Methods: We modified a smoking cessation CDSS desig...
Research Aims:(1) To assess dental hygienists’ and dentists’ perspectives and experiences regarding current scope of practice and the integration of primary care activities with routine dental care; and (2) to assess the needs of hygienists and the office environment around primary care screening at chairside.
Methods:This exploratory qualitative...
Effect of pregnancy on gingival inflammation in systemically healthy women: a systematic review. Figuero E, Carrillo-de-Albornoz A, Martin C, Tobias A, Herrera D. J Clin Periodontol 2013;40(5):457-73.
Stefanie L. Russell, DDS, MPH, PhD PURPOSE/QUESTION: How large an effect does pregnancy have on gingival inflammation in healthy pregnant women?
This...
Objective: To evaluate a unique dental care referral/treatment program for pregnant women. Methods: We performed a chart review of women referred for dental care to the Center for Maternal Oral Health (CMOH), a clinic for pregnant women. We recorded weeks gestation, periodontal status, number of visits and number of disappointments. We also asked w...
This review highlights what is known regarding differences in tooth loss by sex/gender, and describes: gender-related tooth ablation (the deliberate removal of anterior teeth during life) found in skulls from history and prehistory; potential mediators of the relationship between sex/gender and tooth loss; the current epidemiology of gender differe...
Although there is a bidirectional relationship between periodontal disease and diabetes, little is known about the diabetes-related knowledge of periodontal patients. This study examines what patients with periodontal disease know about diabetes and its association with periodontitis. It also examines their sources of diabetes-related information....
The purpose of this study was to establish the feasibility and utility of screening for elder mistreatment in a dental clinic population. We approached older adults in a busy dental clinic and enrolled 139 persons over the age of 65 who completed an Audio Computer Assisted Self Interview (ACASI), which included the Hwalek-Sengstock Elder Abuse Scre...
Elder mistreatment (EM) is a potentially fatal and largely unrecognised problem in the United States. The purpose of this study was to determine the prevalence of EM in busy clinics and specifically, we report on the feasibility of screening for EM as well as the appropriate instrumentation for screening.
Prevalence estimates for elder mistreatment...
This pilot study examines whether a novel diabetes screening approach using gingival crevicular blood (GCB) could be used to test for hemoglobin A1c (HbA1c) during periodontal visits.
Finger-stick blood (FSB) samples from 120 patients and GCB samples from those patients with adequate bleeding on probing (BOP) were collected on special blood collect...
There is a growing burden of oral disease among older adults that is most significantly borne by minorities, the poor, and immigrants. Yet, national attention to oral heath disparities has focused almost exclusively on children, resulting in large gaps in our knowledge about the oral health risks of older adults and their access to care. The projec...
OBJECTIVES: The objective of this study is to define the interactions between proteins, host defense molecules, and bacteria in HIV infection before and after antiretroviral (ART) therapy as compared to uninfected controls. The hypothesis being tested is that sites along the gastrointestinal tract have distinct associations between bioactive protei...
The purpose of this study was to determine whether a belief in the AIDS origin conspiracy theory is related to likelihood or fear of participation in research studies.
The Tuskegee Legacy Project Questionnaire was administered via random-digit-dialed telephone interview to black, white, and Hispanic participants in 4 cities in 1999 and 2000 (n = 1,...
Purpose: The purpose of this study was to evaluate whether socioeconomic disparities exist regarding the utilization of preventive dental care among pregnant women in New York State in the years 2004-2007. Methods: We analyzed New York State Pregnancy Risk Assessment Monitoring System (PRAMS) data collected in 2004, 2005, 2006 and 2007. Mothers wer...
While parity (number of children) reportedly is related to tooth loss, the relationship between parity and dental caries has not been extensively investigated. We used path analysis to test a theoretical model that specified that parity influences dental caries levels through dental care, psycho- social factors, and dental health damaging behaviors...
The aim of this retrospective cohort study was to examine whether exposure to early childhood protein-energy malnutrition (ECPEM) is related to worsened periodontal status in the permanent dentition during adolescence.
A trained clinician/researcher examined the periodontal status of 96 persons aged 12-19 living in rural Haiti using WHO diagnostic...
Streptococcus mutans and Aggregatibacter actinomycetemcomitans are oral pathogens associated with dental caries and periodontitis, respectively. The aim of this study was to determine the colonization of these two microorganisms in the dental plaque of a group of Haitian adolescents using two different polymerase chain reaction (PCR) methods, stand...
Objectives: The goal of this study was to identify, across the 56 dental schools in the US (1997), 1) the proportion of schools that report having a curriculum that addresses elder mistreatment, 2) which dental schools report having a published policy or protocol for reporting suspected cases of elder mistreatment (EM) among their clinic population...
The relative effects of race/ethnicity and other sociodemographic factors, compared to those of attitudes and beliefs on willingness to have cancer screening, are not well understood.
We conducted telephone interviews with 1148 adults (22% Hispanic, 31% African American, and 46% white) [corrected] from 3 cities in mainland United States and Puerto...
Objectives: The bidirectional relationship between periodontitis and diabetes suggests that the dental visit may offer a largely untapped opportunity to screen for undiagnosed diabetes. To better examine this potential opportunity, data from the National Health and Nutrition Examination Survey (NHANES) 2003-2004 were used to determine if a larger p...
This analysis assessed whether Blacks, Whites and Puerto-Rican (PR) Hispanics differed in their ability to identify the Tuskegee Syphilis Study (TSS) via open-ended questions following lead-in recognition and recall questions.
The Tuskegee Legacy Project (TLP) Questionnaire was administered via a Random-Digit Dial (RDD) telephone survey to a strati...
This study examined conditions under which gingival crevicular blood (GCB) could be used to obtain a useful glucose reading to screen for undiagnosed diabetes during routine dental visits.
GCB and capillary finger-stick blood (CFB) glucose readings obtained with a glucometer were compared for 46 patients recruited from an urban university dental cl...
Objectives: This retrospective cohort study investigated whether exposure to protein-energy malnutrition during the first five years of life (early childhood protein-energy malnutrition, ECPEM) is related to the subsequent development of periodontal disease in adolescents and young adults aged 12-19.
Methods: We examined 96 persons aged 12-19 liv...
Given the history of vulnerability of women of childbearing age to medical treatments that have caused injury, for example, diethylstilbestrol (DES) and thalidomide, it is surprising that, to date, little research has directly examined attitudes of the general public regarding the vulnerability of women when they participate in biomedical research...
The purpose of this follow-up 2003 3-City Tuskegee Legacy Project (TLP) Study was to validate or refute our prior findings from the 1999-2000 4 City TLP Study, which found no evidence to support the widely acknowledged "legacy" of the Tuskegee Syphilis Study (TSS), ie, that blacks are reluctant to participate in biomedical studies due to their know...
The phrase, 'legacy of the Tuskegee Syphilis Study', is sometimes used to denote the belief that Blacks are more reluctant than Whites to participate in biomedical research studies because of the infamous study of syphilis in men run by the U.S. Public Health Service from 1932-72. This paper is the first to attempt to assess directly the accuracy o...
In the United States, blacks and Hispanics have lower cancer screening rates than whites have. Studies on the screening behaviors of minorities are increasing, but few focus on the factors that contribute to this discrepancy. This study presents the self-reported willingness by blacks, Puerto Rican Hispanics, and non-Hispanic whites to participate...
This analysis was conducted to determine whether there is a difference among blacks, Hispanics, and whites in their perception of risks associated with participating in either a biomedical study or a cancer screening.
The Tuskegee Legacy Project Questionnaire, which focused on research subject participation, was administered in two different survey...
We assessed the impact of parity on tooth loss among American women and examined mediators of this relationship.
The study sample comprised 2635 White and Black non-Hispanic women who had taken part in the third National Health and Nutrition Examination Survey. We examined the relationship between parity and tooth loss, by age and by socioeconomic...
We compared the influence of awareness of the Tuskegee Syphilis Study and the presidential apology for that study on the willingness of Blacks, non-Hispanic Whites, and Hispanics to participate in biomedical research.
The Tuskegee Legacy Project Questionnaire was administered to 1133 adults in 4 US cities. This 60-item questionnaire addressed issue...
The oral hard and soft tissues assist in three essential functions in human physiology: (1) the initiation of alimentation, (2) protection of the host, and (3) communication. The teeth, the periodontium, the alveolar supporting bone, and the mucosal soft tissues exist to prepare food for deglutition. The oral cavity is exposed to the external world...
This article presents a review of the research relevant to oral health during pregnancy and includes nursing practice recommendations for referral of women to a dentist for safe and effective dental care during pregnancy. In recent years, research linking periodontitis to the risk for adverse birth outcomes has resulted in increased interest in the...
The purposes of this analysis were to compare the self-reported willingness of blacks, Puerto-Rican Hispanics and whites to participate as research subjects in biomedical studies, and to determine the reliability of the Tuskegee Legacy Project Questionnaire (TLP).
The TLP Questionnaire, initially used in a four-city study in 1999-2000, was administ...
Purpose
The purpose of this study was to examine the relationship between attitudes towards risks perceived for women when participating as subjects in biomedical research and knowledge of diethylstilbestrol and thalidomide, and to examine whether relationships vary across race/ethnic groups and by sex.
Methods
The Tuskegee Legacy Project Question...
Purpose
The origins of the phrase ‘legacy of the Tuskegee Syphilis Study (TSS)’ lie in the widely held belief that Blacks are more reluctant than Whites to participate in biomedical research studies because of that infamous study. This paper is the first to address the validity of the ‘legacy’, a key issue in subject recruitment, in a multi-city, m...
The specific aim of this study was to determine the self-reported likelihood of New York Puerto Ricans (NYPR) and San Juan Puerto Ricans (SJPR) to participate in: 10 site-specific cancer screenings, cancer-screenings conducted by different specific persons/agencies and cancer-screening under specific conditions of what one was asked to do as a part...
The broad goal of the Tuskegee Legacy Project (TLP) study was to address, and understand, a range of issues related to the recruitment and retention of Blacks and other minorities in biomedical research studies. The specific aim of this analysis was to compare the self-reported willingness of Blacks, Hispanics, and Whites to participate as research...
Article Title and Bibliographic Information
Association between periodontitis and low birth weight: a case control study. Moliterno LF, Monteiro B, Figueredo CM, Fischer RG. J Clin Perio 2005;32:886-90.
Level of Evidence
3b
Purpose/Question
To examine the potential association between delivery of preterm, low birth weight infants and periodontiti...
Article Title and Bibliographic Information
Periodontal status and preterm low birth weight: a case control study.
Noack B, Klingenberg J, et al. J Periodontal Res 2005;40(4):339-45.
Level of Evidence
3b
Purpose
To examine the potential association between risk for delivery of preterm, low birth weight infants and the presence of periodontitis in...
The Kungsholmen Elders Oral Health Study evaluated the oral health status of generally healthy, community-dwelling persons aged 80 years and over living in Stockholm, Sweden. This paper reports periodontal disease findings and evaluates the distribution by sociodemographic factors.
Eligible persons were identified through the Kungsholmen Project, a...
Purpose
A major goal of this study was to determine whether (and if so, the extent to which) Blacks vs. Puerto Rican Hispanics vs. non-Hispanic Whites differed in their willingness to be biomedical research subjects.
Methods
The Research Subject Questionnaire (RSQ), a 60 item validated instrument was administered in 2003–2004 via random-digit dial...
Purpose
To identify pathways by which social class affects tooth loss in Americans age 18–64 and to determine if paths vary by race.
Methods
Data used were extracted from NHANES III, and included 6,814 black and white dentate Americans age 18–64 who had had a dental exam, and had complete data on education, income and occupation. Path analysis, us...
This study sought to identify barriers and facilitators to dental care among families of predominately low socioeconomic status having children with and without HIV.
Twelve focus group sessions with African-American and Hispanic caregivers and 18 individual semistructured interviews with key informant health care providers were held at two sites: a...
Results from a 3-year longitudinal study on the oral manifestations of AIDS (OMA) among seropositive children and their siblings indicated poor adherence with recommendations for dental treatment (Broder, Catalanotto, Reisine, & Variagiannis, 1996). The purposes of this study were to (a) to examine oral health behaviors, attitudes, and perceived ba...
Although it has been established that aspiration of pharyngeal bacteria is the major route of infection in the development of nosocomial pneumonia, colonization of the pharyngeal mucosa by respiratory pathogens has been shown to be a transient phenomenon. It has been suggested that the dental plaque may constitute an additional, possibly more stabl...
The authors investigated the prevalence of xerostomia in a group of 604 subjects participating in a rheumatoid arthritis, or RA, study to explore the relationship of reduced salivary flow symptoms and demographic, clinical and medical characteristics. Forty-three percent of these subjects exhibited one or more severe xerostomia symptoms. Separate a...
Thesis (Ph. D.)--Yale University, 2004.
Thesis (Ph. D.)--Yale University, 2004. Microfilm. s