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  1. Article ; Online: Letters.

    Manton, Jesse West / Alvear Fa, Bernadette

    Journal of the American Dental Association (1939)

    2024  Volume 155, Issue 2, Page(s) 98–99

    Language English
    Publishing date 2024-02-05
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.1016/j.adaj.2023.10.015
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  2. Article ; Online: The changing face of dentistry: Why cultural humility is a practice builder.

    Iyer, Parvati / Itaya, Lisa / Alvear Fa, Bernadette

    Journal of the American Dental Association (1939)

    2024  

    Language English
    Publishing date 2024-01-17
    Publishing country England
    Document type Editorial
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.1016/j.adaj.2023.12.003
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  3. Article ; Online: Oral anesthesia manikin training reduces student anxiety and builds local anesthesia delivery skills: A pilot study.

    Radif, Mustafa S / Han, Annie N / Fa, Bernadette Alvear

    Journal of dental education

    2022  

    Language English
    Publishing date 2022-02-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.1002/jdd.12904
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  4. Article ; Online: Behavioural video to navigate predoctoral dental students toward safer practice (revision of EJE-21-4739).

    Alvear Fa, Bernadette / Reid, Laura / Radjaeipour, Gitta

    European journal of dental education : official journal of the Association for Dental Education in Europe

    2022  Volume 27, Issue 4, Page(s) 841–848

    Abstract: Introduction: Local anaesthesia is considered essential knowledge within the dental profession as it helps to address pain management. Operator percutaneous needlestick injuries associated with the delivery of dental anaesthesia are common for dental ... ...

    Abstract Introduction: Local anaesthesia is considered essential knowledge within the dental profession as it helps to address pain management. Operator percutaneous needlestick injuries associated with the delivery of dental anaesthesia are common for dental healthcare providers. The study proposes a supplemental technique to reduce self-inducing novice operator needlestick injury to complement existing pedagogies for the preclinical local anaesthesia curriculum. The purpose of the study is to evaluate whether a local anaesthesia behavioural video can navigate students to safer clinical practice. Further, a supplemental technique is proposed in whether assessing instrument retraction technique in clinical patient care leads to decreased self-inducing intraoral needle stick injury for novice predoctoral dental operator.
    Materials and methods: Beginning in 2011, predoctoral dental students were asked to view a "what not to do" video within a summative assessment and identify at least five behaviours that were unacceptable errors for delivering local anaesthesia. Operator intraoral needlestick injury was also tracked per the bloodborne exposure reports within predoctoral patient clinics.
    Results: Data from the learners' responses identified progression in recognising unacceptable errors from behavioural video. Intraoral needlestick injury, 8 and 9 years prior and after the introduction of video showed significance with a low correlation coefficient.
    Conclusion: More data need to be gathered and evaluated in other dental school settings to determine whether this supplemental educational video decreases needlestick injury in novice operators. Results suggest this behavioural video may guide novice operators to overall safer clinical practice.
    MeSH term(s) Humans ; Needlestick Injuries/prevention & control ; Students, Dental ; Education, Dental ; Curriculum ; Anesthesia, Local
    Language English
    Publishing date 2022-11-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 1386587-0
    ISSN 1600-0579 ; 1396-5883
    ISSN (online) 1600-0579
    ISSN 1396-5883
    DOI 10.1111/eje.12874
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  5. Article ; Online: Karaoke inspired anesthesia.

    Fa, Bernadette Alvear / Navas, Angela E / Cochnauer, Heather A / Anantha, Shuba

    Journal of dental education

    2020  

    Language English
    Publishing date 2020-11-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.1002/jdd.12504
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  6. Article ; Online: Pilot study implementing mixed media and animation into the Preclinical Dental Anesthesia Course.

    Fa, Bernadette Alvear / Interrante, Michael A / Castagna, Daniel M

    Journal of dental education

    2020  Volume 84, Issue 9, Page(s) 1046–1052

    Abstract: Purpose/objectives: During 2019, the "perfect intersection" of collaboration and innovative education using live video merged with animation was launched in the preclinical local anesthesia curriculum at the University of the Pacific, Arthur A. Dugoni ... ...

    Abstract Purpose/objectives: During 2019, the "perfect intersection" of collaboration and innovative education using live video merged with animation was launched in the preclinical local anesthesia curriculum at the University of the Pacific, Arthur A. Dugoni School of Dentistry. This article includes the audible video created and describes the software used to blend dynamic animation for content delivery. This mixed-media approach merges animation with live video resulting with innovative teaching and student learning. Further, outcomes are discussed from voluntary postassessment surveys regarding how students perceived this innovation when introduced into preclinical local anesthesia curriculum. Within the advancements for the preclinical local anesthesia curriculum, development of short videos is introduced to students reviewing armamentarium and injection delivery to address patients' pain management.
    Design: Within the advancements for this preclinical local anesthesia curriculum, short video development was introduced to students through online assessments. Afterward, students were given a voluntary postassessment survey. The 2017 results served as the genesis for the 2019 pilot study implementing mixed media and animation into assessments.
    Results/conclusion: Results determined 78.6% agreed they would like to see more assessments made with integrated animation and mixed media. Additionally, 77% agreed they would like to see other courses use mixed media assessments. The pilot study implementing mixed media and animation into the preclinical dental anesthesia course was a unique addition to the curriculum engaging students for assessments.
    MeSH term(s) Anesthesia, Dental ; Anesthesia, Local ; Curriculum ; Humans ; Pilot Projects ; Surveys and Questionnaires
    Language English
    Publishing date 2020-05-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.1002/jdd.12185
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  7. Article: Preliminary Evidence Supports Modification of Retraction Technique to Prevent Needlestick Injuries.

    Fa, Bernadette Alvear / Cuny, Eve

    Anesthesia progress

    2016  Volume 63, Issue 4, Page(s) 192–196

    Abstract: A modified retraction technique was introduced into the DDS degree preclinical anesthesia course in 2011 with the goal of reducing needlestick exposure incidents. In numerous studies of dental exposures, injuries from dental anesthetic needles account ... ...

    Abstract A modified retraction technique was introduced into the DDS degree preclinical anesthesia course in 2011 with the goal of reducing needlestick exposure incidents. In numerous studies of dental exposures, injuries from dental anesthetic needles account for the highest proportion of all exposures. The purpose of this study was to assess the preliminary impact of a modified retraction technique on the incidence of blood and body fluids (BBF) exposure incidents associated with needles during injection. Data from evaluations of students from 2014 and 2015 were obtained and tracked to determine whether the modified retraction technique was "excellent," "clinically acceptable," or "clinically unacceptable." Data were collected to determine if the patient perceived the modified retraction technique as "comfortable" or "correctable when addressed" to help improve student technique for future injections. Likewise, data from the blood-borne exposure database where all information related to BBF exposures is recorded were reviewed and the information separated by year and class. This study presents preliminary data only and because of the small sample size does not lend itself to validation by statistical analysis. However, the technique effectively removes the operator's hand from the field during injection, reducing the risk of accidental intraoral needlestick to the nondominant hand of the operator.
    MeSH term(s) Anesthesia, Dental/methods ; Humans ; Injections/methods ; Needles ; Needlestick Injuries/prevention & control ; Students, Dental
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603800-1
    ISSN 1878-7177 ; 0003-3006
    ISSN (online) 1878-7177
    ISSN 0003-3006
    DOI 10.2344/15-00038.1
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  8. Article ; Online: The Effect of Calibration on Caries Risk Assessment Performance by Students and Clinical Faculty.

    Young, Douglas A / Alvear Fa, Bernadette / Rogers, Nicholas / Rechmann, Peter

    Journal of dental education

    2017  Volume 81, Issue 6, Page(s) 667–674

    Abstract: Caries management requires a complete oral examination and an accurate caries risk assessment (CRA). Performing Caries Management by Risk Assessment (CAMBRA) is inefficient when the caries risk level assignment is incorrect. The aim of this study was to ... ...

    Abstract Caries management requires a complete oral examination and an accurate caries risk assessment (CRA). Performing Caries Management by Risk Assessment (CAMBRA) is inefficient when the caries risk level assignment is incorrect. The aim of this study was to evaluate the ability of faculty members and students at one U.S. dental school to correctly assign caries risk levels for 22 CRA cases, followed by calibration with guidelines on how to use the CRA form and a post-calibration test two months after calibration. Inter-examiner reliability to a gold standard (consensus of three experts) was assessed as poor, fair, moderate, good, and very good. Of the 162 students and 125 faculty members invited to participate, 13 students and 20 faculty members returned pre-calibration tests, for response rates of 8% and 16%, respectively. On the post-calibration test, eight students and 13 faculty members participated for response rates of 5% and 10%, respectively. Without guidelines and calibration, both faculty members and students when evaluated as one group performed only poor to fair in assigning correct caries risk levels. After calibration, levels improved to good and very good agreements with the gold standard. When faculty and students were evaluated separately, in the pre-calibration test they correctly assigned the caries risk level on average in only one-quarter of the cases (students 24.1%±13.3%; faculty 23.6%±17.5%). After calibration, both groups significantly improved their correct assignment rate. Faculty members (73.8% correct assignments) showed even significantly higher correct assignment rates than students (47.7% correct assignments). These findings suggest that calibration with a specific set of guidelines improved CRA outcomes for both the faculty members and students. Improved guidelines on how to use a CRA form should lead to improved caries risk assessment and proper treatment strategy for patients.
    MeSH term(s) Calibration ; Dental Caries/diagnosis ; Diagnosis, Oral ; Education, Dental/standards ; Faculty, Dental/standards ; Humans ; Risk Assessment ; San Francisco ; Students, Dental
    Language English
    Publishing date 2017-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.21815/JDE.017.013
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  9. Article: Temporary Diplopia After Gow-Gates Injection: Case Report and Review.

    Fa, Bernadette Alvear / Speaker, Steven R / Budenz, Alan W

    Anesthesia progress

    2016  Volume 63, Issue 3, Page(s) 139–146

    Abstract: Complications associated with various local anesthetic techniques have been recorded in case reports and reviews. This current case reports a transient incident of blurred, double vision (diplopia) following a Gow-Gates mandibular block injection. There ... ...

    Abstract Complications associated with various local anesthetic techniques have been recorded in case reports and reviews. This current case reports a transient incident of blurred, double vision (diplopia) following a Gow-Gates mandibular block injection. There is descriptive discussion on possibilities associated with intra-arterial injection, intravenous injection, diffusion through tissue planes, and the autonomic nervous system pathway to lend credence suggesting the etiology of the complication. For practitioners, recognizing when a complication arises from anesthesia delivery and managing the patient in an appropriate manner is essential to an overall agreeable outcome.
    MeSH term(s) Adult ; Anesthesia, Dental/adverse effects ; Diplopia/etiology ; Humans ; Injections ; Male ; Mandibular Nerve ; Nerve Block/adverse effects
    Language English
    Publishing date 2016-08-16
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 603800-1
    ISSN 1878-7177 ; 0003-3006
    ISSN (online) 1878-7177
    ISSN 0003-3006
    DOI 10.2344/15-00020.1
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