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  1. Article ; Online: 2022 ACOMS Elaine A. Stuebner Scholars Award Winning Essay.

    Uppgaard, Rachel

    Oral surgery, oral medicine, oral pathology and oral radiology

    2022  Volume 134, Issue 5, Page(s) 501–502

    MeSH term(s) Humans ; Awards and Prizes
    Language English
    Publishing date 2022-05-21
    Publishing country United States
    Document type Editorial
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2022.05.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ul III Zs.121: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Addressing Gender Discrimination in Oral and Maxillofacial Surgery via the Social Norms Approach.

    Uppgaard, Rachel

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2018  Volume 76, Issue 8, Page(s) 1604–1605

    Abstract: Gender discrimination continues to be a challenge faced by women in oral and maxillofacial surgery. The discrimination itself is perpetrated by a small number of individuals, but it is lack of support and intervention by other surgeons that allows this ... ...

    Abstract Gender discrimination continues to be a challenge faced by women in oral and maxillofacial surgery. The discrimination itself is perpetrated by a small number of individuals, but it is lack of support and intervention by other surgeons that allows this to continue. The social norms approach is one means to break this cycle: first by identifying misperceptions and then by encouraging individuals to intervene instead of remaining bystanders. To move forward as a specialty, we must actively intervene when discrimination and harassment occur.
    MeSH term(s) Career Choice ; Female ; Humans ; Physicians, Women ; Sexism ; Social Norms ; Surgery, Oral
    Language English
    Publishing date 2018-03-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2018.03.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ul III Zs.113: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: The effect of smartphone filming on student confidence in dental anesthesia techniques: A randomized trial.

    Uppgaard, Rachel / Huang, Boyen / Johnson, Annika / Lynn, Sarah

    Journal of dental education

    2023  Volume 87, Issue 5, Page(s) 676–685

    Abstract: Objectives: To examine the effect of individualized smartphone-recorded video review on dental student confidence in performing local anesthesia (LA) techniques, in a manikin-based simulation environment.: Methods: All University of Minnesota second- ... ...

    Abstract Objectives: To examine the effect of individualized smartphone-recorded video review on dental student confidence in performing local anesthesia (LA) techniques, in a manikin-based simulation environment.
    Methods: All University of Minnesota second-year dental students were invited to participate in this randomized trial developed following the Consolidated Standards of Reporting Trials statement, in 2020. With a parallel trial design, 104 students were randomly divided into two groups (52 per group) prior to the learning experience. Students and researchers were not blinded to group assignments. All students learned LA techniques in the same manikin-based simulation setting. The experimental group incorporated individualized smartphone filming into simulation training, and the control group did not. A paper-based questionnaire with 19 5-point Likert scale questions assessed the students' self-rated confidence levels in LA techniques before, immediately after, and approximately one month after the training.
    Results: The final sample included 45 students in the experimental group (48.4%) and 48 in the control group (51.6%). In both groups, student confidence in performing LA techniques increased after completion of the training (p < 0.001), with no harm reported. The experimental group reported greater confidence in inferior alveolar nerve injection (p = 0.038), and in local anesthetic administration rate (p = 0.029), compared with the control group.
    Conclusions: This study suggested that the incorporation of smartphone-recorded video review in simulation training is beneficial for learning LA techniques. Further investigation on teaching methods to enhance student confidence and performance in LA administration is indicated.
    MeSH term(s) Humans ; Smartphone ; Learning ; Anesthetics, Local ; Students, Dental ; Clinical Competence ; Anesthesia, Dental/methods
    Chemical Substances Anesthetics, Local
    Language English
    Publishing date 2023-01-11
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 410579-5
    ISSN 1930-7837 ; 0022-0337
    ISSN (online) 1930-7837
    ISSN 0022-0337
    DOI 10.1002/jdd.13168
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 428: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: A comparison of simulation and traditional local anesthesia teaching methods among dental hygiene students.

    Thelen, Rachel M / Hormann, Jill C / Uppgaard, Rachel / Evans, Michael D / Flynn, Priscilla M

    Journal of dental education

    2023  Volume 87, Issue 6, Page(s) 755–763

    Abstract: Background: The COVID-19 pandemic forced dental educators to quickly modify the teaching-learning platform without testing outcomes of alternative teaching methods prior to implementation. One critical course affected was the teaching of local ... ...

    Abstract Background: The COVID-19 pandemic forced dental educators to quickly modify the teaching-learning platform without testing outcomes of alternative teaching methods prior to implementation. One critical course affected was the teaching of local anesthesia (LA) that moved from practicing injections using the traditional student-to-student method to the simulation model using manikins.
    Purpose: This study compared two LA teaching methods (student-to-student versus simulation) in two consecutive cohorts before and during the pandemic to assess differences in students' skill level and self-confidence.
    Methods: This quasi-experimental study recruited a convenience sample of dental hygiene students at the University of Minnesota during 2020 and 2021. Consent was collected prior to student-to-student injection practice and survey distribution. Data collected were clinical and summative clinical assessments to determine LA skill level, and student surveys to assess self-confidence. Analyses included descriptive statistics, linear models within and between cohorts, and inductive analysis for qualitative survey responses.
    Results: Fifty of 57 students (88%) completed the survey, and 54 (95%) consented access to their clinical assessments. Skill level was significantly higher for the simulation cohort compared to the student-to-student cohort on the LA summative clinical assessment (59.0 vs. 55.6, p = 0.004). No differences were found in self-confidence between cohorts. A positive association was found between students' self-confidence and skill levels for both cohorts, but only student-to-student cohort results were statistically significant (student-to-student: r = 0.44, p = 0.02; simulation: r = 0.24, p = 0.26).
    Conclusion: Results support incorporating simulation manikin teaching methods for LA with a student-to-student partner component.
    MeSH term(s) Humans ; Anesthesia, Local ; Oral Hygiene ; Pandemics ; Students, Dental ; COVID-19/epidemiology ; Teaching ; Clinical Competence
    Language English
    Publishing date 2023-03-17
    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.13198
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 428: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Splatter generated by oral surgery irrigation and its implication for infection control.

    Johnson, Annika / Huang, Boyen / Galina, Isabella C / Ngo, Anh / Uppgaard, Rachel

    Clinical oral investigations

    2023  Volume 27, Issue 11, Page(s) 6607–6612

    Abstract: Objectives: This study aimed to evaluate the splatter contamination generated by rotary instrumentation and irrigation during simulations of surgical extractions. Specifically, comparisons of the splatters generated were made between traditional ... ...

    Abstract Objectives: This study aimed to evaluate the splatter contamination generated by rotary instrumentation and irrigation during simulations of surgical extractions. Specifically, comparisons of the splatters generated were made between traditional assistant-based irrigation and self-irrigating drills and between saline and hydrogen peroxide irrigant.
    Materials and methods: A fluorescein solution was infiltrated into the irrigation system of high-speed drills, and the surgical extraction procedures were performed on manikins with the typodont teeth. Filter papers were placed at the predetermined locations around the operatory to absorb the fluorescein splatters; these samples underwent photographic image analysis.
    Results: The patient chest showed the largest area of splatters, followed by the assistant's face shield. Procedures using the hydrogen peroxide irrigant generated a larger area of splatter than those using the saline irrigant. There was no difference between the splatters produced by assistant irrigation and self-irrigating drill procedures.
    Conclusions: Clinicians should observe and disinfect the locations contaminated by splatters to prevent the spread of infection, since using alternative irrigant or irrigation methods did not reduce the formation of splatters.
    Clinical relevance: Oral surgery drills with irrigation generate aerosols and splatters, which have potential to spread airborne pathogens. It is important to understand the patterns of splatters to mitigate contamination.
    MeSH term(s) Humans ; Hydrogen Peroxide ; Infection Control ; Oral Surgical Procedures ; Surgery, Oral ; Therapeutic Irrigation/methods ; Fluoresceins
    Chemical Substances Hydrogen Peroxide (BBX060AN9V) ; Fluoresceins
    Language English
    Publishing date 2023-09-28
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1364490-7
    ISSN 1436-3771 ; 1432-6981
    ISSN (online) 1436-3771
    ISSN 1432-6981
    DOI 10.1007/s00784-023-05266-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4788: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Occurrence and Predictors of Postoperative Preauricular and Masticatory Muscle Pain Symptoms After Surgical Removal of Third Molars: A Single-Blind Randomized Controlled Trial Comparing Dental Assistants Supporting the Mandible and the Restful Jaw Device.

    Uppgaard, Rachel / Nadeau, Robert / Schiffman, Eric L / Stiharu, Tudor / Johnson, Kimberly S / Hodges, James S / Velly, Ana Miriam

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2023  Volume 82, Issue 1, Page(s) 6–18

    Abstract: Background: During third molar removal, the mandible is supported by a dental assistant (DA) to counter downward forces during surgery, and with sedation, to maintain airway patency. The Restful Jaw device (PEP Design; Saint Paul) provides this support ... ...

    Abstract Background: During third molar removal, the mandible is supported by a dental assistant (DA) to counter downward forces during surgery, and with sedation, to maintain airway patency. The Restful Jaw device (PEP Design; Saint Paul) provides this support instead of the DA.
    Purpose: This study compared the occurrence of postoperative preauricular and masticatory muscle pain symptoms (PMMPS) between the device and DAs providing mandibular support, using two outcome measures. Secondary aims identify predictors of outcome and providers' opinions of the device.
    Study design, setting, sample: In this multisite, single-blind, two-arm parallel randomized trial, participants without preoperative PMMPS had surgical removal of third molars, with sedation and bite blocks were randomly assigned to manual support or the device.
    Exposure variable: The exposed group was randomly assigned to the device and the nonexposed group to manual support.
    Main outcome variable(s): The primary outcome was patient-reported PMMPS. Two secondary outcomes were pain assessed with the temporomandibular disorder Pain Screener and providers' views on the device. Outcomes were assessed at 1-, 3-, and 6-month postsurgery.
    Covariates: The covariates are baseline demographics (eg, sex), clinical characteristics (eg, eruption status), and third molar surgeries.
    Analyses: For occurrence of pain, generalized estimating equations assessed differences between groups. Logistic regression analysis assessed predictors of pain at 1 month, per the Screener. The level for statistical significance was 5%.
    Results: Enrollment was 86 and 83 participants in the device and DA groups, respectively. The average age was 20.8 years; the majority were female (65%) and Caucasian (66%). The retention rate was ≥95.9%. The groups did not differ significantly for occurrence of pain using the primary and secondary outcome measures at any follow-up (P ≥ .46). Fully impacted molars were associated with occurrence of pain (odds ratio = 3.44; 95% confidence interval 1.49-7.92; P = .004).
    Conclusion and relevance: Occurrence of pain using the primary and secondary outcome measures did not differ significantly between groups at any follow-up and was associated with removal of fully impacted third molars. Four out of five surgeons reported wanting to use the device on a regular basis when performing this procedure in sedated patients.
    MeSH term(s) Female ; Humans ; Male ; Young Adult ; Dental Assistants ; Mandible/surgery ; Masticatory Muscles ; Molar, Third/surgery ; Pain, Postoperative/etiology ; Single-Blind Method ; Tooth Extraction/methods ; Tooth, Impacted/surgery
    Language English
    Publishing date 2023-10-05
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2023.09.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ul III Zs.113: Show issues Location:
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  7. Article ; Online: Polymorphous Adenocarcinoma, Low Grade Variant, Colliding with a Neurofibroma.

    Katsoulas, Nikolaos G / Tosios, Konstantinos I / Lynch, Hannah Afwerke / Uppgaard, Rachel / Koutlas, Ioannis G

    Head and neck pathology

    2021  Volume 16, Issue 2, Page(s) 602–606

    Abstract: Collision tumors, composed of two distinct benign or malignant neoplasms, are rarely reported in the oral cavity. We present a case of a 61-year-old female with an asymptomatic non-demarcated lump on the soft palate of unknown duration. An incisional ... ...

    Abstract Collision tumors, composed of two distinct benign or malignant neoplasms, are rarely reported in the oral cavity. We present a case of a 61-year-old female with an asymptomatic non-demarcated lump on the soft palate of unknown duration. An incisional biopsy revealed the presence of two neoplastic populations, a neurofibroma that was partially infiltrated by a polymorphous adenocarcinoma, low-grade variant. Total surgical excision was performed, with uneventful follow-up period. The development of collision tumors may be incidental, although molecular events may influence the pathogenetic mechanism of the phenomenon.
    MeSH term(s) Adenocarcinoma/pathology ; Biopsy ; Female ; Humans ; Middle Aged ; Neurofibroma/pathology ; Palate, Soft/pathology ; Salivary Gland Neoplasms/pathology
    Language English
    Publishing date 2021-09-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2407834-7
    ISSN 1936-0568 ; 1936-055X
    ISSN (online) 1936-0568
    ISSN 1936-055X
    DOI 10.1007/s12105-021-01377-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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