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Papers by David Alexander

Research paper thumbnail of Collaborating With the Perinatal Team for Optimal Oral Health Before, During, and After a Healthy Pregnancy

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)

Collaboration with other health professionals can be challenging when attempting to coordinate he... more Collaboration with other health professionals can be challenging when attempting to coordinate healthcare before, during, and after pregnancy. However, advantages of interdisciplinary and interprofessional collaborative approaches include facilitation of accurate and timely diagnosis and optimally sequenced treatment for improved health outcomes. This article reviews the current guidelines fostering collaboration between dental professionals and members of the perinatal team and identifies the roles of healthcare providers to support the care of women around the time of pregnancy. Recognizing the maternal oral changes that occur during pregnancy will enable providers to effectively offer diagnosis and referral and organize and deliver comprehensive care. The article discusses how complementing medical care with early professional dental care can help reduce unplanned, expensive "emergency" treatment and describes the concepts of medical and dental homes.

Research paper thumbnail of Healthy Pregnancy: A Patient-Centered Approach to Counseling and Behavioral Change

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2018

Many current myths and outdated practices exist regarding dental care for pregnant women. Additio... more Many current myths and outdated practices exist regarding dental care for pregnant women. Additionally, many medical care providers fail to check pregnant patients for dental problems and refer them for dental care. Therefore, it is critical that dental healthcare providers and their medical colleagues are well-informed of the risks and benefits of dental care throughout pregnancy and are equipped with the tools to discuss the importance of dental health with patients. Patient-centered interventions, such as motivational interviewing (MI), are effective tools to alter patient behaviors and fully engage patients as active participants in their care. This review provides a framework of patient-centered interventions to improve patient involvement in their oral and overall well-being, offering methods and examples of a patient-centered approach, based on the fundamentals of MI.

Research paper thumbnail of Dental Care as a Safe and Essential Part of a Healthy Pregnancy

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2018

Oral health is essential for general health and well-being, and this is especially so during preg... more Oral health is essential for general health and well-being, and this is especially so during pregnancy. Pregnancy may present challenges to the oral health of the mother, mainly because of adaptations in basic physiology. However, many mothers-to-be and their health professionals, both prenatal and dental, are unsure as to the safety of providing dental care during pregnancy. National guidelines, together with recommendations from numerous state-level and professional organizations, consistently indicate that provision of dental care is both safe and essential during pregnancy. Pregnancy also provides opportunities for the oral health of both infant and new mother after delivery that can set the infant on a lifetime pathway that minimizes preventable oral disease. This review summarizes guidelines for dental care during pregnancy, provides an overview of physiologic changes that occur and their relevance to oral health and dental care delivery, outlines risk factors for oral conditi...

Research paper thumbnail of The universal language of health

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2011

Research paper thumbnail of A Bioactive Glass Particulate in the Treatment of Molar Furcation Invasions

Journal of Periodontology, 1999

Procedures for the treatment of molar furcation invasion defects range from open flap debridement... more Procedures for the treatment of molar furcation invasion defects range from open flap debridement, apically repositioned flap, hemisection, tunneling or extraction, to regenerative therapies. The results of surgical therapy consisting of the clinical parameters of probing depth and bleeding on probing were compared in 15 patients with moderate to advanced adult periodontitis. Each patient received surgical therapy consisting of regenerative therapy using bioactive glass compared to open flap debridement alone in human mandibular molar furcation defects. The results of therapy were statistically significant in the defects treated with the bioactive glass. This study revealed the benefits of bioactive glass in the treatment of Class II furcation defects regarding the clinical parameters of probing depth reduction and the reduction in bleeding on probing.

Research paper thumbnail of Global Oral Health Inequalities: Task Group--Implementation and Delivery of Oral Health Strategies

Advances in Dental Research, 2011

Research paper thumbnail of Collaborating With the Perinatal Team for Optimal Oral Health Before, During, and After a Healthy Pregnancy

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995)

Collaboration with other health professionals can be challenging when attempting to coordinate he... more Collaboration with other health professionals can be challenging when attempting to coordinate healthcare before, during, and after pregnancy. However, advantages of interdisciplinary and interprofessional collaborative approaches include facilitation of accurate and timely diagnosis and optimally sequenced treatment for improved health outcomes. This article reviews the current guidelines fostering collaboration between dental professionals and members of the perinatal team and identifies the roles of healthcare providers to support the care of women around the time of pregnancy. Recognizing the maternal oral changes that occur during pregnancy will enable providers to effectively offer diagnosis and referral and organize and deliver comprehensive care. The article discusses how complementing medical care with early professional dental care can help reduce unplanned, expensive "emergency" treatment and describes the concepts of medical and dental homes.

Research paper thumbnail of Healthy Pregnancy: A Patient-Centered Approach to Counseling and Behavioral Change

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2018

Many current myths and outdated practices exist regarding dental care for pregnant women. Additio... more Many current myths and outdated practices exist regarding dental care for pregnant women. Additionally, many medical care providers fail to check pregnant patients for dental problems and refer them for dental care. Therefore, it is critical that dental healthcare providers and their medical colleagues are well-informed of the risks and benefits of dental care throughout pregnancy and are equipped with the tools to discuss the importance of dental health with patients. Patient-centered interventions, such as motivational interviewing (MI), are effective tools to alter patient behaviors and fully engage patients as active participants in their care. This review provides a framework of patient-centered interventions to improve patient involvement in their oral and overall well-being, offering methods and examples of a patient-centered approach, based on the fundamentals of MI.

Research paper thumbnail of Dental Care as a Safe and Essential Part of a Healthy Pregnancy

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2018

Oral health is essential for general health and well-being, and this is especially so during preg... more Oral health is essential for general health and well-being, and this is especially so during pregnancy. Pregnancy may present challenges to the oral health of the mother, mainly because of adaptations in basic physiology. However, many mothers-to-be and their health professionals, both prenatal and dental, are unsure as to the safety of providing dental care during pregnancy. National guidelines, together with recommendations from numerous state-level and professional organizations, consistently indicate that provision of dental care is both safe and essential during pregnancy. Pregnancy also provides opportunities for the oral health of both infant and new mother after delivery that can set the infant on a lifetime pathway that minimizes preventable oral disease. This review summarizes guidelines for dental care during pregnancy, provides an overview of physiologic changes that occur and their relevance to oral health and dental care delivery, outlines risk factors for oral conditi...

Research paper thumbnail of The universal language of health

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995), 2011

Research paper thumbnail of A Bioactive Glass Particulate in the Treatment of Molar Furcation Invasions

Journal of Periodontology, 1999

Procedures for the treatment of molar furcation invasion defects range from open flap debridement... more Procedures for the treatment of molar furcation invasion defects range from open flap debridement, apically repositioned flap, hemisection, tunneling or extraction, to regenerative therapies. The results of surgical therapy consisting of the clinical parameters of probing depth and bleeding on probing were compared in 15 patients with moderate to advanced adult periodontitis. Each patient received surgical therapy consisting of regenerative therapy using bioactive glass compared to open flap debridement alone in human mandibular molar furcation defects. The results of therapy were statistically significant in the defects treated with the bioactive glass. This study revealed the benefits of bioactive glass in the treatment of Class II furcation defects regarding the clinical parameters of probing depth reduction and the reduction in bleeding on probing.

Research paper thumbnail of Global Oral Health Inequalities: Task Group--Implementation and Delivery of Oral Health Strategies

Advances in Dental Research, 2011