Frederick More | New York University (original) (raw)
Papers by Frederick More
Journal of Dental Education, 1989
Journal of Dental Research
A variety of intra-oral model systems has evolved which allows for the study of remineralization ... more A variety of intra-oral model systems has evolved which allows for the study of remineralization of coronal and/or root-surface lesions following application of topical fluoride (F) agents. The problem of interpretation of the results has led to a variety of analytical methods (i.e., microhardness, F biopsy, microradiography, and polarizing light microscopy), each of which provides important but limited information related to the overall understanding of remineralization. Microhardness measures change in mineral content which is more precisely localized by microradiography and polarized light microscopy. F biopsy allows for assessment of the F uptake of lesions, but does not suggest the chemical state of the F. Previous work has demonstrated that patterns of mineral deposition during remineralization do not necessarily parallel the F uptake profiles, and fluoridated apatites cannot be distinguished from non-specifically-adsorbed F (Clark et al., 1988). Because artificial lesions dem...
Dental clinics of North America, Oct 1, 2016
Lesbian, gay, bisexual, and transgender (LGBT) persons are a diverse group, but they share a comm... more 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 article reviews the literature on oral and overall health of LGBT persons in the United States, and discusses ways in which dentists can improve the health care they provide to this vulnerable population, including how interprofessional education and collaborative practice may help to reduce oral health disparities within this group.
Substance abuse, Jan 22, 2018
We developed and implemented the Substance Abuse Research Education and Training (SARET) program ... more We developed and implemented the Substance Abuse Research Education and Training (SARET) program for medical, dental, nursing, and social work students to address the dearth of health professionals pursuing research and careers in substance use disorders (SUD). SARET has two main components: (1) A novel online curriculum addressing core SUD research topics, to reach a large number of students. (2) A mentored summer research experience for in-depth exposure. Modules were integrated into the curricula of the lead institution, and of five external schools. We assessed the number of web modules completed and their effect on students' interest in SUD research. We also assessed the impact of the mentorship experience on participants' attitudes and early career trajectories, including current involvement in SUD research. Since 2008, over 24,000 modules have been completed by approximately 9,700 individuals. In addition to integration of the modules into curricula at the lead instit...
Journal of Interprofessional Education & Practice
The NIDA funded Substance Abuse Education, Research and Training (SARET) Program addresses the co... more The NIDA funded Substance Abuse Education, Research and Training (SARET) Program addresses the compelling need for health professionals prepared to engage in substance use disorders (SUD) research. The goal of this interprofessional project, structured by an Executive Committee of co-investigators from the disciplines of medicine, nursing, social work and dentistry, is to increase the skills of students from each discipline for interprofessional research collaboration and early career-development opportunities in SUD research. The development of web-based modules, interprofessional seminars and a model mentorship program were designed as well, for dissemination and evaluation by other health professional schools. The educational format is 6 interactive web-based learning modules, providing an overview of core content on Substance Use Disorders (SUD), summer or year-long mentored research experiences with NIH-funded researchers and small interprofessional seminars and site visits. Assessment consists of self-reported annual student learning outcomes and external editorial and advisory board project and curricular materials review. These reviews encourages the updating of materials and provide flexibility for participating "champions" at other schools who use the modules. Quantitative and qualitative outcomes of student research activities and data on dissemination of modules support the fit between project content and interprofessional teaching modalities. The learning modules are available without charge to individuals, students, faculty or health professional programs from the project's website.
Substance Abuse, 2017
The Substance Abuse Research and Education Training (SARET) program is funded by the National Ins... more The Substance Abuse Research and Education Training (SARET) program is funded by the National Institutes of Drug Abuse in 2006 as a novel approach to spark interest in substance abuse research among medical, dental, nursing, and social work graduate students through a Web-based curriculum and research mentorships. This report presents the initial integration of the intervention in a Master of Social Work (MSW) program, the components of the program, and the mixed-methods evaluation of its effect on students' attitudes towards substance abuse research and treatment. SARET comprises 2 main components: stipend-supported research mentorships and a Web-based module series, consisting of 6 interactive, multimedia modules addressing core SA research topics, delivered via course curricula and in the research mentorships. An initial evaluation was designed to assess SARET's acceptability and short-term impact on participants' interest in SA research. The components of this Web-based curriculum evaluation include focus group feedback on the relevance of the modules to SW students, number of courses into which the modules were integrated with number of module completions, changes in interest in SA research associated with module completion. The full series of Web-based modules has been integrated across several courses in the social work curriculum, and social work students have become integral participants in the summer mentored research experience. One hundred eighteen students completed at least 1 module and 42 students completed all 6 modules. Neurobiology, Screening, and Epidemiology were the most widely viewed modules. Students reported positive impact on their vision of SA-related clinical care, more positive attitudes about conducting research, and in some cases, change in career. The SARET program's modules and summer mentored research increased clinical and research interest related to SUDs, as well as interprofessional attitudes among social work students. Participants have shown some early research success. Longer-term follow-up will enable us to continue to assess the effectiveness of the program.
Nevada Journal of Public Health, 2012
Background: Elevated blood lead levels (EBLL) are declining in the United States, although some p... more Background: Elevated blood lead levels (EBLL) are declining in the United States, although some population subgroups continue to exhibit significant health disparities. A childhood lead poisoning prevention program was recently started in Nevada, and many efforts have been made to support this program and increase the screening rates. Methods: To expand the potential pool of children screened for EBLLs, a pilot study was performed to evaluate lead concentrations in extracted deciduous teeth using Graphic Furnace Atomic Absorption Spectrometry (GFAAS), Inductively Coupled Plasma Mass Spectrometry (ICP-MS), and X-Ray Fluorescence (XRF) analysis. Results: Lead concentrations as determined by GFAAS and ICP-MS were found to be within normal ranges (0.585 ppm ± 0.022) and were similar to previous studies. Hispanic patients exhibited higher lead levels (0.580 ppm ± 0.032) than Black (0.478 ppm ± 0.051) patients, and were significantly higher than White (0.275 ppm ± 0.035) patients (p < 0.05). Analysis of a small number of matched saliva samples, however, found no evidence for acute lead poisoning. Although limited by a small initial sample size (n=22), this pilot study provides evidence that teeth can be effectively used to reveal lead exposure in pediatric dentistry patients.
The Journal of the Michigan State Dental Association, 1973
Journal of dental education, 2004
The purpose of this article is to explore issues that pertain to the needs of gay men, lesbians, ... more The purpose of this article is to explore issues that pertain to the needs of gay men, lesbians, and bisexual and transgender (GLBT) students as a subgroup in U.S. dental schools. The increasing visibility of GLBT persons in all aspects of life is one aspect of the changing face of the U.S. population. Increasingly, there is dialogue about issues related to GLBT persons, their nontraditional families, and their full engagement in society. Recent court decisions, changing policies in states and municipalities, and increasing acceptance in society promote inclusion. Likewise, this dialogue has extended into academic life. In medicine and nursing, GLBT issues include the needs of GLBT patients, the mentoring of faculty and administration, and acculturation of students in a dynamic college environment. Increasing the acceptance of GLBT persons and enhancing the value of diversity throughout the community and within the profession are challenges that must be met. In addition, fostering p...
Journal of dental education, 2004
Faced with the challenge of restructuring a preclinical curriculum to provide a stronger backgrou... more Faced with the challenge of restructuring a preclinical curriculum to provide a stronger background in general dentistry, a clinical simulation program that emphasizes critical thinking in clinical decision-making was developed and implemented at New York University College of Dentistry. The program offers an integrated program in clinical sciences focused on the faculty-defined outcomes for a general dentist. The curriculum was developed using outcomes that must be met before full patient care privileges are extended. The curriculum is centered around a series of patients with differing profiles of risk, disease, and treatment needs. Students are required to think globally, collect data that leads to an accurate assessment of the patient's risk, plan prevention and health promotion, and define a treatment plan. The student then demonstrates proficiency in executing treatment, evaluates the results, and speculates about the long-term impact of the treatment provided. Student and...
Journal of the American Dental Association (1939), 1974
Journal of the American Dental Association (1939), 1985
This study analyzes the clinical effectiveness of a sealant (Delton) and its requirements for ret... more This study analyzes the clinical effectiveness of a sealant (Delton) and its requirements for retreatment to maintain the optimum protection from pit and fissure caries. One hundred paired occlusal surfaces were treated in 29 patients. Two contralateral, partially erupted, noncarious molars with deep occlusal fissures were randomly selected to receive a sealant; one had a rubber dam and the other, cotton rolls for isolation. Each tooth received a prophylaxis with a rubber cup and a pumice slurry. The dryness of the field was evaluated. Each tooth was etched with 37% phosphoric acid for 60 seconds, rinsed for 15 seconds, and dried for 30 seconds. Sealant (Delton Tinted) was applied with a syringe according to manufacturer's instructions. Sealants were evaluated and reapplied where indicated at 6-month intervals. The average 6-month retention rate over 36 months was 95%, regardless of the method of isolation used when the sealant was applied initially. No tooth under treatment wit...
Journal of dental education, 1989
Journal of the American Dental Association (1939), 1990
For patients aged 5 to 9 and 11 to 14, 100 occlusal surfaces on newly erupting permanent molars w... more For patients aged 5 to 9 and 11 to 14, 100 occlusal surfaces on newly erupting permanent molars were treated with a self-curing pit and fissure sealant. All teeth were categorized according to stage of eruption and sealant thickness of the coating applied. After 36 months, 75 surfaces were examined for a final evaluation; 52 surfaces (70%) did not need retreatment. Of the 23 surfaces retreated as a result of sealant loss or marginal deterioration, 18 were retreated only once in the six recall evaluations. Those molars treated originally with the operculum covering the distal marginal ridge of the occlusal surface had twice the probability for retreatment as teeth not treated until the entire marginal ridge was exposed. The thickness of the sealant coating did not affect the early signs of sealant failure.
The Journal of the American Dental Association, 1986
Among the anticaries benefits of fluorides is the remineralization of incipient carious lesions. ... more Among the anticaries benefits of fluorides is the remineralization of incipient carious lesions. There is increasingly convincing evidence that low-potency fluoride agents applied frequently are effective in remineralizing early carious lesions. This study of in vivo remineralization used an intraoral appliance with demineralized enamel slabs mounted in the appliance and an innovative method of fluoride delivery, the fluoride-releasing device, which releases a controlled amount of fluoride (0.3 mg fluoride every 24 hours) on exposure to saliva. After control and treatment periods of 7 and 30 days, the enamel specimens were removed from the appliance and evaluated for microhardness, acid resistance, and fluoride uptake. The treated specimens significantly exceeded the values of their corresponding controls in all parameters measured, indicating that considerable remineralization of the treated enamel had occurred at both 7 and 30 days. Although the longer period of treatment produced greater results, considerable effects were observed after 7 days. This model system provided for an in vivo environment to study the effects of treatment of the FRD and allowed for subsequent recovery of the enamel specimens for evaluation. The results of this study are encouraging with respect to the efficacy of a fluoride-releasing device but indicate that subsequent clinical testing of the effects of FRDs on incipient carious lesions in the natural dentition of human subjects is necessary.
Journal of dental education, 2006
The purpose of this project was to define education and training requirements for hospital-based ... more The purpose of this project was to define education and training requirements for hospital-based dentists to efficiently and meaningfully participate in a hospital disaster response. Eight dental faculty with hospital-based training and/or military command and CBRNE (chemical, biological, radiological, nuclear, and explosive) expertise were recruited as an expert panel. A consensus set of recommended educational objectives for hospital-based dentists was established using the following process: 1) identify assumptions supported by all expert panelists, 2) determine current advanced dental educational training requirements, and 3) conduct additional training and literature review by various panelists and discussions with other content and systems experts. Using this three-step process, educational objectives that the development group believed necessary for hospital-based dentists to be effective in treatment or management roles in times of a catastrophic event were established. Thes...
Journal of Health Care for the Poor and Underserved, 2012
Human papillomavirus (HPV) is an emerging risk factor for oropharyngeal cancer, especially among ... more Human papillomavirus (HPV) is an emerging risk factor for oropharyngeal cancer, especially among younger patients, and must be thoughtfully addressed by the dental community. The professional ethical decision-making model first advanced by Ozar and Sokol for use by dentists at chairside (define the dilemma, assess the facts, identify and rank the alternatives, and choose a course of action) was modified to delineate clearly inputs, considerations, and feedback loops based on what is professionally and ethically at stake in advising patients. As the link between HPV and oropharyngeal cancer is established through scientific studies, the role of the dentist in primary and secondary prevention will be crucial. In the absence of definitive evidence, the professional ethical decision-making framework presented here allows dentists to systematically work through available alternatives. Ultimately, the role of the dentist is to use discretion in choosing a professional and ethical course of action for each patient.
Journal of Dental Education, 1989
Journal of Dental Research
A variety of intra-oral model systems has evolved which allows for the study of remineralization ... more A variety of intra-oral model systems has evolved which allows for the study of remineralization of coronal and/or root-surface lesions following application of topical fluoride (F) agents. The problem of interpretation of the results has led to a variety of analytical methods (i.e., microhardness, F biopsy, microradiography, and polarizing light microscopy), each of which provides important but limited information related to the overall understanding of remineralization. Microhardness measures change in mineral content which is more precisely localized by microradiography and polarized light microscopy. F biopsy allows for assessment of the F uptake of lesions, but does not suggest the chemical state of the F. Previous work has demonstrated that patterns of mineral deposition during remineralization do not necessarily parallel the F uptake profiles, and fluoridated apatites cannot be distinguished from non-specifically-adsorbed F (Clark et al., 1988). Because artificial lesions dem...
Dental clinics of North America, Oct 1, 2016
Lesbian, gay, bisexual, and transgender (LGBT) persons are a diverse group, but they share a comm... more 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 article reviews the literature on oral and overall health of LGBT persons in the United States, and discusses ways in which dentists can improve the health care they provide to this vulnerable population, including how interprofessional education and collaborative practice may help to reduce oral health disparities within this group.
Substance abuse, Jan 22, 2018
We developed and implemented the Substance Abuse Research Education and Training (SARET) program ... more We developed and implemented the Substance Abuse Research Education and Training (SARET) program for medical, dental, nursing, and social work students to address the dearth of health professionals pursuing research and careers in substance use disorders (SUD). SARET has two main components: (1) A novel online curriculum addressing core SUD research topics, to reach a large number of students. (2) A mentored summer research experience for in-depth exposure. Modules were integrated into the curricula of the lead institution, and of five external schools. We assessed the number of web modules completed and their effect on students' interest in SUD research. We also assessed the impact of the mentorship experience on participants' attitudes and early career trajectories, including current involvement in SUD research. Since 2008, over 24,000 modules have been completed by approximately 9,700 individuals. In addition to integration of the modules into curricula at the lead instit...
Journal of Interprofessional Education & Practice
The NIDA funded Substance Abuse Education, Research and Training (SARET) Program addresses the co... more The NIDA funded Substance Abuse Education, Research and Training (SARET) Program addresses the compelling need for health professionals prepared to engage in substance use disorders (SUD) research. The goal of this interprofessional project, structured by an Executive Committee of co-investigators from the disciplines of medicine, nursing, social work and dentistry, is to increase the skills of students from each discipline for interprofessional research collaboration and early career-development opportunities in SUD research. The development of web-based modules, interprofessional seminars and a model mentorship program were designed as well, for dissemination and evaluation by other health professional schools. The educational format is 6 interactive web-based learning modules, providing an overview of core content on Substance Use Disorders (SUD), summer or year-long mentored research experiences with NIH-funded researchers and small interprofessional seminars and site visits. Assessment consists of self-reported annual student learning outcomes and external editorial and advisory board project and curricular materials review. These reviews encourages the updating of materials and provide flexibility for participating "champions" at other schools who use the modules. Quantitative and qualitative outcomes of student research activities and data on dissemination of modules support the fit between project content and interprofessional teaching modalities. The learning modules are available without charge to individuals, students, faculty or health professional programs from the project's website.
Substance Abuse, 2017
The Substance Abuse Research and Education Training (SARET) program is funded by the National Ins... more The Substance Abuse Research and Education Training (SARET) program is funded by the National Institutes of Drug Abuse in 2006 as a novel approach to spark interest in substance abuse research among medical, dental, nursing, and social work graduate students through a Web-based curriculum and research mentorships. This report presents the initial integration of the intervention in a Master of Social Work (MSW) program, the components of the program, and the mixed-methods evaluation of its effect on students' attitudes towards substance abuse research and treatment. SARET comprises 2 main components: stipend-supported research mentorships and a Web-based module series, consisting of 6 interactive, multimedia modules addressing core SA research topics, delivered via course curricula and in the research mentorships. An initial evaluation was designed to assess SARET's acceptability and short-term impact on participants' interest in SA research. The components of this Web-based curriculum evaluation include focus group feedback on the relevance of the modules to SW students, number of courses into which the modules were integrated with number of module completions, changes in interest in SA research associated with module completion. The full series of Web-based modules has been integrated across several courses in the social work curriculum, and social work students have become integral participants in the summer mentored research experience. One hundred eighteen students completed at least 1 module and 42 students completed all 6 modules. Neurobiology, Screening, and Epidemiology were the most widely viewed modules. Students reported positive impact on their vision of SA-related clinical care, more positive attitudes about conducting research, and in some cases, change in career. The SARET program's modules and summer mentored research increased clinical and research interest related to SUDs, as well as interprofessional attitudes among social work students. Participants have shown some early research success. Longer-term follow-up will enable us to continue to assess the effectiveness of the program.
Nevada Journal of Public Health, 2012
Background: Elevated blood lead levels (EBLL) are declining in the United States, although some p... more Background: Elevated blood lead levels (EBLL) are declining in the United States, although some population subgroups continue to exhibit significant health disparities. A childhood lead poisoning prevention program was recently started in Nevada, and many efforts have been made to support this program and increase the screening rates. Methods: To expand the potential pool of children screened for EBLLs, a pilot study was performed to evaluate lead concentrations in extracted deciduous teeth using Graphic Furnace Atomic Absorption Spectrometry (GFAAS), Inductively Coupled Plasma Mass Spectrometry (ICP-MS), and X-Ray Fluorescence (XRF) analysis. Results: Lead concentrations as determined by GFAAS and ICP-MS were found to be within normal ranges (0.585 ppm ± 0.022) and were similar to previous studies. Hispanic patients exhibited higher lead levels (0.580 ppm ± 0.032) than Black (0.478 ppm ± 0.051) patients, and were significantly higher than White (0.275 ppm ± 0.035) patients (p < 0.05). Analysis of a small number of matched saliva samples, however, found no evidence for acute lead poisoning. Although limited by a small initial sample size (n=22), this pilot study provides evidence that teeth can be effectively used to reveal lead exposure in pediatric dentistry patients.
The Journal of the Michigan State Dental Association, 1973
Journal of dental education, 2004
The purpose of this article is to explore issues that pertain to the needs of gay men, lesbians, ... more The purpose of this article is to explore issues that pertain to the needs of gay men, lesbians, and bisexual and transgender (GLBT) students as a subgroup in U.S. dental schools. The increasing visibility of GLBT persons in all aspects of life is one aspect of the changing face of the U.S. population. Increasingly, there is dialogue about issues related to GLBT persons, their nontraditional families, and their full engagement in society. Recent court decisions, changing policies in states and municipalities, and increasing acceptance in society promote inclusion. Likewise, this dialogue has extended into academic life. In medicine and nursing, GLBT issues include the needs of GLBT patients, the mentoring of faculty and administration, and acculturation of students in a dynamic college environment. Increasing the acceptance of GLBT persons and enhancing the value of diversity throughout the community and within the profession are challenges that must be met. In addition, fostering p...
Journal of dental education, 2004
Faced with the challenge of restructuring a preclinical curriculum to provide a stronger backgrou... more Faced with the challenge of restructuring a preclinical curriculum to provide a stronger background in general dentistry, a clinical simulation program that emphasizes critical thinking in clinical decision-making was developed and implemented at New York University College of Dentistry. The program offers an integrated program in clinical sciences focused on the faculty-defined outcomes for a general dentist. The curriculum was developed using outcomes that must be met before full patient care privileges are extended. The curriculum is centered around a series of patients with differing profiles of risk, disease, and treatment needs. Students are required to think globally, collect data that leads to an accurate assessment of the patient's risk, plan prevention and health promotion, and define a treatment plan. The student then demonstrates proficiency in executing treatment, evaluates the results, and speculates about the long-term impact of the treatment provided. Student and...
Journal of the American Dental Association (1939), 1974
Journal of the American Dental Association (1939), 1985
This study analyzes the clinical effectiveness of a sealant (Delton) and its requirements for ret... more This study analyzes the clinical effectiveness of a sealant (Delton) and its requirements for retreatment to maintain the optimum protection from pit and fissure caries. One hundred paired occlusal surfaces were treated in 29 patients. Two contralateral, partially erupted, noncarious molars with deep occlusal fissures were randomly selected to receive a sealant; one had a rubber dam and the other, cotton rolls for isolation. Each tooth received a prophylaxis with a rubber cup and a pumice slurry. The dryness of the field was evaluated. Each tooth was etched with 37% phosphoric acid for 60 seconds, rinsed for 15 seconds, and dried for 30 seconds. Sealant (Delton Tinted) was applied with a syringe according to manufacturer's instructions. Sealants were evaluated and reapplied where indicated at 6-month intervals. The average 6-month retention rate over 36 months was 95%, regardless of the method of isolation used when the sealant was applied initially. No tooth under treatment wit...
Journal of dental education, 1989
Journal of the American Dental Association (1939), 1990
For patients aged 5 to 9 and 11 to 14, 100 occlusal surfaces on newly erupting permanent molars w... more For patients aged 5 to 9 and 11 to 14, 100 occlusal surfaces on newly erupting permanent molars were treated with a self-curing pit and fissure sealant. All teeth were categorized according to stage of eruption and sealant thickness of the coating applied. After 36 months, 75 surfaces were examined for a final evaluation; 52 surfaces (70%) did not need retreatment. Of the 23 surfaces retreated as a result of sealant loss or marginal deterioration, 18 were retreated only once in the six recall evaluations. Those molars treated originally with the operculum covering the distal marginal ridge of the occlusal surface had twice the probability for retreatment as teeth not treated until the entire marginal ridge was exposed. The thickness of the sealant coating did not affect the early signs of sealant failure.
The Journal of the American Dental Association, 1986
Among the anticaries benefits of fluorides is the remineralization of incipient carious lesions. ... more Among the anticaries benefits of fluorides is the remineralization of incipient carious lesions. There is increasingly convincing evidence that low-potency fluoride agents applied frequently are effective in remineralizing early carious lesions. This study of in vivo remineralization used an intraoral appliance with demineralized enamel slabs mounted in the appliance and an innovative method of fluoride delivery, the fluoride-releasing device, which releases a controlled amount of fluoride (0.3 mg fluoride every 24 hours) on exposure to saliva. After control and treatment periods of 7 and 30 days, the enamel specimens were removed from the appliance and evaluated for microhardness, acid resistance, and fluoride uptake. The treated specimens significantly exceeded the values of their corresponding controls in all parameters measured, indicating that considerable remineralization of the treated enamel had occurred at both 7 and 30 days. Although the longer period of treatment produced greater results, considerable effects were observed after 7 days. This model system provided for an in vivo environment to study the effects of treatment of the FRD and allowed for subsequent recovery of the enamel specimens for evaluation. The results of this study are encouraging with respect to the efficacy of a fluoride-releasing device but indicate that subsequent clinical testing of the effects of FRDs on incipient carious lesions in the natural dentition of human subjects is necessary.
Journal of dental education, 2006
The purpose of this project was to define education and training requirements for hospital-based ... more The purpose of this project was to define education and training requirements for hospital-based dentists to efficiently and meaningfully participate in a hospital disaster response. Eight dental faculty with hospital-based training and/or military command and CBRNE (chemical, biological, radiological, nuclear, and explosive) expertise were recruited as an expert panel. A consensus set of recommended educational objectives for hospital-based dentists was established using the following process: 1) identify assumptions supported by all expert panelists, 2) determine current advanced dental educational training requirements, and 3) conduct additional training and literature review by various panelists and discussions with other content and systems experts. Using this three-step process, educational objectives that the development group believed necessary for hospital-based dentists to be effective in treatment or management roles in times of a catastrophic event were established. Thes...
Journal of Health Care for the Poor and Underserved, 2012
Human papillomavirus (HPV) is an emerging risk factor for oropharyngeal cancer, especially among ... more Human papillomavirus (HPV) is an emerging risk factor for oropharyngeal cancer, especially among younger patients, and must be thoughtfully addressed by the dental community. The professional ethical decision-making model first advanced by Ozar and Sokol for use by dentists at chairside (define the dilemma, assess the facts, identify and rank the alternatives, and choose a course of action) was modified to delineate clearly inputs, considerations, and feedback loops based on what is professionally and ethically at stake in advising patients. As the link between HPV and oropharyngeal cancer is established through scientific studies, the role of the dentist in primary and secondary prevention will be crucial. In the absence of definitive evidence, the professional ethical decision-making framework presented here allows dentists to systematically work through available alternatives. Ultimately, the role of the dentist is to use discretion in choosing a professional and ethical course of action for each patient.