Gregg H Gilbert
Biographic Data
| ID | 4720779 |
|---|---|
| NAME | Gregg H Gilbert |
| GIVEN NAMES | Gregg H |
| FAMILY NAME | Gilbert |
| SIGNATURE | GILBERT G H |
| AFFILIATIONS | University of Alabama at Birmingham |
| ORCID | 0000-0003-2017-625X |
| VERIFIED | Yes |
| TOTAL WORKS | 42 |
| TOTAL CITATIONS | 37 |
| AUTHOR COUNT | 42 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 2 |
Prescription Drug Abuse Among Patients in Rural Dental Practices Reported by Members of the National Dental PBRN
Purpose This study compared rural to nonrural dentists with respect to opioid prescribing practices, perceptions about prescription drug abuse among patients, and training relevant to pain management and addictions. Methods A web‐based, cross‐sectional questionnaire was administered to practicing dentist members of the National Dental Practice‐Based Research Network (PBRN; N = 822) and linked with network enrollment questionnaire data regarding p…
Evidence‐practice gap for in‐office fluoride application in a dental practice‐based research network
Dentist practice patterns for recommending in-office fluoride vary widely. Recommendation was significantly related to having a higher percentage of patients interested in caries prevention and to the dentist's belief about the effectiveness of caries risk assessment. (Clinicaltrials.gov registration number NCT01680848)
Supplementing online surveys with a mailed option to reduce bias and improve response rate: The National Dental Practice‐Based Research Network
Even in an era of increasingly electronic communication by dentists, not including a paper option when conducting surveys can result in overestimation of the prevalence of key dental practice characteristics
Utilization of nondentist providers and attitudes toward new provider models: Findings from the National Dental Practice‐Based Research Network
Expanding scopes of practice for dental hygienists and assistants has not translated to the maximal delegation allowed by law among network practices. This finding may provide insight into dentists' acceptance of newer nondentist provider models
Dental care utilization among North Carolina rural older adults
Regular and recent dental care are infrequent among rural older adults. Contrary to expectations, those not receiving dental care are those who most need care; this has been referred to as the Paradox of Dental Need. Community access to dental care and the ability of older adults to pay for dental care must be addressed by public-health policy to improve the health and quality of life of older adults in rural communities
Use of online sources of information by dental practitioners: Findings from The Dental Practice‐Based Research Network
A relatively small proportion of dental practitioners use information from online sources for practice guidance. Variation exists regarding practitioners' use of online source resources and how they rate the value of offline information sources for practice guidance
Examiner training and reliability in two randomized clinical trials of adult dental caries: Examiner training and reliability in two randomized clinical trials of adult dental caries
The methods and results for the initial examiner training and standardization sessions for two large clinical trials are reported. Recommendations for others planning examiner training and standardization sessions are offered
Dental anxiety and oral health outcomes among rural older adults
About one in eight rural older adults have high dental anxiety, which is associated with poor oral health outcomes. Identifying new approaches to measure dental anxiety among a population with limited interaction with dental care providers is needed
Severe tooth loss in older adults as a key indicator of compromised dietary quality
Objective Poor oral health influences the dietary quality of older individuals. The objective of the present study was to relate the number of teeth to adherence to the 2005 Dietary Guidelines for Americans among an ethnically diverse sample of older adults. Design A block cluster design was used to obtain a sample of older adults. Data were weighted to census data for ethnicity and gender. Dietary intakes were assessed using an FFQ and converted…
Four “lessons learned” while implementing a multi-site caries prevention trial: Four lessons learned in caries prevention trials
As the number of dental-related randomized clinical trials (RCTs) increases, there is a need for literature to help investigators inexperienced in conducting RCTs design and implement studies. This commentary describes four "lessons learned" or considerations important in the planning and initial implementation of RCTs in dentistry that, to our knowledge, have not been discussed in the general dental literature describing trial techniques. These …
Institutional review board and regulatory solutions in The Dental PBRN
Instead of viewing IRBs and institutional administrators as potentially adversarial, customized solutions can be identified by engaging them in collegial discussions that identify common ground within regulatory bounds. Although time-intensive and complex, these solutions improve acceptability of practice-based research to patients, practitioners, and university researchers
Patient‐Level and Practice‐Level Characteristics Associated with Receipt of Preventive Dental Services: 48‐Month Incidence
One preventive procedure was common; the other was uncommon. However, practices did not effectively target high-risk patients for either procedure. Instead, both services were typically received by persons with the least need for them. These findings are consistent with the conclusion that practitioners greatly influenced the delivery of fluoride services, with substantial contributions also made by patient-level predisposing and enabling factors…
Racial Differences in Baseline Treatment Preference as Predictors of Receiving a Dental Extraction Versus Root Canal Therapy During 48 Months of Follow‐Up
Baseline treatment preference strongly predicts subsequent receipt of EXT versus root canal treatment. Racial differences in treatment received during follow-up were explained by baseline racial differences in treatment preference, tooth mobility, and periodontal status
Satisfaction With Dental Appearance Among Diverse Groups of Dentate Adults
Dissatisfaction with dental appearance was common in this population-based sample of middle-aged and older adults, and was significantly associated with key sociodemographic and oral health factors
Effect of Dental Practice Characteristics on Racial Disparities in Patient-Specific Tooth Loss
OBJECTIVE: The objective of this study was to test the hypothesis that dental practice characteristics are associated with tooth loss incidence with both tooth-specific and patient-specific characteristics already taken into account. RESEARCH DESIGN: A population-based prospective cohort study was conducted. In-person interviews and clinical examinations were done at baseline, 24, and 48 months, with telephone interviews every 6 months. Practices…
Effectiveness of dental services in facilitating recovery from oral disadvantage
Chronic oral disadvantage, a measure of long-term decrements in oral health-related quality of life
Socioeconomic and Demographic Disparities in Symptoms of Orofacial Pain
Consistent with findings for other subjective measures of oral health, persons of lower SES are at increased risk for orofacial pain and pain-related behavioral impact
The Dynamics of Toothache Pain and Dental Services Utilization: 24‐Month Incidence
In this diverse sample of adults, toothache pain occurs frequently and is quite variable overtime. Toothache occurs in conjunction with various forms of self-reported oral disease (e.g., abscess, cavities) or tissue damage (e.g., loose tooth, broken tooth, bleeding gums). Subjects who experience toothache are slightly more likely than others to utilize dental services in the time period proximate to the toothache pain
The Paradox of Dental Need in a Population-Based Study of Dentate Adults
BACKGROUND: Studies typically find that predisposing and enabling factors strongly predict dental utilization, but that need factors do not. However, few longitudinal studies have been conducted, and few have comprehensively measured dental need. OBJECTIVES: To describe the paradox of dental need, and to test three hypotheses regarding need and dental care use. MATERIALS AND METHODS: An observational study that included 873 persons who participat…
On Adding a Dental Practice Component to an Ongoing Longitudinal Population‐based Study of Oral Health
Although time intensive, this method of collecting data substantially increased information about dental treatment received, compared to relying on participant self-report and clinical examination
Orofacial Pain: Racial and Sex Differences Among Older Adults
Although pain prevalence is an important public health variable, this study suggests that other pain-related variables, such as behavioral impacts, are useful when describing disparities associated with orofacial pain
Racial and Socioeconomic Disparities in Oral Disadvantage, a Measure of Oral Health‐related Quality of Life: 24‐Month Incidence
African Americans, females, rural residents, individuals who did not graduate from high school, individuals with limited financial resources, and problem-oriented dental attenders had significantly higher occurrences of oral disadvantage. Racial and sex disparities in oral disadvantage were largely explained by differences in approach to dental care and financial resources between these groups
Predictors of Chewing Difficulty Onset Among Dentate Adults: 24‐Month Incidence
Self-reported oral disease and tissue damage and toothache pain were strong predictors of decline in chewing ability. Additionally, women were identified as a high-risk group for incident chewing difficulty. Future research should elaborate further the pathways through which these factors affect oral function
Comparison of Two Methods of Estimating 48‐month Tooth Loss Incidence
Validity of self-reported incidence was excellent. The self-reported method allowed for semiannual estimates and was less resource intensive. Substantive conclusions about tooth loss using either method were similar, although validity did differ between persons with certain baseline characteristics
Dental care use by U.S. veterans eligible for VA care
Determinants of dental care use in dentate adults: Six-monthly use during a 24-month period in the Florida dental care study
Race Differences in the Health of Elders who Live Alone
This investigation was initiated to determine whether older African Americans who live alone are in poorer health than their White counterparts who live under the same circumstances. Data on 5 measures of health were collected in telephone interviews with a stratified random sample of community-dwelling elders (n = 1,189). Analysis of weighted data indicate that there were fewer differences in health by race among older persons who lived alone co…
Older Floridians' Attitudes toward and Use of Dental Care
Older Floridians (mean age 78 years) were interviewed regarding their use of dental care, attitudes toward dental care, and other characteristics hypothesized as being explanatory of dental care use. Fifty-two percent of respondents reported having been to a dentist within the past year, and 31% had not been within the previous 5 years. Five constructs measured attitudes toward dental care and dental health: (a) the importance placed on regular d…
Predictors of Older Adultsʼ Longitudinal Dental Care Use: Ten-Year Results
Our purpose was to identify factors predictive of reported dental care use by elders (65+) over a ten-year period in Massachusetts. The Massachusetts Health Care Panel Study began in 1974-75 (wave 1) as a statewide survey of 1625 noninstitutionalized elders. Wave 2 occurred in 1976, wave 3 in 1980, and wave 4 in 1985. The 540 persons who participated in all four waves are the subject of this report. The remainder either died, entered nursing home…
Eligible Veterans' Choice Between VA‐covered and Non‐VA‐covered Dental Care
Veterans who were eligible for dental care in Department of Veterans Affairs (VA) facilities at no monetary cost responded to a mailed questionnaire. Seventy-one percent were aware that they were actually eligible for VA dental care. However, only 48 percent reported the VA as their only or primary source of dental care. Eligibility status, perceived quality of VA dental care, use of VA medical care, perception that one's income meets expenses, a…
Oral Signs, Symptoms, and Behaviors in Older Floridians
Six hundred community-dwelling older Floridians were interviewed regarding the presence of reported signs of dental conditions, dental and oral symptoms, behavioral impact from dental conditions, and orofacial sensory changes. The prevalence of any single oral sign, symptom, or behavioral impact was generally low. A notable exception was the 39 percent prevalence of dry mouth. However, from 10 percent to 29 percent of persons had at least one of …
Dental care use by U.S. veterans eligible for VA care
Older Floridians' Attitudes toward and Use of Dental Care
Older Floridians (mean age 78 years) were interviewed regarding their use of dental care, attitudes toward dental care, and other characteristics hypothesized as being explanatory of dental care use. Fifty-two percent of respondents reported having been to a dentist within the past year, and 31% had not been within the previous 5 years. Five constructs measured attitudes toward dental care and dental health: (a) the importance placed on regular d…
Access To and Patterns of Use of Oral Health Care Among Elderly Veterans
Utilization of The Department of Veterans Affairs (VA) dental care system is best understood in the context of the health care system at large. Veterans' use of dental care is apparently influenced by a wide variety of factors that include: barriers to access to non-VA systems (such as a lack of health insurance and the inability to afford non-VA care); ineligibility for VA services (such as absence of a service-connected disability); characteris…
Rural‐Urban Comparisons of Age and Health at the Time of Nursing Home Admission
This study re‐examines the contention that rural elders admitted to nursing homes are younger and healthier than their counterparts who enter urban facilities. The analysis uses interview data gathered in both urban and rural nursing homes. Residents were inter‐viewed at or near the time of admission regarding their health and circumstances immediately prior to entering the nursing home. The findings indicate few and modest differences between ur…
Evaluation of Bias and Logistics in a Survey of Adults at Increased Risk for Oral Health Decrements
This method of sampling persons at high risk for oral health decrements resulted in only modest bias with respect to the population of interest
Validity of Self‐reported Tooth Counts During a Telephone Screening Interview
When the unit of analysis is the overall sample, these results suggest that self-reported tooth counts during a telephone interview are sufficiently valid to meet all but the most stringent data requirements. When the unit of analysis is the individual subject, these tooth counts may not be valid, depending upon the degree of specificity required and subject characteristics
Race Differences in the Health of Elders who Live Alone
This investigation was initiated to determine whether older African Americans who live alone are in poorer health than their White counterparts who live under the same circumstances. Data on 5 measures of health were collected in telephone interviews with a stratified random sample of community-dwelling elders (n = 1,189). Analysis of weighted data indicate that there were fewer differences in health by race among older persons who lived alone co…
Dental Health Attitudes Among Dentate Black and White Adults
OBJECTIVES: Blacks and poor persons share a greater burden of oral disease and are less likely to seek dental care on a regular basis. The role of dental attitudes and knowledge of services on this circumstance is unclear. The authors quantified group differences in dental attitudes and knowledge of services and related them to regularity of dental care use. METHODS: As part of the baseline phase of The Florida Dental Care Study, a longitudinal s…
Taking Dental Self‐care to the Extreme: 24‐Month Incidence of Dental Self‐extractions in the Florida Dental Care Study
The phenomenon of dental self-extraction is real and is not limited to residents of developing nations or geographically isolated areas. Because of the potential for prolonged bleeding or bacterial endocarditis in certain population groups, community health clinicians and officials should be cognizant of this behavior
Oral Functional Limitation among Dentate Adults
The findings in this study suggest a significant prevalence of oral functional limitation in dentate adults. Certain clinical and sociodemographic factors were strongly and independently associated with its presence
Dietary implications of oral health decrements among African‐American and white older adults
Our study provides evidence that the widespread prevalence of oral health decrements and accompanying functional disability among this sample of dentate older adults impacts their daily lives. Of particular concern is the oral heath status of older African-Americans who may be nutritionally vulnerable due, in part, to these oral health decrements and disabilities. We suggest enhancing the access of health services in order to prevent those oral h…
Multidimensionality of Oral Health in Dentate Adults
OBJECTIVES: An understanding of the validity and usefulness of self-reported measures (as distinct from clinically determined measures) of oral health is emerging. These self-reported measures include self-rated oral health (SROH). Three objectives were to: (1) describe self-rated oral health in dentate adults, (2) quantify associations between self-rated oral health and other measures of oral health (oral disease and tissue damage, pain and disc…
Determinants of dental care use in dentate adults: Six-monthly use during a 24-month period in the Florida dental care study
Patterns of Change in Self-Reported Oral Health Among Dentate Adults
BACKGROUND: Although self-assessments of oral health have become useful tools in dental research, the use of self-reports to study changes in oral health over time has been limited. The aim of this investigation was to describe how oral disease and tissue damage, pain, functional limitation, disadvantage, and self-rated oral health change over time. METHODS: The Florida Dental Care Study (FDCS) (n = 873) is a longitudinal study of oral health amo…
On Adding a Dental Practice Component to an Ongoing Longitudinal Population‐based Study of Oral Health
Although time intensive, this method of collecting data substantially increased information about dental treatment received, compared to relying on participant self-report and clinical examination
Orofacial Pain: Racial and Sex Differences Among Older Adults
Although pain prevalence is an important public health variable, this study suggests that other pain-related variables, such as behavioral impacts, are useful when describing disparities associated with orofacial pain
Racial and Socioeconomic Disparities in Oral Disadvantage, a Measure of Oral Health‐related Quality of Life: 24‐Month Incidence
African Americans, females, rural residents, individuals who did not graduate from high school, individuals with limited financial resources, and problem-oriented dental attenders had significantly higher occurrences of oral disadvantage. Racial and sex disparities in oral disadvantage were largely explained by differences in approach to dental care and financial resources between these groups
Predictors of Chewing Difficulty Onset Among Dentate Adults: 24‐Month Incidence
Self-reported oral disease and tissue damage and toothache pain were strong predictors of decline in chewing ability. Additionally, women were identified as a high-risk group for incident chewing difficulty. Future research should elaborate further the pathways through which these factors affect oral function
Comparison of Two Methods of Estimating 48‐month Tooth Loss Incidence
Validity of self-reported incidence was excellent. The self-reported method allowed for semiannual estimates and was less resource intensive. Substantive conclusions about tooth loss using either method were similar, although validity did differ between persons with certain baseline characteristics
Socioeconomic and Demographic Disparities in Symptoms of Orofacial Pain
Consistent with findings for other subjective measures of oral health, persons of lower SES are at increased risk for orofacial pain and pain-related behavioral impact
The Dynamics of Toothache Pain and Dental Services Utilization: 24‐Month Incidence
In this diverse sample of adults, toothache pain occurs frequently and is quite variable overtime. Toothache occurs in conjunction with various forms of self-reported oral disease (e.g., abscess, cavities) or tissue damage (e.g., loose tooth, broken tooth, bleeding gums). Subjects who experience toothache are slightly more likely than others to utilize dental services in the time period proximate to the toothache pain
The Paradox of Dental Need in a Population-Based Study of Dentate Adults
BACKGROUND: Studies typically find that predisposing and enabling factors strongly predict dental utilization, but that need factors do not. However, few longitudinal studies have been conducted, and few have comprehensively measured dental need. OBJECTIVES: To describe the paradox of dental need, and to test three hypotheses regarding need and dental care use. MATERIALS AND METHODS: An observational study that included 873 persons who participat…
Medicine (42 works) · Dental Health and Care Utilization (31 works) · Dentistry (23 works) · Family medicine (19 works) · Gerontology (19 works) · Environmental health (16 works) · Oral health (14 works) · Population (14 works) · Oral microbiology and periodontitis research (12 works) · Gerontology (11 works)