Research Article
Volume 19 Issue 5 - 2020
Attitudes of Mississippi Licensed Dentists and Faculty toward Dental Therapy Model
Ahmad Abdelkarim1*, David A Felton2, Elizabeth O Carr3‎ and Emily Turbeville4
1Professor and Chair, Department of Orthodontics, School of Dentistry, University of Mississippi Medical Center, Jackson, Mississippi, USA
2Professor and Dean, School of Dentistry, University of Mississippi Medical Center, USA
3Associate Professor, Department of Dental Hygiene, School of Dentistry, University of Mississippi Medical Center, USA
4Dental Student at School of Dentistry, University of Mississippi Medical Center, USA
*Corresponding Author: Ahmad Abdelkarim, Professor and Chair, Department of Orthodontics, School of Dentistry, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Received: March 30, 2020; Published: April 28, 2020


Incorporation of a mid-level dental provider into the oral health care system provides an opportunity for increased access to care for patients in rural or underserved areas, especially in states in which there is a lack of adequate number of dentists in rural areas. The purpose of this study was to assess the attitudes of dentists and dental faculty in Mississippi toward the dental therapy model. A survey instrument was designed with four demographic questions (age, gender, faculty status, private practice status), ten statements rated on a Likert scale assessing general acceptance of dental therapy model, and three open-ended questions assessing advantages, disadvantages and perspectives of respondents about dental therapy. After IRB approval, the survey was distributed through Qualtrics system to 567 licensed dentists and faculty in Mississippi, of which 109 respondents completed the survey (response rate of 19%). Mann-Whitney U test was used to test the null hypotheses regarding response equality between different groups (age, gender, faculty status, private practice status), with a statistical significance set at 0.05. In this study, most responses of different groups had no statistical differences (p˃0.05). Overall, the attitudes of licensed Mississippi dentists about dental therapy were remarkably negative. Qualitative results showed that few Mississippi dentists perceive that the dental therapy model could increase access to care. However, most of the qualitative data revealed major concerns about dental therapy, including unease with insufficient education, inability to manage clinical complications, potential for reduction of quality of care, and the perception of endangering the public.

Keywords: Dental Therapy Model; Allied Dental Education; Dental Licensure


  1. Lopez N., et al. “Dental school faculty perceptions of and attitudes toward the new dental therapy model”. The Journal of Dental Education 4 (2012): 383-394.
  2. Rowbotham JS., et al. “Dental therapy in the United Kingdom: part 1. Developments in therapists' training and role”. British Dental Journal 8 (2009): 355-359.
  3. Brickle CM and Self KD. “Dental Therapists as New Oral Health Practitioners: Increasing Access for Underserved Populations”. The Journal of Dental Education 9 (2017): eS65-eS72.
  4. Nash DA., et al. “Dental therapists: a global perspective”. International Dental Journal 2 (2008): 61-70.
  5. Satur J., et al. “Patterns of dental therapists' scope of practice and employment in Victoria, Australia”. The Journal of Dental Education 3 (2009): 416-425.
  6. Brickle CM., et al. “Minnesota Extends Oral Healthcare Delivery to Impact Population Health”. The Journal of Evidence-Based Dental Practice 16 (2016): 68-76.
  7. Blue CM and Lopez N. “Towards building the oral health care workforce: who are the new dental therapists?” The Journal of Dental Education 1 (2011): 36-45.
  8. Shoffstall-Cone S and Williard M. “Alaska Dental Health Aide Program”. International Journal of Circumpolar Health (2013): 72.
  9. Henry LR., et al. “The role of physician assistants in rural health care: a systematic review of the literature”. The Journal of Rural Health 2 (2011): 220-229.
  10. Halter M., et al. “Contribution of physician assistants/associates to secondary care: a systematic review”. BMJ Open6 (2018): e019573.
  11. Larson EH and Hart LG. “Growth and change in the physician assistant workforce in the United States, 1967-2000”. Journal of Allied Health 3 (2007): 121-130.
  12. Cawley JF and Hooker RS. “Physician assistants in American medicine: the half-century mark”. The American Journal of Managed Care 10 (2013): e333-e341.
  13. Cooper RA. “Health care workforce for the twenty-first century: the impact of nonphysician clinicians”. Annual Review of Medicine 52 (2001): 51-61.
  14. Larson EH., et al. “The contribution of nurse practitioners and physician assistants to generalist care in Washington State”. Health Services Research 4 (2003):1033-1050.
  15. Curtis EK. “Is general dentistry dead? How mid-level dental providers will affect the profession”. The Journal of the American College of Dentists 4 (2012): 64-71.
  16. Friedman JW and Mathu-Muju KR. “Dental therapists: improving access to oral health care for underserved children”. American Journal of Public Health 6 (2014): 1005-1009.
  17. American Dental Association. “ADA Responds to News Coverage of Dental Therapists” (2018).
  18. Nash DA. “Developing a pediatric oral health therapist to help address oral health disparities among children”. The Journal of Dental Education 1 (2004): 8-20.
  19. Lopez N and Blue CM. “Socialization of new dental therapists on entering the profession”. The Journal of Dental Education 5 (2011): 626-632.
  20. Self KD., et al. “Dental School Faculty Attitudes Toward Dental Therapy: A Four-Year Follow-Up”. The Journal of Dental Education 5 (2017): 517-525.
  21. Bland JM and Altman DG. “Cronbach's alpha”. British Medical Journal 7080 (1997): 572.
  22. Aksu MN., et al. “U.S. Dental school deans' attitudes about mid-level providers”. The Journal of Dental Education 11 (2013): 1469-1476.
Citation: Ahmad Abdelkarim., et al. “Attitudes of Mississippi Licensed Dentists and Faculty toward Dental Therapy Model”. EC Dental Science 19.5 (2020): 150-160.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

August Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the August issue of respective journals and can be viewed in the current issue pages.

Submission Deadline for September Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the September issue of respective journals. Submissions are accepted on/before August 21, 2020.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to