- Dental Health and Care Utilization
- Oral microbiology and periodontitis research
- Oral Health Pathology and Treatment
- Migration, Health and Trauma
- Dental Research and COVID-19
- Obstructive Sleep Apnea Research
- Advanced Causal Inference Techniques
- Liver Disease Diagnosis and Treatment
- Dental Radiography and Imaging
- Thyroid Disorders and Treatments
- Nutritional Studies and Diet
- COVID-19 and Mental Health
- Health, Environment, Cognitive Aging
- Hepatitis B Virus Studies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Religion, Spirituality, and Psychology
- Hepatitis C virus research
- Birth, Development, and Health
- Child Abuse and Trauma
- Temporomandibular Joint Disorders
- Healthcare professionals’ stress and burnout
- Sleep and related disorders
- Reliability and Agreement in Measurement
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
Icahn School of Medicine at Mount Sinai
2022-2025
George Washington University
2024
Virginia Commonwealth University
2018-2022
University of North Carolina at Chapel Hill
2013-2021
American Dental Education Association
2021
John Wiley & Sons (United States)
2021
Chinese University of Hong Kong
2021
University of Hong Kong
2021
American University of Beirut Medical Center
2021
Universidade do Porto
2021
After decades of decline in prevalence complete tooth loss (edentulism), the trend continues to be misinterpreted, producing flawed projections and misdirected health goals. We investigated population trends edentulism among U.S. adults aged ≥15 yr by creating time-series data from 5 national cross-sectional surveys: 1957-1958 ( n ≈ 100,000 adults), 1971-1975 = 14,655 1988-1998 18,011 1999-2002 12,336 2009-2012 10,522 adults). Birth cohort analysis was used isolate age effects. Geographic...
Non-alcoholic fatty liver disease (NAFLD) affects 20%-30% of adults with risk factors like obesity and insulin resistance putatively acting through chronic low-grade inflammation. Because periodontitis elicits inflammation, we hypothesized that it could contribute to NAFLD occurrence.To investigate epidemiologic associations between the incidence among 2,623 participants Study Health in Pomerania.Periodontitis at baseline was defined as percentage sites (0%, <30%, ≥30%) (i) clinical...
Adolescents are a population group that actively uses tobacco products; however, limited reports available on the effects of products adolescents' oral health.
Abstract Background The ongoing novel coronavirus disease 2019 (COVID‐19) pandemic has impacted dental students training across the U.S. academic institutions by moving classroom instruction to an online modality, limiting patient care, canceling external rotations, and rescheduling of licensure examinations. Objective aim this study was assess immediate impacts COVID‐19 on students’ readiness enter clinical practice or residency its association with well‐being (anxiety, perceived stress,...
Objective: The aims of this study were to investigate whether dental and hygiene students’ career plans postgraduation affected by the coronavirus disease 2019 (COVID-19) pandemic examine wellness readiness for clinical practice among students who reported a change in plans. Methods: An anonymous online REDCap survey was developed emailed 436 at US school. consisted 81 questions that covered demographics, postgraduation, measures. open-ended question assessing how have changed during also...
Understanding which communities are most likely to be vaccine hesitant is necessary increase vaccination rates control the spread of SARS-CoV-2. This cross-sectional survey adults ( n = 501) from three cities in United States (Miami, FL, New York City, NY, San Francisco, CA) assessed role satisfaction with health and healthcare access consumption COVID-19 news, previously un-studied variables related hesitancy. Multilevel logistic regression tested relationship between hesitancy study...
Abstract Background Oral cancers account for 3% of annual U.S. cancer diagnosis, 2 in 5 which are diagnosed late when prognosis is poor. The purpose this study was to report the population-level prevalence oral examination among adult smokers and alcohol drinkers assess if these modifiable lifestyle factors associated with receiving an examination. Methods Adult participants ≥30 years ( n = 9374) 2013–2016 cycles National Health Nutrition Examination Survey were included. (yes/no), smoking...
An association between periodontitis and nonalcoholic fatty liver disease (NAFLD) has been reported by experimental animal epidemiologic studies. This study investigated whether circulating levels of serum C-reactive protein (CRP) a weighted genetic CRP score representing markers inflammatory burden modify the NAFLD. Data came from 2,481 participants Study Health in Pomerania who attended baseline examination that occurred 1997 2001. Periodontitis was defined as percentage sites (0%, <30%,...
To assess whether partial-mouth protocols (PRPs) result in biased estimates of the associations between smoking, alcohol, obesity and diabetes with periodontitis.Using a sample (n = 6129) 1996-1998 Atherosclerosis Risk Communities study, we used measures probing pocket depth clinical attachment level to identify moderate-severe periodontitis. Adjusting for confounders, unconditional binary logistic regression estimated prevalence odds ratios (POR) 95% confidence limits. Specifically,...
Introduction: Adverse childhood experiences (ACEs) are negative life events occurring before the age of 18 y. ACEs risk factors for heart disease and diabetes in adult life. Furthermore, individuals who experience more likely to smoke become obese—factors associated with poor oral health. Objective: This study investigated associations between health measures 2010 Behavioral Risk Factor Surveillance System (BRFSS). Methods: Data from 16,354 participants BRFSS were analyzed SAS 9.4. ACE...
Abstract Background Non‐alcoholic fatty liver disease (NAFLD) prevalence is greater among Hispanics/Latinos than other racial/ethnic groups and further reported to vary Hispanic/Latino background groups. Experimental animal human studies demonstrate associations between periodontitis NAFLD, not yet Hispanics/Latinos. This study examined as a novel risk factor that may contribute the burden of NAFLD Methods Data came from 11,914 participants Hispanic Community Health Study/Study Latinos....
Abstract Introduction Epidemiologic studies of risk and protective factors for poor oral health have mostly been among children adults, seldom focusing on adolescents. The aims this study were to examine whether serum cotinine, a marker tobacco exposure, vitamin D are independently associated with dental caries experience Methods Cross‐sectional data from 2579 adolescent participants in the 2005‐2008 National Health Nutritional Examination Survey analysed. exposures, cotinine D, measured...
This study investigated the cross-sectional associations between exposure to nine Adverse Childhood Experiences (ACEs) and U.S. children's adolescent's oral health outcomes. Data from 41,294 participants of 2016 National Survey Children's Health (NSCH) were analyzed. Past year ACE, outcomes (decayed teeth, bleeding gums, condition teeth), child caregiver sociodemographic factors self-reported. Using SAS v. 9.4, propensity score weighted, multilevel survey-logistic regression estimated...
Dental caries is a chronic complex disease of multifactorial etiology that affects quarter U.S. children. This study evaluated the association between prenatal smoking and offspring experience used negative control exposure analysis to assess if causal.Data from 1429 mother-offspring participants 1991/92 Avon Longitudinal Study Parents Children conducted in Bristol, England were analyzed. Prenatal (yes v. no) quantity smoked (none, <half pack, ≥half pack) self-reported while was determined...
Standard partial-mouth estimators of chronic periodontitis (CP) that define an individual's disease status solely in terms selected sites underestimate prevalence. This study proposes improved prevalence estimator based on randomly sampled and evaluates its accuracy a well-characterized population cohort. Importantly, this method does not require determination at the individual level. Instead, it uses statistical distributional approach to derive formula from periodontal sites. The applies...
Abstract Objective To describe self‐reported exposure to environmental tobacco smoke ( ETS ) and its association with periodontitis prevalence in a diverse group of Hispanics/Latinos. Methods Data came from 8675 lifetime nonsmokers the 2008–2011 Hispanic Community Health Study/Study Latinos. Exposure was self‐reported, while defined using Centers for Disease Control Prevention‐American Academy Periodontology criteria proportion sites affected by clinical attachment level ≥3 mm or pocket...