BigMouth: a multi-institutional dental data repository

Walji, Muhammad F.; Kalenderian, Elsbeth; Stark, Paul C.; White, Joel M.; Kookal, Krishna Kumar; Phan, Dat; Tran, Duc A.; Bernstam, Elmer V.; Ramoni, Rachel

doi:10.1136/amiajnl-2013-002230

Cited by 52 publications

(54 citation statements)

References 16 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…More recently, six members of COHRI, coordinated by the University of Texas Health Science Center at Houston, have collaborated to share partially de-identified electronic health record data through the 'BigMouth Dental Data Repository'. 12 Partners are able to query data across all sites to rapidly obtain anonymised data summaries, and more detailed, patient-level data with appropriate approvals. Access to these data is currently limited to partnering institutions, and information about non-oral health is limited to data available in the dental electronic health records with no direct links to patients' medical records.…”

Section: Introductionmentioning

confidence: 99%

Linking medical and dental health record data: a partnership with the Rochester Epidemiology Project

et al. 2017

View full text Add to dashboard Cite

PurposeThe purpose of this project was to expand the Rochester Epidemiology Project (REP) medical records linkage infrastructure to include data from oral healthcare providers. The goal of this linkage is to facilitate research studies examining the role of oral health in overall health and quality of life.ParticipantsEight dental practices joined the REP between 2011 and 2015. The REP study team has linked oral healthcare information with medical record information from local healthcare providers for 31 750 participants who have resided in Olmsted County, Minnesota. Overall, 17 718 (56%) participants are women, 14 318 (45%) are 40 years of age or older and 26 090 (82%) are white.Findings to dateA first study using this new information was recently completed. This resource was used to determine whether the 2007 guidelines from the American Heart Association affected prescription rates of antibiotics to patients with moderate-risk cardiac conditions prior to dental procedures. The REP infrastructure was used to identify a series of patients diagnosed with moderate-risk cardiac conditions by the local healthcare providers (n=1351), and to abstract antibiotic prescriptions from dental records both pre-2007 and post-2007. Antibiotic prescriptions prior to dental procedures declined from 62% to 7% following the change in guidelines.Future plansDental data from participating practitioners will be updated on an annual basis, and new dental data will be linked to patient medical records. In addition, we will continue to invite new dental practices to participate in the REP. Finally, we will continue to use this research infrastructure to investigate associations between oral and medical health, and will present findings at conferences and in the scientific literature.

show abstract

Section: Introductionmentioning

confidence: 99%

Linking medical and dental health record data: a partnership with the Rochester Epidemiology Project

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Digitalization of clinical examinations and medical records -called subject metadata -is becoming a standard in health care systems and adds to the data deluge that could be analyzed. For instance, a multi-institutional dental data repository has been developed with 1.1 million patient data at the time of release in 2012 [Walji et al, 2014].…”

Section: Healthy Oral Ecosystemmentioning

confidence: 99%

Towards Understanding Oral Health

Zaura

Cate

2015

Caries Res

View full text Add to dashboard Cite

During the last century, dental research has focused on unraveling the mechanisms behind various oral pathologies, while oral health was typically described as the mere absence of oral diseases. The term ‘oral microbial homeostasis' is used to describe the capacity of the oral ecosystem to maintain microbial community stability in health. However, the oral ecosystem itself is not stable: throughout life an individual undergoes multiple physiological changes while progressing through infancy, childhood, adolescence, adulthood and old age. Recent discussions on the definition of general health have led to the proposal that health is the ability of the individual to adapt to physiological changes, a condition known as allostasis. In this paper the allostasis principle is applied to the oral ecosystem. The multidimensionality of the host factors contributing to allostasis in the oral cavity is illustrated with an example on changes occurring in puberty. The complex phenomenon of oral health and the processes that prevent the ecosystem from collapsing during allostatic changes in the entire body are far from being understood. As yet individual components (e.g. hard tissues, microbiome, saliva, host response) have been investigated, while only by consolidating these and assessing their multidimensional interactions should we be able to obtain a comprehensive understanding of the ecosystem, which in turn could serve to develop rational schemes to maintain health. Adapting such a ‘system approach' comes with major practical challenges for the entire research field and will require vast resources and large-scale multidisciplinary collaborations.

show abstract

“…The pooled data showed that patients had a high prevalence of caries and periodontal disease on the basis of diagnostic information, not treatment data, an important distinction because treatment data do not reflect the subset with untreated disease. 42 Through BigMouth and the use of the DDS terminology, we also have been able to quantify adherence to practice guidelines for managing chronic moderate periodontitis. 41 We readily were able to determine that a full 15% of patients with a diagnosis of chronic moderate periodontitis received only prophylaxis, which is below the standard of care set by the American Academy of Periodontology.…”

Section: Discussionmentioning

confidence: 99%

Adoption of dental innovations

Ramoni¹,

Etolue²,

Tokede³

et al. 2017

The Journal of the American Dental Association

Self Cite

View full text Add to dashboard Cite

Background Standardized dental diagnostic terminologies (SDDxTs) were introduced decades ago. Their use has been on the rise, accompanying the adoption of electronic health records (EHRs). One of the most broadly used terminologies is the Dental Diagnostic System (DDS). Our aim was to assess the adoption of SDDxTs by US dental schools by using the Rogers diffusion of innovations framework, focusing on the DDS. Methods The authors electronically surveyed clinic deans in all US dental schools (n = 61) to determine use of an EHR and SDDxT, perceived barriers to adoption of an SDDxT, and the effect of implementing an SDDxT on clinical productivity. Results The response rate was 57%. Of the 35 responses, 91% reported using an EHR to document patient care, with 84% using axiUm, and 69% reported using an SDDxT to document patient diagnoses; 41% used the DDS. Fifty-four percent of those who did not use an SDDxT had considered adopting the DDS, but 39% had not, citing barriers such as complexity and compatibility. Conclusions Adoption of an SDDxT, particularly the DDS, is on the rise. Nevertheless, a large number of institutions are in the Rogers late majority and laggards categories with respect to adoption. Several factors may discourage adoption, including the inability to try out the terminology on a small scale, poor usability within the EHR, the fact that it would be a cultural shift in practice, and a perception of unclear benefits. However, the consolidation of the DDS and American Dental Association terminology efforts stands to encourage adoption.

show abstract

BigMouth: a multi-institutional dental data repository

Cited by 52 publications

References 16 publications

Linking medical and dental health record data: a partnership with the Rochester Epidemiology Project

Linking medical and dental health record data: a partnership with the Rochester Epidemiology Project

Towards Understanding Oral Health

Adoption of dental innovations

Contact Info

Product

Resources

About