Evidence-Based Literature

  • The Role of Desiccants in the Management of Periodontitis

    The Role of Desiccants in the Management of Periodontitis

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    A new wave of gel desiccants that are showing statistically significant results, have been developed as an adjunctive treatment to SRP that is able to effectively penetrate and eradicate subgingival biofilms. This article aims to provide an overview of desiccants and how this simple therapy could transform your treatment and maintenance of periodontal disease.

  • The Environmental Dental Hygienist

    By: Annie Walters, MSDH, RDH

    [Originally published in DentistryIQ]

    Now more than ever, dental providers, patients, and product companies are looking to environmentally conscious ways to deliver oral health care services. Between personal oral hygiene products and supplies used in a dental office, significant amounts of waste that are unable to biodegrade, are produced. Just recently, the state of Colorado announced that starting in 2026, it will ban the sale of everyday products that intentionally contain poly-fluoroalkyl substances (PFAS), which are “forever chemicals” that are linked to increased cancer risk, lower fertility, and developmental delays.

  • RDH Community Connection: Change is the catalyst for dental hygienists to evolve

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    As dental professionals, I think change is something that we must all become familiar with if growth is to be achieved. Whether change is seen in the operatory, in education, or in one’s personal career path, change is the catalyst for evolution.

  • The Role of the Dental Practitioner in Antibiotic Stewardship

    By: Annie Walters, MSDH, RDH

    [Originally published in DentistryIQ]

    As research evolves, so do practice guidelines. What was once commonplace for antibiotic use is now viewed under scrutiny, as more information delves into the risks of overuse. Dental providers must be vigilant when it comes to antibiotic prophylaxis (AP) and communication between other health care disciplines, such as orthopedics and cardiology, should be clearer than ever before.

  • Oil Pulling Literature Review

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    Despite limited statistically significant evidence on the oral health benefits of oil pulling, various studies have been conducted outlining the potential effects of oil pulling and how it could be pivotal in areas where oral hygiene resources are minimal. This article aims to objectively review the most current research on this practice.

  • The Role of the Dental Professional in Screening for Primary Hyperparathyroidism

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    Various symptoms and comorbidities may result from a primary hyperparathyroidism diagnosis, however as oral health care providers, we can become vigilant in bringing awareness to warning signs. This article is going to review the current literature on primary hyperparathyroidism (PHPT), along with signs, symptoms, and the role of the oral health care provider in advising patients to seek care.

  • Dentist and patient

    The Patient Provider Relationship: How to "Be Curious, Not Judgmental"- Walt Whitman

    By: Annie Walters, MSDH, RDH

    [Originally published in DentistryIQ]

    Patient behaviors are determined by several factors, including attitudes, beliefs, social norms, and perceived control.1 This begs the question of how we as providers, can be better stewards of curiosity around patient care, rather than dismissing the patient for something that may not have been true.

  • MicroCare Medical™ Spec Clean™ Disinfectant Wipes: Elevating the Standard of Disinfection

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    MicroCare Medical™ Spec Clean™ Disinfectant Wipes have not only met cleaning and disinfection requirements, but have exceeded the standards by developing a product that reflects provider needs and can be used in various settings. Backed by research, this product demonstrates tuberculocidal, fungicidal, bactericidal, and virucidal efficacy, while retaining integrity of office equipment.

  • Hormonal Contraceptives and Oral Health

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    The influence of hormones-specifically those found in oral contraceptives-on periodontal health has been evaluated for years and with evolving research, has recently identified a few definitive correlations. Studies are concluding that women on oral contraceptives present with worse periodontal and gingival health than their counterparts not on this medication.1

  • Fascia: An Update on the Tongue to Toe Connection

    By: Annie Walters, MSDH, RDH

    [Originally published in DentistryIQ]

    Isn’t fascia the the supporting structure connecting the outer walls of a house to the roof? Although still a connection, fascia in the body is a thin casing of connective tissue that surrounds and holds every organ, blood vessel, nerve fiber, and muscle in place. This network of fibers connects from the tongue all the way down to the toes.

  • Nitric oxide molecule

    Nitric Oxide: The Miracle Molecule

    BY: Annie Walters, MSDH, RDH

    [Originally published in DentistryIQ]

    Nitric oxide (NO), a gas that is enzymatically produced in the saliva, has proven to be a molecule that is of immense benefit to a patient’s oral and systemic health. With its antibacterial properties, vasodilatory abilities, and role in immune system stimulation, it is no wonder that this miraculous molecule is continuing to be researched at length.1,2

  • Patient with caregiver

    Oral Hygiene Aids for Patients with Specialized Health Care Needs

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    The following will serve as a guide based on the patient’s SHCN to provide caregivers techniques when providing oral hygiene care, as well as products that may be beneficial and are specific for the patient. This is not a complete list, but briefly identifies patients that may present with specific needs in your office. Empowering both the caregiver and patient with these necessary resources will help alleviate challenges and promote an optimal oral hygiene routine that is supportive of the patient’s needs.

  • Why Electronic Health Records Need to be Integrated Into Dentistry

    By: Annie Walters, MSDH, RDH

    [Originally published in DentistryIQ]

    Clinical practice that once involved scaling root planing for all diseased patients is now being joined with salivary diagnostics, pH and nitric oxide testing yielding results specific to the patient’s health and genetics. However, if the standard of oral health care is to be elevated and dental hygienists are to truly be members of a patient’s comprehensive health care team, then the way we communicate with providers outside of the dental setting must change.

  • Doctoral degree in dental hygiene

    Doctoral Degrees in Dental Hygiene

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    In the academic and professional sphere, individuals possessing a doctoral degree are held with high regard and are viewed as equals amongst those with similar accolades. It is indisputable that having a doctorate, whether professional or academic, leads to career advancement, salary compensations, research opportunities, and training to be able to educate graduate level hygienists.

  • Patients with specialized health-care needs: Oral manifestations and common medications

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    Patients with specialized health-care needs (SHCNs) face numerous barriers in their lives, and access to adequate oral health care is one of them.1,2 These individuals rely on family members or caregivers to assist them with their primary care and establish them with health-care providers who understand their specialized needs and offer supportive modifications.3,4

  • Treatment Accommodations for Patients with Specialized Health Care Needs

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    In 2019, the National Health Interview Survey (NHIS) identified 7.39 million people in the U.S. to be living with an intellectual or developmental disability (IDD), which equates to about 1 in 10 people. (1-4) These individuals face numerous barriers to daily life, with access to adequate oral health care being one of them. (5,6) To provide a personalized level of care to these patients, oral health care providers must have an understanding of the varying complexities of IDDs and heightened oral manifestations that can result. (7,9) Dental hygienists are in a critical position as care providers for these patients because of the role they play in education and prevention. This article series aims to discuss aspects of a dental hygiene visit that can be tailored specifically for special needs individuals and will also review caregiver education, various oral hygiene aids, and dental office considerations.

  • HPV Vaccination and the Prevention of Oropharyngeal Cancer- A Review of the Literature

    By: Annie Walters, MSDH, RDH

    [Originally published in RDH Magazine]

    According to the Centers for Disease Control and Prevention (CDC), an average of 20,000 cases of oropharyngeal cancer (OPC) per year are attributed to some strain of the Human Papilloma Virus (HPV). (1) Historically, cancers of the head and neck are associated to alcohol and tobacco use as the primary etiological factor but during the mid 2000’s, diagnosed OPC increased significantly with evidence showing that 60-90% of cases were attributable to HPV strains 16 and 18. (2) This article will review statistical evidence on the rates of HPV and OPC and the literature that supports the benefit of HPV vaccination.

  • Terminal Degree in Dental Hygiene

    By: Annie Walters, MSDH, RDH

    For a profession that is intimately connected with systemic health, it would seem obvious that higher level education above the existing entry level degree would be the standard to practice, just like that of any medical provider. Dental hygiene as a profession has certainly made strides since its first induction in 1915, however some would argue that it is lacking in educational advancement when compared to other healthcare disciplines. (1)

  • Professional Socialization

    By: Annie Walters, MSDH, RDH

    It has been well established that barriers to professional growth and development exist, namely a lack of professional socialization among healthcare providers. Upon entering a field of study in healthcare, individuals singularly identify themselves with a specific career they have chosen and aim to provide care within the boundaries established by that profession. (1)

  • Levels of Dental Hygiene

    By: Annie Walters, MSDH, RDH

    With advancing knowledge and evolving research, it is becoming clear amongst healthcare disciplines what a critical role hygienists play in prevention, detection, education, and creating an access point for patients to enter the healthcare system. (1) Dental hygienists should no longer be defined by the private dental practice but instead, be viewed as an integral link between oral and systemic health. There are several vulnerable, underserved populations that could truly benefit from the breadth of care provided by dental hygienists, and this is being addressed through advanced level practitioners. (1)

  • Oral Health Integration Into High School Curriculum

    By: Annie Walters, MSDH, RDH

    Description goes hereSocial determinants of health (SDOH) are the driving forces behind health inequities in various populations. Access to adequate healthcare being one of these determinants, is a challenge still faced by many Oregonians. Adolescents are in a unique position to access healthcare through school-based health clinics (SBHCs). Despite the 78 SBHCs that exist in Oregon, students are still not receiving preventative dental treatment and high rates of caries are still present.

  • Transformation of Dental Hygiene

    By: Annie Walters, MSDH, RDH

    According to the CDC, the healthcare system could save up to one hundred million dollars each year if dental offices performed screenings for diabetes, high blood pressure, and high cholesterol. (1) It is well understood that dental hygienists are experts in the oral systemic connection, so the question remains as to why these oral health specialists are not being utilized in healthcare institutions outside of the traditional dental practice. Although there is a need for dental hygiene care in these settings, there are numerous other locations where underserved populations that lack access to care are suffering from untreated periodontitis.