Postgraduate Dental Research Articles

Dental Implant Treatment Planning in the Post-Traumatic Rehabilitation of the Anterior Maxilla: A Report of Three Cases

Evidence-based algorithms guiding treatment of traumatic dentoalveolar injuries prescribe specific interventions in the presence of various sets of historical and clinical cues. However, the staging of dental implant placement in post-traumatic rehabilitation—indeed, whether to consider implant therapy at all—remains more art than science, prior authors cautioning that universal rules do not apply. The purpose of this report is to present treatment approaches applied in three traumatic episodes involving the anterior maxilla. Three patients presented to the Department of Periodontics, Army Postgraduate Dental School, Postgraduate Dental College, Fort Eisenhower, GA, USA, following traumatic injuries to the anterior maxilla with varying degrees of severity. In two cases, central incisors were replaced using immediate implants and immediate provisionalization (IIPP). At one IIPP site, extraction was delayed for eight weeks to permit healing of an alveolar fracture. In the third case, the patient received a non-implant rehabilitation due to severe alveolar destruction. Both patients receiving IIPP expressed satisfaction with immediate esthetics, and in both cases, the provisional restoration prevented extraction-related soft tissue collapse. Trauma adds an element of uncertainty to the technically demanding task of implant placement in the esthetic zone. When appropriate, IIPP in the post-traumatic rehabilitation of the anterior maxilla may mitigate some of the known biopsychosocial consequences of oral trauma and facilitate development of favorable mucosal and osseous architecture at the site. Individualized treatment planning is critically important due to wide variability in site characteristics and injury complexity.

The Dr Robert J. Buhite, Sr Post-Graduate Dental Implant Education Scholarship Fund.

The Dr Robert J. Buhite, Sr Post-Graduate Dental Implant Education Scholarship Fund.

Knowledge About The Interrelationship of Oral and Systemic Health Among Postgraduate Dental Students and General Dental Practitioners of West Tamil Nadu – A Questionnaire Study

Objectives: Oral health status is an integral component of general health. Many studies have shown that the oral cavity exhibits manifestations of many systemic diseases and acts as a predictor of oral health. The aim of the study is to assess the knowledge about the interrelationship of oral and systemic health among postgraduate dental students and general dental practitioners of west Tamil Nadu. Material and Methods: Data was collected using a self-administered pilot tested questionnaire. Informed consent was obtained from all the participants and demographic details were collected for the participants of study. The questionnaire was sent through email. Study data obtained were entered into Statistical Package for the Social Sciences (SPSS) Version 25. Comparison between the variables was done using chi-square test. Level of significance was set at 5% (p < 0.05). Results: The results were tabulated and comparison of knowledge about oral and systemic diseases among general practitioners and postgraduates were analyzed using nonparametric – Mann-Whitney test. General practitioners had comparatively better knowledge on inter-relationship of oral and systemic health than postgraduate students. 44.17% of respondents in general dental practice knew that a relationship exists between oral and general health, but application of this knowledge in treating medically complex patients was limited. Conclusion: Greater emphasis should be placed on this association by interfiled (medical and dental) training from the undergraduate level which can be rectified by modifying the academic regulations. Continuing education programs should be frequently conducted on educating dental, medical and other healthcare professionals on the robust and latest evidence of the oral-systemic link.

Assessment of perception of oral healthcare professionals in management of medical emergencies in children: A cross-sectional study

Background: Medical emergency is an acute condition which can occur when least expected. It is more common to occur in a dental setup as this environment can be stressful for a patient. Children are more prone to emergencies as their dental procedures usually takes place under sedation. Therefore, it is mandatory for a dentist to have adequate knowledge, proper attitude and good training in handling any medical emergency seen in children during their dental treatment. Objectives: To assess the perception of oral healthcare professionals in management of medical emergencies in children. Method: A cross-sectional survey comprising 270 participants was conducted on oral healthcare professionals including interns, postgraduate students, practising dentists and faculty dentists. An 18-item validated questionnaire containing four domains of professional demographic data, knowledge, attitude and practice were distributed among the participants. Descriptive analysis was used followed by Chi Square test to check for association between age, gender, educational qualification and years of experience.Results: The level of knowledge, attitude and practices was lower in graduate dentists than postgraduate dentists. The correlation between knowledge, attitude and practices was found to be highly statistically significant (p=0.001).Conclusions: The study concluded that while knowledge and attitude levels were high in the population, there is a gap in practices of the dentists to handle a medical emergency.

Depression, Stress and Anxiety in Post-Graduate Dentists

Objective: To assess the level of depression, anxiety and stress in dental postgraduates by using DASS-21 scale. Study Design: Descriptive cross-sectional study. Place and Duration: Department of Prosthodontics, Altamash Institute of Dental Medicine, Karachi, from 1st May 2022 to 30th August 2022. Methodology: This study was conducted on dental post graduates. DASS-21 validated scale was used to collect data from 100 participants. The data was analyzed with linear regression analysis to evaluate the relationship of independent variables with DASS-21. A p-Value of ≤0.05 was considered as statistically significant. Results: The signs of depression were evident in 90% of post graduates. Regarding the causes of depression, 33.8% think saturation is the cause of depression followed by hectic schedules (21.3%), 21.3% marked pressure to pass the exams.13.8% of participants think that peer pressure is cause of depression. We also found that 10% of the participants. Moreover, dental sector faced major crisis during COVID-19 outbreak. 78.8% think that COVID-19 has increased the already existing depression. Conclusion: High levels of stress, anxiety and depression were evident in post graduates’ dentists. Stress levels were raised due to lack of post-graduation and job opportunity. Furthermore, the ongoing COVID-19 pandemic augmented the DAS levels. Keywords: COVID-19 Pandemic, Dentists, Depressive Disorder, Graduate; DASS-21, Psychological Health How to Cite This: Salahuddin A, Minallah S, Sajjad B, Vankwani AA, Ahmed N, Abbasi MA. Depression, Stress and Anxiety in Post-Graduate Dentists. Isra Med J. 2022; 14(4): 152-156. DOI: https://doi.org/10.55282/imj.oa1339

Should the Postgraduate Dental Curriculum Be Revamped? - A Stress Assessment Study

Dental education is widely regarded as a demanding experience. Information about the stress sources and their degree is crucial since it will aid in the development of appropriate interventional methods for the student's overall development. Thus, our study was aimed at assessing the different forms of stress that affect Postgraduate dentistry students, as well as their attitudes toward psychiatric therapies. The study was conducted on 93 postgraduate dental students at a dental institution in Mysuru, India, using a cross-sectional questionnaire-based survey format. The information gathered was statistically examined. The mean and standard deviation were used in the quantitative analysis. The mean of all stressor scores was compared between groups using an independent sample t-test and one-way ANOVA. The Chi-square test was employed to examine qualitative data. The overall stress level among postgraduate dental students was high. All the year students demonstrated a similar trend with a high level of academic stress followed by health-related and psychosocial stress. The academic stress increased as the year of study progressed. We discovered no differences in stress perception between male and female students. In addition, a notable proportion of the participants had a favourable attitude toward psychiatric therapy. Stress levels among postgraduate dental students were found to be high in our study. This indicates a need for upgrading the current postgraduate dental educational system to be less stressful. Keywords: Dental education, Dental students, Mental health, Post­graduation, Stress, Stressors

Awareness of prebiotics and probiotics in oral lesions among dental postgraduates -A questionnaire-based study

Introduction and Aim: Prebiotics and probiotics are essential for improving overall health. Pre- and probiotics are becoming more popular in oral care products. Also, in recent years, oral medicine has been provided to them. The study's objective is to assess dental postgraduates' attitudes, knowledge, and awareness of prebiotics and probiotics for oral lesions. Materials and Methods: A set of 20 questions related to the definition, mechanism of action, safety consideration, health benefits, and sources, and four questions to assess their attitude and practice about probiotics and prebiotics in oral lesions addressing a total number of 183 dental postgraduates were selected. Google form questionnaires were shared, and responses were received. The obtained data were statistically analyzed. Results: Of the 183 dental postgraduates 91.3% of the dental postgraduates were aware of the use of probiotics and prebiotics in oral lesions while 92.2% were willing to prescribe them to their patients and consider them to be safe and used as an adjuvant in the management of oral lesions. Results showed limited knowledge and awareness of probiotics and prebiotics in the management of oral lesions among dental postgraduates. Conclusion: The result indicated a lack of understanding of prebiotics and probiotics in the treatment of oral lesions. It is possible to increase knowledge of prebiotics and probiotics in oral lesions through seminars, current lectures, and including the subject in the curricula of aspiring professionals, among other methods.

LTCOS Data Management: CHPE and PDC

The purpose of this short essay is to describe the data management processes utilized in the Long Term Career Outcome Study at the Center for Health Professions Education and the Postgraduate Dental College of the Uniformed Services University. It includes descriptions of our workflow, how we obtain the data, challenges, and recommendations based on our experience for data managers and institutions to follow. This descriptive writing may help guide practice for other institutions looking to streamline their data management plan.

ASSESSING THE KNOWLEDGE, ATTITUDE IN ROLE OF ROBOTICS AND ARTIFICIAL INTELLIGENCE IN ORAL HEALTH AND PREVENTIVE DENTISTRY AMONG DENTIST- A CROSS SECTIONAL SURVEY.

Introduction: Robotics is concerned with the connection of perception to action; in this to each other but serve very different purposes.AI is a branch of computer science which involves developing computer programs to complete tasks that would otherwise require human intelligence. To assess the knowledge and attitude of dentists the role of robotics (R) and artificial intelligence (AI) in oral health and preventive dentistry. Materials And Methods: A cross-sectional study in which data was collected from dentist population. A total of 600 participants answered 15 closed-ended questions. The questionnaire's validity and reliability were evaluated for vetting and remarks. The questionnaire collected demographic data of participants and their knowledge and attitude about Robotics and Artificial intelligence. Descriptive statistical analysis was performed using chi-squared testwith statistical significance set at p < 0.05. Results: The majority of the participants (n = 600; 57.5%/42.5%) were males and females. Dental students, dentist school graduates/ interns, and postgraduate dentists comprised of 56.6%, 23.3%%, and 20% respectively. Most of the respondents gave affirmative answers for knowledge and attitude of R and AI (56.6%,and 75%).These were significantly above the overall affirmative answers, as the corresponding point lies above 95% UCL (upper confidence limit). Conclusion: Most dentists were unacquainted with R and AI. Dentists had a positive attitude towards R/AI, but due to inadequate knowledge and understanding, its use and applications were very limited. There is significant need in the near future to increase awareness of this concept, as it may increase treatment efficiency and effectiveness

A survey among dental postgraduates and dental practitioners for opting free online non-clinical course: A manual survey using digital modes

A survey among dental postgraduates and dental practitioners for opting free online non-clinical course: A manual survey using digital modes

Microbial adherence on vacuum-formed retainers with different surface roughness as constructed from conventional stone models and 3D printed models: a randomized controlled clinical trial.

This single center parallel, randomized controlled trial aimed to determine the propensity of microbial adherence on vacuum-formed retainers (VFRs) with different surface roughness imprints. Thirty-six patients debonded from fixed appliances at a teaching institution were allocated by block randomization stratified for gender to three groups [VFRs fabricated on conventional, fused deposition modeling (FDM) or stereolithography apparatus (SLA) working models]. Participants wore the VFRs for three months full-time followed by three months part-time. VFRs were collected after each follow-up for Streptococcus and yeast counts. Surface roughness was measured indirectly on the working models using a 3D optical surface texture analyzer. Blinding was not feasible due to appliance appearance. The trial was registered [NCT03844425 ( ClinicalTrials.gov )] and funded by the Universiti Malaya Dental Postgraduate Research Grant (DPRG/14/19). Thirty participants (eleven conventional, ten FDM, and nine SLA) were analyzed after six dropped out. No harms were reported. Microbial counts between the groups were not significantly different. There were more microbes in the lower VFRs than upper VFRs (total count: p<0.05; effect size, 0.5 during full-time wear and 0.4 during part-time wear). SLA had significantly (p<0.05) smoother surface than FDM (effect size, 0.3) and conventional models (effect size, 0.5). Microbial adherence was not associated with working model surface roughness. Microbial adherence on VFRs was not influenced by degree of surface roughness imprints from working models. 3D printed models can be used to make VFRs. Lower VFRs tended to accumulate oral microbes, potentially increasing the oral health risk in the lower arch.

Behavioral Health Within Primary Care Postgraduate Dental Curricula: A Mixed Methods Study.

This study evaluated the integration of behavioral health topics (anxiety disorder, depressive disorder, eating disorders, opioid use disorder, and intimate partner violence) into primary care postgraduate dental curricula. We used a sequential mixed methods approach. We sent a 46-item online questionnaire to directors of 265 Advanced Education in Graduate Dentistry programs and General Practice Residency programs asking about inclusion of behavioral health content in their curriculum. Multivariate logistic regression analysis was used to identify factors associated with inclusion of this content. We also interviewed 13 of the program directors, conducted content analysis, and identified themes pertaining to inclusion. A total of 111 program directors completed the survey (42% response rate). Less than 50% of programs taught their residents to identify anxiety disorder, depressive disorder, eating disorders, and intimate partner violence (86% taught identification of opioid use disorder). From the interviews, we identified 8 main themes: influences on the inclusion of behavioral health in the curriculum; training strategies; reasons for incorporating the training strategies; training outcomes (ie, ways in which residents were evaluated); training outputs (ie, ways in which a program's success was quantified); barriers to inclusion; solutions to barriers; and reflections on how the current program can be made better. Programs housed in settings with no to minimal integration were 91% less likely (odds ratio = 0.09; 95% CI, 0.02-0.47) to include identifying depressive disorder in their curriculum compared with programs in settings with close to full integration. Other influences for including behavioral health content were organizational/government standards and patient populations. Barriers to including behavioral health training included organizational culture and lack of time. Advanced Education in General Dentistry and General Practice Residency programs need to make greater efforts to include in their curricula training on behavioral health conditions, particularly anxiety disorder, depressive disorder, eating disorders, and intimate partner violence.

Awareness, Attitude and Practice Towards Green Dentistry among the Postgraduate Dental Students of D.J College of Dental Sciences and Research Modinagar

Background: Green dentistry or eco-friendly dentistry is a high tech approach that reduces the environmental impact of dental practices and encompasses a service model for dentistry that supports and maintains wellness. It is a vital step in maintaining a balanced environment. It can be achieved by effectively designing dental clinics and using more eco-friendly materials in the clinical practice. Aim this study aims to assess the knowledge and attitude towards green dentistry among dental students of D.J college. Materials and Methods: assessment was done using a self-structured questionnaire, which consisted of 10 close ended questions. The questionnaire consisted of questions about awareness on eco-friendly dentistry, its associations and implemented strategies in their practice, their support and opinion towards this concept. The completed questionnaires were statistically analyzed using SPSSv20.0. Results: Out of 135 study participants it was seen that majority 80% were familiar with the term green dentistry but lacked the implementation of eco friendly dentistry in practice. Conclusion: The present study found that there is limited knowledge of green dentistry amongst the dental students. This can be substantiated with effective training channelized through the curriculum in an educational set-up to make dental practice eco-friendly for a greener future.

Awareness of Digital Imaging/Telepathology Among Dental Post Graduate Students: A Survey

Background: The collection, storage and sharing of pathological data among oral pathologists to this day is done mostly by physical transfer of slides and reports. Telepathology is a form of communication between medical professionals that includes the transmission of pathology images or testing data. Aim: The aim of the study is to assess the knowledge, attitude and perception of digital pathology/telepathology among dental post graduate students. Materials and Methods: A cross-sectional study consisting of a self constructed survey was distributed through an online portal to dental post graduate students. The survey focused on the type of respondent, knowledge of microscopic digital photography, current usage, strengths and weaknesses and perceived future direction of digital imaging in the pathology laboratory. Results: A total of 102 responses were collected. The overall response rate was 100%. 56.9% of dental post graduate students are aware of the term “Digital Pathology” or “Telepathology”. 11.8% of dental post graduate students use digital pathology in their routine practice. 20.6 % of dental post graduate students send specimens once a year. 75.5% of dental post graduate students believe that “Digital Pathology/Telepathology” can be effective for research purposes. 62.7% of dental post graduate students believe that digital pathology imaging provides faster diagnosis. 75.5% of dental post graduate students believe that digital pathology imaging has high equipment cost. Comparison between the age of the respondents and their awareness of the term Digital Imaging/Telepathology and its scope in India stated that dental post graduate students of age group between 21-30 years were aware of the term and believed it has scope in India, but the results were insignificant (p&gt;0.05). Conclusion: Improved knowledge and acceptance of digital pathology and telepathology throughout the dentistry community could facilitate the communication and cooperation necessary to realize the type of initiatives capable of advancing the importance of pathologists in the changing healthcare environment.

Assessment of knowledge, attitude, and practice regarding intellectual property rights among medical, dental, and nursing professionals in a tertiary institution in Bhubaneswar City, Odisha: A cross-sectional survey.

To assess the knowledge, attitude, and practice (KAP) about intellectual property rights (IPRs) among medical, dental, and nursing students and faculties in a tertiary institute through cross-sectional survey in Bhubaneswar City, Odisha. This study was a cross-sectional survey conducted from October to December, 2021 in a tertiary institution in Bhubaneswar city, Odisha. A self-structured, 29 close-ended questionnaires based on IPRs was used in the survey. The data obtained were tabulated and analyzed statistically using the Statistical Package for Social Sciences version 23.0. All the components of KAP were measured as absolute and relative frequencies. They were also assessed as mean and standard deviation. Descriptive analysis through frequency distribution was calculated and the Chi-square test was applied. The correlation between the domains was determined using Pearson's correlation coefficient. A total of 489 participants participated in the survey, out of which 196 (40.1%) were males and 293 (59.9%) were females; 177 (36.2%) were interns, 147 (30.1%) were postgraduates, and 165 (33.7%) were faculties from all the three fields (medical, dental, and nursing). A total of 192 (39.3%) participants were from medical, 198 (40.5%) from dental, and 99 (20.2%) were from the nursing field. The mean KAP scores were significantly (P < 0.0001) higher among nursing interns respondents (2.963, 0.637, and 0.390), dental postgraduate respondents (2.213, 0.844, and 0.351), and dental faculties (1.953, 0.876, and 0.481). The mean knowledge score was significantly (P < 0.0001) greater among females than males and the mean attitude and practice scores were significantly (P < 0.0001) greater among males than females. Pearson's correlation coefficientwas found to be significant for knowledge-attitude, knowledge-practice domain. The values obtained were statistically significant. This study showed that more KAP was found in dental faculties, dental postgraduates, and nursing interns. However, the need to know IPR is still lacking among the healthcare professionals. Since IPR is the need of the hour and it has a potential ahead, it is necessary to include it in the curriculum so as to increase the knowledge about IPR among individuals, which will enable to creation of dynamic innovations in the near future.

The Effect of COVID-19 Pandemic on the Training of Dental Postgraduate Students – A Questionnaire-Based Survey

Introduction The outbreak of COVID-19 has led to a rapid transition to online learning that has restricted the health professional learning.Objective This survey aimed to investigate the contemporary issues faced by dental postgraduate students PGrsquos considering different aspects such as impact on teaching training dissertation studentsrsquo perceptions concern and the reasons for their stress regarding academic activities during COVID-19 pandemic.Methods A questionnaire-based survey was conducted to collect data on socio-demographic factors and perception of difficulties faced by the dental PGrsquos during COVID-19 pandemic. Dental PGrsquos were chosen randomly from ten dental institutions located in the states of Karnataka and Kerala. A pre-tested questionnaire was administered online by sending links to their mobile phone numbers or E-mail ids.Results A total of 204 postgraduates were sent Google form questionnaires out of which 146 responded. Majority of second year postgraduate residents 48 opined that the pandemic affected their work schedule and 46.5 reported decrease in patient inflow after the pandemic. Difficulties in dissertation completion and submission were also reported.Conclusion COVID-19 had an unprecedented impact on the education and training of postgraduates in all the branches of dentistry in both states. In addition the pandemic increased stress and anxiety levels among postgraduates due to the uncertainty and lack of confidence to practice independently after residency. These issues can be addressed with smoother transition additional training and good faculty support.

Relationship between Job Burnout, Depressive Symptoms, and Career Choice Regret among Chinese Postgraduates of Stomatology.

A qualified Chinese dental postgraduate requires at least eight years of training. The huge academic burden, strict clinical requirements, and high workload increases the risk of job burnout, depression symptoms, and career choice regret of dental postgraduates, which may cause one to waver in their choice of a career as a doctor. Therefore, we aimed at assessing the relationship between job burnout, depressive symptoms, and career choice regret among Chinese dental postgraduates. The Chongqing Stomatological Association conducted an online cross-sectional study among 558 dental postgraduates in China, with an average age of 22.54 ± 2.44. Demographic information, the Maslach Burnout Inventory, the 2-item Primary Care Evaluation of Mental Disorders scale, and career choice regret scale were included in the questionnaire. About 41.0% of dental postgraduates experienced job burnout, 44.1% had depressive symptoms, and 41.6% reported career choice regret. Logistic regression analysis indicated the risk factors for job burnout were time worked/studied per week, depressive symptoms, and career choice regret. Job burnout and career choice regret was significantly related to depressive symptoms (p < 0.001). Risk factors for career choice regret were gender, postgraduate entrance examination score, daily hours of sleep, job burnout, and depressive symptoms. Such results suggest that job burnout, depressive symptoms, and career choice regrets are prevalent among dental postgraduates. Accurate measures should be taken to change this situation.

Knowledge of Dental Ethics and Jurisprudence Among Dental Practitioners in Pune: A Questionnaire Survey.

Objective Dental ethics is a moral obligation that solicits professional behaviour imposed by the members of the dental profession. In addition, a set of legal regulations by each state's legislature describing the legal limitations and regulations related to dentistry, dental hygiene, and dental assisting is a part of dental jurisprudence. The present study aims to evaluate the knowledge regarding ethics and medical law for the practice among private practitioners in Pune, India. Materials and methods Thiswas a cross-sectional study. The snowball sampling method (a randomization method) was used to contactall the registered practitioners for the study. A total of 250 dentists agreed to provide written informed consent and participate in the study. The collected data were entered into Microsoft Excel2013 sheet (Microsoft Corporation, Redmond, WA) and cleaned, and statistical analysis was carried out using Epi Info software (CDC, Atlanta, GA). All p-values below 0.05 were considered to be statistically significant. Results A total of 250 dentists participated in the present study. Female postgraduate dentists had lesser knowledge of abbreviations used on dental boards. Master of Dental Surgery (MDS) dentists had more knowledge regarding dental jurisprudence than Bachelor of Dental Surgery (BDS) practitioners. Conclusions The present study highlighted the lack of awareness regarding dental ethics and jurisprudence among dental practitioners. It underlines the need for more education programs and curriculum changes with a focus on ethics, jurisprudence, and legal matters pertaining to clinical practice.

A Comparative Study on Anxiety Towards COVID-19 Among Dental Postgraduate Trainees of Different Specialties in Karachi, Pakistan

OBJECTIVE: Dental health care workers around the globe are potentially vulnerable of contracting COVID-19 disease. Many studies have investigated the presence of anxiety and mental health issues amongst the healthcare worker, especially the dental professional, during COVID-19. This study aimed to compare the anxiety of dental postgraduate trainees of different specialties towards COVID-19. METHODOLOGY: An online questionnaire comprising 11 items was forwarded to dental postgraduate (PGs) trainees in Karachi for specialties of Endodontics/Operative Dentistry, Oral Surgery, Prosthodontics and Orthodontics. Responses to 9 questions were recorded on a 3-point Likert scale, where ‘Agree’ indicated anxiety and ‘Disagree’ showed no anxiety. Questions also inquired PGs opinion about the specialty and dental procedures which they perceived to have the greatest risk of infection. RESULTS: Almost 62% of responses by the participants affirmed their anxiety as demonstrated by their reply to various questions based on Likert scale. Gender (p =0.012) and marital status (p= 0.036) revealed significant difference with respect to anxiety related to closure of dental OPD in face of second wave of COVID-19 and treatment cost if infected, respectively.Treatments like ultrasonic scaling (84%) and endodontics (79%) while training in specialty of Endodontics/Operative Dentistry (88%) and Oral Surgery (69%) were considered having greatest risk to contract COVID-19. CONCLUSION: Anxiety was expressed among trainees of all dental specialties, with training in specialties of Endodontics and Oral Surgery considered at the highest risk of contracting COVID-19, with ultrasonic scaling and endodontics regarded as most risky procedures. KEYWORDS: Anxiety, COVID-19, Endodontics/Operative Dentistry, Oral Surgery, Orthodontics, Prosthodontics.

Practice patterns of postgraduate trained dentists in the United States

Postgraduate dental (PGD) primary care training has grown significantly. This study examines the individual, educational, community, and policy factors that predict practice patterns of PGD-trained dentists. Individual dentist records from the 2017 American Dental Association Masterfile, with indicators of Medicaid participation and practice in a Federally Qualified Health Center (FQHC), were linked to postdoctoral training, community/practice location, and state policy factors. Generalized logistic models, adjusted for these factors, were used to predict PGD-trained dentists: (1a) serving Medicaid children, (1b) accepting new Medicaid patients, and (2) working in an FQHC. Individual attributes that predicted serving Medicaid children included all race/gender combinations (vs. White females), and foreign-trained dentists and contractors/employees/associates (vs. practice owners). Black women are most likely to work in an FQHC. Residency attributes that predicted serving Medicaid children and working in an FQHC were Health Resources and Services Administration postdoctoral funding and being community based. Dentists practicing in rural or high-poverty communities were more likely to serve Medicaid children and work at FQHCs. States with higher levels of graduate medical education investment, higher Medicaid rates, and more generous adult dental Medicaid benefits increased the likelihood of serving Medicaid children, while states with more expansive adult dental Medicaid benefits increased the likelihood of working in an FQHC. Federal training investment in PGD education combined with Medicaid payment and coverage policies can strongly impact access to dental care for vulnerable populations. Yet, oral health equity cannot be achieved without increasing dentist workforce diversity.