Factors that influenced students to matriculate at a northeastern dental school: A comparative study.

PURPOSE/OBJECTIVES: There is a robust body of research on which factors dental schools consider when selecting students for acceptance, but there is considerably less research regarding what factors dental applicants consider when selecting a particular program. The aim of this investigation was to better understand which factors most influenced students to matriculate at a particular dental school and how the value of these factors has changed over time. METHODS: To answer this research question, an online survey was utilized to determine why students chose to attend Columbia University College of Dental Medicine (CUCDM). This survey was administered to students in the Class of 2023 and was compared to the responses of an identical survey that was administered to the Class of 2013. The response rate for the classes of 2013 and 2023 were 70.0% and 42.2%, respectively. Results from the Classes of 2013 and 2023 were analyzed using independent sample T-tests. RESULTS: The Class of 2013 ranked academic reputation, location, and admissions into specialty programs as the three most important factors in their selection of a dental school. The Class of 2023 ranked tuition cost, perceived patient pool, and financial aid as their three most important factors. CONCLUSION(S): For dental schools to continue to successfully attract and enroll students, they must understand what motivates a student to matriculate in a specific dental program. One way to accomplish this is through the use of a survey.

Models for delivering school-based dental care.

School-based health centers (SBHCs) often are located in high-need schools and communities. Dental service is frequently an addition to existing comprehensive services, functioning in a variety of models, configurations, and locations. SBHCs are indicated when parents have limited financial resources or inadequate health insurance, limiting options for primary care and preventive services, or within low-access areas such as dental health professional shortage areas. Poor health and concomitantly poor oral health can lead to attendance problems. Oral health services in school-based setting are often the only access to services a child may have. Children who attend schools with SBHCs have immediate access to services that are coordinated with the student'sfamily and school personnel or administrators. Comprehensive services can be collaborative, with support or administration provided by more than 1 organization. For example, the Children's Aid Society (CAS), Columbia University School of Dental and Oral Surgery (CUSDOS), and Columbia University Mailman School of Public Health developed, implemented, and currently operate SBHCs in 2 communities in the northern Manhattan section of New York City (Central Harlem and Washington-Heights/Inwood). The clinics operate in or are affiliated with public schools in New York City. All CAS and Columbia University sites include dental components, using a variety of delivery models. Determining which dental delivery system to use for a particular community or population is a complex decision. The models, reasons for selection, and sustainability of each system are described.

Dental caries among disadvantaged 3- to 4-year-old children in northern Manhattan.

PURPOSE: The study was conducted to determine the prevalence of early childhood caries (ECC), untreated caries, and the ratio of posterior to anterior caries in a disadvantaged predominantly Hispanic or African-American urban population. Data are compared to NHANES III to assess the caries burden in our cohort. Comparisons are made to the aggregate and to minorities within the national database. METHODS: A retrospective chart review was conducted for children enrolled in a Head Start or day care program in the communities of Washington-Heights and Central and East Harlem and seen on the community organization's mobile dental van between 1995 and 1997. The study included only children 3 to 4 years of age at the initial examination (n=1,605). A single examiner provided all the examinations. The mean number of decayed and filled surfaces (dfs), decayed surfaces (ds) and filled surfaces (fs), the percentage of decayed of total decayed and filled surfaces (%d/dfs), decayed and filled teeth (dft), decayed teeth (dt) and filled teeth (ft), and the percentage of decayed of total decayed and filled teeth (%d/dft) were calculated. Posterior vs anterior d, f, dft, dfs and d-anterior/total d, and d-posterior/total d were tabulated. Northern Manhattan data was tabulated and compared to NHANES III (1988-1994) in the aggregate and for subpopulations categorized by gender and ethnicity. All results are also reported for children with at least one decayed or filled tooth. T-tests were used to assess for significant differences. RESULTS: There was even representation of males (50%) and females (50%). Mean dft was 1.08 overall, and 3.14 for children with dft>0. The level of untreated decay, %d/ dft, was 91%, significantly higher than the US national population which is 76% overall, and 76% for African Americans and Mexican Americans within the US national population. CONCLUSIONS: The children in this population have higher caries prevalence and a higher level of untreated caries than the national means as reported in NHANES III. The high level of untreated decay found in this particularly disadvantaged community suggests that enhanced dental services targeting the very young are needed in these communities.