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Research ArticleOriginal Research

Practitioner Participation in National Dental Practice-based Research Network (PBRN) Studies: 12-Year Results

Rahma Mungia, Ellen Funkhouser, Meredith K. Buchberg Trejo, Rachel Cohen, Stephanie C. Reyes, David L. Cochran, Sonia K. Makhija, Cyril Meyerowitz, Brad D. Rindal, Valeria V. Gordan, Jeffrey L. Fellows, Jason D. McCargar, Pamela A. McMahon, Gregg H. Gilbert and National Dental PBRN Collaborative Group
The Journal of the American Board of Family Medicine November 2018, 31 (6) 844-856; DOI: https://doi.org/10.3122/jabfm.2018.06.180019
Rahma Mungia
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
BDS, MSC, DDPHRCS
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Ellen Funkhouser
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
MS, DrPH
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Meredith K. Buchberg Trejo
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
MPH
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Rachel Cohen
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
BA, MPH
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Stephanie C. Reyes
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
BA
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David L. Cochran
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS, MS, PhD
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Sonia K. Makhija
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS, MPH
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Cyril Meyerowitz
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS, MS
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Brad D. Rindal
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS
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Valeria V. Gordan
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS, MS
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Jeffrey L. Fellows
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
PhD
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Jason D. McCargar
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DMD
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Pamela A. McMahon
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS
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Gregg H. Gilbert
From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
DDS, MBA, FAAHD, FICD
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From the University of Texas Health–San Antonio, San Antonio, TX (RM, MKBT, SR); University of Alabama at Birmingham, Birmingham, AL (EF, SKM, GHG); Westat, Rockville, MD (RC); University of Rochester, Rochester, NY (CM); HealthPartners Institute, Minneapolis, MN (DBR); University of Florida, Gainesville, FL (VVG); Kaiser Permanente Center for Health Research, Portland, OR (JLF); Private Practitioner, Jason D McCargar DMD LTD, (DBA) Scottsdale Dental Arts, Scottsdale, AZ (JDM); Private Practitioner, Gold Canyon Dentistry, Gold Canyon (PAM); The National Dental PBRN Collaborative Group comprises practitioner, faculty, and staff investigators who contributed to this network activity. A list of these persons is at .
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Article Figures & Data

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    Figure 1.

    Distribution of 15,462 patients enrolled in 8 Network studies.

  • Figure 2.
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    Figure 2.

    Distribution of participants according to the number of types of activities, and number of each type of activity, they participated in among those who participated in any.

Tables

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    Table 1.

    Summary of 38 Network Studies* to Date

    Study #Study TitleStudy Design# of Practitioners# of Patients/Other EntitiesStudy Type(s)Classify as…Included in Present Report
    Phase 1 studies (2007 to 2012, network not nationwide)
    Included in present report
    3Assessment of caries diagnosis and treatmentPaper Qx to dentists494—QxQxYes
    4Reasons for placing the first restoration on permanent tooth surfacesCross-sectional; consecutive patients1924844 patientsClinicalClinicalYes
    5Reasons for replacement or repair of dental restorationsCross-sectional; consecutive patients1576092 patientsClinicalClinicalYes
    6CONDOR case-control study of ONJCase-control study81764 patientsClinicalClinicalYes
    8Longitudinal study of dental restorations placed on previously un-restored surfacesProspective cohort study1924844 patientsClinicalClinicalYes as FU
    9Longitudinal study of repaired or replaced dental restorationsProspective cohort study1576092 patientsClinicalClinicalYes as FU
    10Development of a patient-based provider intervention for early caries managementCross-sectional; clinical data collection and Qx10336 patientsQx and ClinicalClinicalClinical only
    12Prevalence of questionable occlusal caries lesionsCross-sectional584478 patientsClinicalClinicalYes
    13Longitudinal study of questionable occlusal caries lesionsProspective cohort study584478 patientsClinicalClinicalYes as FU
    15Blood glucose testing in dental practiceCross-sectional23387 patientsClinicalClinicalYes
    16aAssessing the impact of participation in PBRNs on patient carePaper Qx with dentists and dental hygienists613—QxQxYes
    16bAssessing the impact of participation in PBRNs on patient care - repeated 2 yearsPaper Qx with dentists and dental hygienists556—QxQxYes
    17Peri-operative pain and root canal therapy1-week prospective cohort study55655 patientsClinicalClinicalYes
    20Primary care management of TMJDElectronic Qx with dentists434—QxQxYes
    21Infrastructure update surveyElectronic Qx with dentists649—QxQxYes
    Excluded from present report
    1Dental tobacco control RCTRandomized clinical trial19011,898 patientsQx and ClinicalClinicalNo
    2Practice-based root canal treatment effectivenessRetrospective cohort study1384 patientsClinicalClinicalNo
    7Retrospective cohort study of ONJRetrospective cohort study using electronic data—572,606 patientsClinicalClinicalNo
    11Patient satisfaction with dental restorationsCross-sectional1594680 patientsClinicalClinicalNo
    14Hygienists' internet tobacco cessation RCTRandomized clinical trial1001814 patientsClinicalClinicalNo
    18Persistent pain and root canal therapyProspective cohort study55655 patientsClinicalClinicalNo
    19Diagnoses for persistent dentoalveolar pain following root canal therapyNested case series study63354 patientsClinicalClinicalNo
    Phase 2 studies (2013 to 2017, network was nationwide)
    Included in present report
    22Isolation techniques used when performing root canal treatmentElectronic and paper Qx with dentists1491—QxQxYes
    23Management of suspicious occlusal caries lesionsRandomized clinical trial1253093 patientsQx; ClinicalClinicalYes
    24Management of dentin hypersensitivity (2 parts)#1: electronic Qx with dentists2001,876 patientsQx; ClinicalClinicalClinical only
    #2: prospective cohort study
    25Reducing prescription opioid misuseElectronic Qx with dentists822—QxQxYes
    28Factors for Successful Crowns Stage 1Electronic Qx with dentists1852—QxQxYes
    29Factors for Successful Crowns Stage 2Prospective cohort study2073847 patientsClinicalClinicalYes
    32Cracked tooth registry studyProspective cohort study2363017 patientsClinicalClinicalBaseline only
    34Anterior open-bite treatmentProspective cohort study96358 patientsClinicalClinicalBaseline only
    Excluded from present report
    26Understanding dental information networksElectronic Qx with dentists1860—QxQxNo
    27Quit Advisor DDS smoking cessation studyFeasibility non-randomized controlled clinical trial30248 patientsClinicalClinicalNo
    30Leveraging EDR data for clinical researchEDR extraction of patients who received root canal treatment and select restorations991,207,155 proceduresClinicalClinicalNo
    31Common practices of head & neck examinations in U.S. dental officesElectronic and paper Qx with dentists1126—QxQxNo
    33Risk for oral cancer/HPV studyProspective cohort study371025 patientsClinicalClinicalNo
    35Predicting root canal treatment outcomesProspective cohort study1721883 patientsClinicalClinicalNo
    36TMD treatment methodsProspective cohort study1981576 patientsClinicalClinicalNo
    37Multi-risk assessment in the dental office3 parts planned, Qx, cohort, then telephone interviews with insurance executivesPlanned810 patients; 20 dental insurance executivesQx, ClinicalClinicalNo
    38Prophylactic use of antibiotics in dental officeElectronic and paper Qx with dentists2500 (planned)—QxQxNo
    • ↵* Study number refers to order in which study was implemented.

    • Detailed study information can be accessed at http://nationaldentalpbrn.org/studies.php.

    • CONDOR, Collaboration on Networked Dental and Oral Health Research; DDS, Doctor of Dental Surgery; EDR, Electronic Dental Records; FU, Follow-up; HPV, Human Papilloma Virus; ONJ, Osteonecrosis of the Jaw; PBRNs, Practice Based Research Networks; Qx, Questionnaire; RCT, Root Canal Therapy; TMD, Temporomandibular Disorder; TMJD, Temporomandibular Joint Disorder.

    • View popup
    Table 2.

    Practitioner Characteristics Overall and According to Whether They Participated in Activities Assessed

    AllAny Clinical StudyAny Questionnaire StudyAny MeetingIn Network 10 + Years
    N*%N*%N*%N*%N*%
    (n = 3669)(col† %)(n = 762)(row‡ %)(n = 2963)(row‡ %)(n = 700)(row‡ %)(n = 297)(row‡ %)
    Gender
        Male246673490202,040835012023510
        Female89127192227108018321607
    P§ = .3P = .04P = .9P = .01
    Race-ethnicity
        White27408054020228483499182549
        Black146434231218344301611
        Asian32397824255798326144
        Hispanic1916311614174462453
        Other/multi¶341144130881235618
    P = .004P = .005P < .001P < .001
    Year graduated dental school
        Before 1980793231391867385163217710
        1980 to 8910573123722888842332210310
        1990 to 99717211432055678154218011
        2000+89126181207318213615364
    P = .08P < .001P < .001P < .001
    Practice type
        Private27418049118223682441161656
        HP/PDA‖1203211811495282322
        Public12849711388221700
        Academic131413107960393011
        Other/changed317915750287911504712941
    P < .001P < .001P < .001P < .001
    Region
        Western46913157333818113729347
        Midwest343101113227279115343610
        Southwest616181171947577731200
        South Central8842515618785891762017620
        South Atlantic5331597184648799195110
        Northeast63618671148877891400
    P < .001P < .001P < .001P < .001
    • ↵* Numbers not summing to total N in column heading due to missing data.

    • ↵† Column (overall) percent. Excludes missing; column percents not summing to 100 within each practitioner/practice characteristic is due to rounding.

    • ↵‡ Percent of row characteristic that has column characteristic, e.g., percent of male practitioners who participated in a clinical study.

    • ↵§ P-value from χ2 test or Fisher exact test for difference in proportions.

    • ↵¶ Of the 34 Other/multi-race: 14 multi, 9 American Indian/Alaskan, 7 Hawaiian/Pacific Islander, 4 different race each cycle.

    • ↵‖ Practices in the Health Partners Dental Group (Minnesota) or the Permanente Dental Associates (Oregon).

    • HP/PDA, Health Partner/Permanente Dental Associates.

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The Journal of the American Board of Family  Medicine: 31 (6)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 6
November-December 2018
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Practitioner Participation in National Dental Practice-based Research Network (PBRN) Studies: 12-Year Results
Rahma Mungia, Ellen Funkhouser, Meredith K. Buchberg Trejo, Rachel Cohen, Stephanie C. Reyes, David L. Cochran, Sonia K. Makhija, Cyril Meyerowitz, Brad D. Rindal, Valeria V. Gordan, Jeffrey L. Fellows, Jason D. McCargar, Pamela A. McMahon, Gregg H. Gilbert, National Dental PBRN Collaborative Group
The Journal of the American Board of Family Medicine Nov 2018, 31 (6) 844-856; DOI: 10.3122/jabfm.2018.06.180019

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Practitioner Participation in National Dental Practice-based Research Network (PBRN) Studies: 12-Year Results
Rahma Mungia, Ellen Funkhouser, Meredith K. Buchberg Trejo, Rachel Cohen, Stephanie C. Reyes, David L. Cochran, Sonia K. Makhija, Cyril Meyerowitz, Brad D. Rindal, Valeria V. Gordan, Jeffrey L. Fellows, Jason D. McCargar, Pamela A. McMahon, Gregg H. Gilbert, National Dental PBRN Collaborative Group
The Journal of the American Board of Family Medicine Nov 2018, 31 (6) 844-856; DOI: 10.3122/jabfm.2018.06.180019
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