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LETTER |
Dyan Campbell is with the Maternal-Infant Services Network, Inc, of Sullivan, Orange, and Ulster Counties, Central Valley, New York. Howard F. Pollick is with the Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California San Francisco. Kathy M. Lituri is with the Department of Health Policy and Health Services Research, Boston University School of Dental Medicine, Boston, Mass. Alice M. Horowitz is with the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Md. John Brown is with the Department of Community Dentistry, University of Texas Health Science Center, San Antonio. Julie Ann Janssen is with the Division of Oral Health, Illinois Department of Public Health, Springfield. Karen Yoder is with the Division of Community Dentistry, Indiana University School of Dentistry, Indianapolis. Raul I. Garcia is with the Department of Health Policy and Health Services Research, Boston University School of Dental Medicine, Boston. Amos Deinard is with the Department of Pediatrics, University of Minnesota, Minneapolis. Sheranita Hemphill is with Sinclair Community College, Dayton, Ohio. Magda A. de la Torre is with the Department of Dental Hygiene, School of Allied Health Sciences, University of Texas Health Science Center, San Antonio. Buddhi Shrestha is with the Rochester/New York State Oral Health Coalition and the New York State Oral Health Technical Assistance Center, Rochester Primary Care Network, Rochester, NY. Clemencia M. Vargas is with the Department of Health Promotion and Policy, University of Maryland Dental School, Baltimore, Md. All authors are also with the American Public Health Association Oral Health Section.
Correspondence: Requests for reprints should be sent to Howard F. Pollick, Clinical Professor, Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California San Francisco, 707 Parnassus Avenue, D-3212, San Francisco, CA 94143-0758 (e-mail: howard.pollick@ucsf.edu).
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The article by Sekiguchi et a1.1 has provoked controversy around the acceptability of dental health aide therapists (DHATs) who are trained to provide diagnostic and dental treatment services in Alaskan Tribal health programs.
To deal with extensive unmet dental needs, DHATs have been trained under a federal program to deliver year-round care, under the general supervision of a dentist, in their remote villages, where it is difficult to recruit dentists.2 However, Sekiguchi et al.1 disagree with this initiative stating that dentists are the only personnel qualified to provide these services and that DHATs cannot be effective substitutes. They provide no
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