Bio

Clinical Focus


  • Dentistry

Academic Appointments


Professional Education


  • Professional Education:UC BerkeleyCA
  • MPH, University of California Berkeley, Interdisciplinary Public Health (2012)
  • Dental Education:Harvard School of Dental Medicine (2009) MA
  • Residency:University of California San Francisco (2010) CA

Publications

Journal Articles


  • Computer-Aided Trauma Simulation System With Haptic Feedback Is Easy and Fast for Oral-Maxillofacial Surgeons to Learn and Use JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY Schvartzman, S. C., Silva, R., Salisbury, K., Gaudilliere, D., Girod, S. 2014; 72 (10): 1984-1993
  • Body dysmorphic disorder and psychological distress in orthognathic surgery patients. Journal of oral and maxillofacial surgery Collins, B., Gonzalez, D., Gaudilliere, D. K., Shrestha, P., Girod, S. 2014; 72 (8): 1553-1558

    Abstract

    Body dysmorphic disorder (BDD) is a distressing condition involving preoccupation with an imagined or exaggerated deformity. The purpose of our study was to investigate the presence of BDD and its comorbidity with anxiety, depression, and obsessive-compulsive disorder (OCD) in patients undergoing orthognathic surgery (OS).The present prospective study included 99 patients from the outpatient oral and maxillofacial surgery clinic at Stanford University who requested OS. The incidence of BDD, depression, anxiety, and OCD was assessed preoperatively using validated self-report measures. To determine the prevalence of Axis I psychological symptoms among patients, the descriptive and bivariate statistics were computed. P < .05 was considered significant.In our sample, 13 patients (13%) screened positive for BDD. We did not find any significant correlations between the presence of BDD and gender, race, age, or marital status. Depressive symptoms were reported by 42% of the patients, OCD symptoms by 29%, and mild, moderate, and severe anxiety by 14%, 5%, and 4%, respectively. Using Spearman correlations, we found significant correlations between BDD and anxiety, depression, and OCD (P < .01).The results of the present study suggest that the rates of BDD, depression, anxiety, and OCD are high in patients undergoing OS. Furthermore, we found a strong correlation between BDD and anxiety, OCD, and depression in these patients. Future studies are necessary to determine the postoperative changes in these psychological disorders and whether these changes are affected by having positive BDD screening results at baseline.

    View details for DOI 10.1016/j.joms.2014.01.011

    View details for PubMedID 24582136

  • Caries management by risk assessment in a cleft and craniofacial center. The Journal of craniofacial surgery Gaudilliere, D., Thakur, Y., Ku, M., Kaur, A., Shrestha, P., Girod, S. C. 2014; 25 (6): e529-36

    Abstract

    Patients with craniofacial anomalies have an increased incidence of dental caries. The prevention program "Caries Management By Risk Assessment" (CAMBRA) has been previously validated but has not yet been introduced at a widespread level in a medical setting, particularly for this high-risk population.In this cross-sectional study, we aimed to evaluate the feasibility of implementing CAMBRA during the medical visit at an institutional tertiary care center, which treats children with craniofacial anomalies. The study included 161 participants aged 1 to 18 years. Patients and parents received a personalized educational session, toothbrushing tutorial, and fluoride varnish application. We assessed the prevalence of dental caries, caries risk factors, and knowledge of oral hygiene in this patient population.The overall caries prevalence in this group was higher than average (57% compared with 42%, according to the Centers for Disease Control and Prevention). The most prevalent risk factors were developmental delay, deep pits/fissures, low socioeconomic status, orthodontic appliances, and carbohydrate snacks. The greatest predictors of dental caries were having 1 or more risk factors and having low socioeconomic status. In summary, children with craniofacial anomalies were at high risk for dental caries, with high rates of risk factors and low rates of preventive factors.Our findings revealed that basic oral hygiene standards are not being met in this high-risk population, highlighting the need for implementation of protocols such as CAMBRA. The results of this study can aid healthcare workers in craniofacial centers and children's hospitals to improve the understanding of oral hygiene and dental care of their patients.

    View details for DOI 10.1097/SCS.0000000000001040

    View details for PubMedID 25377980

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