{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T17:26:27Z","timestamp":1784827587409,"version":"3.55.0"},"reference-count":10,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Despite progress in research and technological advancements, the delivery of oral health care continues to be plagued by disparities in accessibility and affordability. Dental caries and periodontal disease remain major issues, and new challenges such as socioeconomic disparities and emerging public health dangers also contribute to the complexity of the issue. To address these challenges, dental education and oral healthcare delivery must shift their focus from disease treatment to disease prevention and health promotion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This paper presents the framework for implementing such a change at the UTHealth Houston School of Dentistry (UTSD) in keeping with its vision of improving both oral and overall health.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>To achieve this goal, the change process was guided by Kotter's 8\u2010stage change process, which has resulted in accomplishing various objectives, including specific curricular modifications and establishing a clinical Center for Health Promotion (CHP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, the change process at UTSD was a systematic and collaborative effort to move toward a comprehensive person\u2010centered clinical care model focused on disease prevention and health promotion. This approach reflects the commitment of the institution to improve oral and overall health for its patient population and to prepare the next generation of oral health care providers who practice within a compassionate, integrated, person\u2010centered framework.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jdd.13823","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T03:14:24Z","timestamp":1736565264000},"page":"1243-1248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Kotter's change management approach to transforming oral healthcare delivery: A case study"],"prefix":"10.1002","volume":"89","author":[{"given":"Shalizeh","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Restorative Dentistry and Prosthodontics and Office of Patient Care UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amity L.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Department of General Practice and Dental Public Health UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Valenza","sequence":"additional","affiliation":[{"name":"Office of the Dean UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen F.","family":"Novak","sequence":"additional","affiliation":[{"name":"Office of the Dean UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulsi","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Dental Hygiene and Office of Patient Care UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tala","family":"Hasbini","sequence":"additional","affiliation":[{"name":"Office of Student and Academic Affairs UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Spears","sequence":"additional","affiliation":[{"name":"Office of Student and Academic Affairs UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur H.","family":"Jeske","sequence":"additional","affiliation":[{"name":"Department of General Practice and Dental Public Health UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita R.","family":"Joy\u2010Thomas","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Biomedical Sciences UTHealth Houston School of Dentistry  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,11]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Oral Health in America: A Report of the Surgeon General","author":"U.S. Department of Health and Human Services","year":"2000"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303687"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(07)60031\u20102"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/prd.12323"},{"key":"e_1_2_6_6_1","volume-title":"Oral Health in America: Advances and Challenges","author":"National Institutes of Health","year":"2021"},{"key":"e_1_2_6_7_1","volume-title":"The High Cost of Oral 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