{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T03:04:25Z","timestamp":1790132665405,"version":"4.0.1"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dental Education"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose\/Objectives<\/jats:title>\n                    <jats:p>Oral health is shaped by biological, behavioral, social, structural, and political conditions, requiring dental education to prepare clinicians to understand and respond to influences extending beyond the clinical encounter. This perspective piece examines how recent U.S. policy changes may affect oral health, dental education, and the future dental workforce and considers the role of behavioral and social sciences in maintaining person\u2010centered dental practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This perspective synthesizes Commission on Dental Accreditation standards, contemporary federal and state policy developments, and behavioral and social science literature. Policy changes affecting research funding, accreditation, educational financing, public health infrastructure, and access to dental care were examined in relation to their potential implications for dental education and oral health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis demonstrates that policy environments function as structural drivers that influence both the oral health system and the educational structures preparing future dentists. Behavioral and social sciences provide a critical educational bridge between these upstream structural influences and clinical practice by preparing learners to understand social and structural determinants of health, communicate effectively, address behavioral and psychosocial factors, and respond to barriers affecting access and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Protecting and strengthening behavioral and social sciences in dental education is essential during periods of structural and policy change. Dental educators, accreditors, professional organizations, and policymakers should preserve these educational foundations to prepare dentists capable of delivering person\u2010centered care, navigating structural influences on health, advancing equitable access, and upholding dentistry's social accountability and public trust.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jdd.70365","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T07:26:04Z","timestamp":1789111564000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Behavioral and Social Sciences in Dental Education: Protecting Person\u2010Centered Care in a Changing Policy Environment"],"prefix":"10.1002","author":[{"given":"Melanie","family":"Morris","sequence":"first","affiliation":[{"name":"School of Social Work University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Burgess\u2010Flowers","sequence":"additional","affiliation":[{"name":"High Point University Workman School of Dental Medicine  High Point North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The American Dental Education Association Section on Social and Behavioral Sciences","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12294"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12803"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549141291S206"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00844250"},{"key":"e_1_2_8_6_1","volume-title":"Accreditation Standards for Dental Education Programs","author":"CODA","year":"2025"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1468\u20100009.12695"},{"key":"e_1_2_8_8_1","volume-title":"Regulation for Federal Financial Assistance","author":"Office of Management and Budget","year":"2026"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345211068033"},{"key":"e_1_2_8_10_1","unstructured":"M. B.Versaci \"One Big Beautiful Bill's Impact on Student Loans \"ADA News August 30 2025 https:\/\/adanews.ada.org\/ada\u2010news\/2025\/august\/one\u2010big\u2010beautiful\u2010bills\u2010impact\u2010on\u2010student\u2010loans\/."},{"key":"e_1_2_8_11_1","unstructured":"\"Educational Debt \"ADEA accessed November 19 2025 https:\/\/www.adea.org\/godental\/Apply\/financing\u2010dental\u2010education\/educational\u2010debt."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/10775587221108751"},{"key":"e_1_2_8_13_1","unstructured":"NIDCR \"Community Water Fluoridation \"National Institute of Dental and Craniofacial Research 2025 https:\/\/www.nidcr.nih.gov\/health\u2010info\/fluoride\/community\u2010water\u2010fluoridation."},{"key":"e_1_2_8_14_1","unstructured":"A.Thyson \"States Move to Ban Water Fluoridation (Utah and Florida Enacted Laws in 2025) \"MultiState 2025 https:\/\/www.multistate.us\/insider\/2025\/5\/27\/states\u2010move\u2010to\u2010ban\u2010water\u2010fluoridation\u2010utah\u2010and\u2010florida\u2010enacted\u2010laws\u2010in\u20102025."},{"key":"e_1_2_8_15_1","unstructured":"Medicaid and CHIP Payment and Access Commission (MACPAC) \"Medicaid Coverage of Adult Dental Services \"MACPAC 2021 https:\/\/www.macpac.gov\/publication\/medicaid\u2010coverage\u2010of\u2010adult\u2010dental\u2010services\/."},{"key":"e_1_2_8_16_1","unstructured":"M.Goldman \"Medicaid Cuts Put Adult Dental Care on the Chopping Block \"Axios published March 5 2025 https:\/\/www.axios.com\/2025\/03\/05\/medicaid\u2010cuts\u2010dental\u2010care\u2010coverage\u2010risk."},{"key":"e_1_2_8_17_1","unstructured":"E.WilliamsandA.Burns \u201cPutting $880 Billion in Potential Federal Medicaid Cuts in Context of State Budgets and Coverage \u201dKFF published March 24 2025 https:\/\/www.kff.org\/medicaid\/putting\u2010880\u2010billion\u2010in\u2010potential\u2010federal\u2010medicaid\u2010cuts\u2010in\u2010context\u2010of\u2010state\u2010budgets\u2010and\u2010coverage\/."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.70271"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jdd.13393"},{"key":"e_1_2_8_20_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_8_21_1","volume-title":"Oral Health in America: Advances and Challenges","author":"National Institutes of Health","year":"2021"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2026.1716812"}],"container-title":["Journal of Dental Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jdd.70365","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jdd.70365","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jdd.70365","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:48:07Z","timestamp":1790131687000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jdd.70365"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":21,"alternative-id":["10.1002\/jdd.70365"],"URL":"https:\/\/doi.org\/10.1002\/jdd.70365","archive":["Portico"],"relation":{},"ISSN":["0022-0337","1930-7837"],"issn-type":[{"value":"0022-0337","type":"print"},{"value":"1930-7837","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]},"assertion":[{"value":"2026-05-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jdd.70365"}}