About

Maxine Strickland is an Associate Professor in the Department of Diagnostic Sciences at Rutgers School of Dental Medicine. Her research contributions to science involve oral radiology, working with disabled patients, and investigating risks associated with dental caries in children. Her research interests include various problems that interfere with respiratory function and the oral environment, vitamin D and periodontal disease, and medication-related osteoradionecrosis using CBCT. Recently, she has focused on developing a toothbrush for patients with disabilities. Her educational background includes a BS and MS in Biology from Fairleigh Dickinson University, a DMD from Fairleigh Dickinson School of Dental Medicine, and an MPH from Rutgers School of Dental Medicine.

Research topics

• Medicine
• Internal medicine
• Pathology
• Environmental health
• Dentistry
• Psychiatry
• Radiology
• Engineering
• Virology
• Surgery
• Psychology

Selected publications

• The Role of Oral Health Education and Intervention Programs in Preventing Periodontal Disease and Improving Pregnancy Outcomes

  European Dental Research and Biomaterials Journal · 2025-01-01

  articleOpen access

  Abstract This meta-analysis aims to assess the effectiveness of oral health education and intervention programs in preventing periodontal disease and improving pregnancy outcomes, particularly preterm birth and low birth weight incidences. By synthesizing findings from multiple studies, this analysis endeavors to provide clearer insights into the impact of maternal periodontal health on pregnancy and identify evidence-based interventions that optimize maternal and neonatal outcomes. This study was conducted as a systematic review and meta-analysis of the literature. The protocol was developed per the updated PRISMA 2020 statement guidelines. The inclusion and exclusion criteria were predetermined to ensure a rigorous selection of relevant studies. The study design included randomized controlled trials, cohort studies, and case–control studies. A systematic search was conducted across the following databases: PubMed, Web of Science, Scopus, Embase, Google Scholar, and the Cochrane Library. Grey literature sources and reference lists of included studies were also reviewed. Data were synthesized using a random-effects model to account for heterogeneity among studies. The results suggest a possible trend toward a protective effect for preterm birth. Integrating oral health services into prenatal care represents a promising, cost-effective strategy for improving maternal and neonatal outcomes. This study reinforces the potential role of periodontal therapy in reducing adverse pregnancy outcomes, particularly preterm birth, through its ability to reduce systemic inflammation.

  PublisherOA PDFDOI

• Novel modified quantitative index for cone-beam CT assessment of medication-related osteonecrosis of the jaw - comparative analysis with original index

  The Saudi Dental Journal · 2023-03-15 · 3 citations

  articleOpen access

  Purpose: The main research goal was to address the critical need for an objective and quantitative index to describe the nature and extent of radiographic features of medication-related osteonecrosis of the jaw (MRONJ) lesions and complement the descriptive radiographic interpretation of the lesion and its clinical assessment. Method and Materials: A retrospective review of MRONJ patients assessed at our institution was performed to compare the Composite Radiographic Index (CRI), identified from a prior scoping review, with a proposed modification, the Modified CRI index ('Mod-CRI'). The Mod-CRI index was weighted to assign a higher score for diffuse radiographic involvement of a given lesion, and delineated MRONJ lesions into those with 'high' and 'low' severity. Twenty-two MRONJ cases imaged with CBCT were retrospectively assessed with both CRI and Mod-CRI indices and the two indices were compared for their ability to quantitatively describe cone-beam computerized tomography (CBCT) radiographic features and complement the clinical staging of the MRONJ lesion. Results: There was a statistically significant association between increased clinical stage and higher mod-CRI score (p = 0.040). The Mod-CRI index sorted the patients who scored intermediate scores with the CRI (n = 15) into either the low (n = 8) or high categories (n = 7). Conclusion: The Mod-CRI index eliminated the ambiguous intermediate-category-scores in the previously published CRI index and provided greater clarity to the interpretation of a given index score. Adopting the Mod-CRI could improve MRONJ assessment and enhance communication between the radiologist and the clinician.

  PublisherDOI

• Radiographic diagnosis of intraosseous neurovascular jaw lesions in pediatric patients: a review of the literature

  Oral Surgery Oral Medicine Oral Pathology and Oral Radiology · 2023-02-01

  review
  PublisherDOI

• Design and Initial Evaluation of a Novel Oral Hygiene Technology for a Special Needs Population: A New Way to Clean

  Dentistry Journal · 2023 · 2 citations

  1st authorCorresponding
  • Medicine
  • Dentistry
  • Environmental health

  9.4 million People have swallowing problems in the US. In special needs populations, routine oral hygiene procedures such as tooth brushing can result in aspiration of microbial laden fluids leading to a significant systemic challenge. Aspiration may lead to pneumonia in susceptible populations. These circumstances indicate the need for innovative approaches to oral hygiene for special needs, convalescent, the elderly populations, and young children learning to brush who can ingest excess fluoride which causes mottled enamel. Methods include describing some of the design considerations of the new prototype fabrication and microbiological evaluation of this new device, as well a comparison study of the versions 2 and 3 of the oral care device. Results concluded that version 3.0 regarding patient ease of use was better in comparison to version 2, which was the major difference, and 90% in both groups said they would recommend the new toothbrush. In the microbiological evaluation no growth was seen on any plates containing samples from either the experimental or the control after 48 h of incubation.

  PublisherOA PDFDOI

• Vitamin D, periodontal disease, and tooth loss

  Oral Surgery Oral Medicine Oral Pathology and Oral Radiology · 2022-08-16

  articleSenior author
  PublisherDOI

• Quantitative indices for cone-beam CT assessment of Medication-Related Osteonecrosis of the Jaw – a scoping review

  The Saudi Dental Journal · 2022-12-29 · 1 citations

  reviewOpen access

  Objectives: It is not unusual for Medication-related osteonecrosis of the jaw (MRONJ) lesions that have similar clinical presentation and staging to have dissimilar radiographic extent of disease. The aim of this review was to explore the published scientific literature for quantitative indices that describe the cone-beam computerized tomography (CBCT) radiographic features of MRONJ lesions and assess their clinical utility. Method and Materials: A scoping review of the literature was performed to identify quantitative indices developed to describe the CBCT radiographic features of MRONJ lesions. Five electronic databases were included in the review: PubMed, Scopus, Web of Science, Trip medical database, and Cochrane Library. Articles published from the year 2003 onward were included in the review. Results: 367 articles were initially included in the review. 39 abstracts were screened for full-text assessment. The scoping review yielded 12 full length articles with169 cases reported. The Composite Radiographic Index score (CRI score) was identified as the most meaningful index in published literature that attempted to quantify qualitative radiographic changes (Walton, Grogan et al. 2019). However, lesions with similar CRI scores that corresponded to intermediate severity (3-5) may be very dissimilar radiographically in both nature and extent of radiographic changes, undercutting its clinical value. Conclusion: The CRI index score was the only relevant index for cross-sectional (one-time) assessment of established MRONJ lesions (non-stage 0). This scoping review yielded several critical questions regarding the clinical significance and prognostic implications of various radiographic changes in MRONJ, thereby identifying focus areas for future research.

  PublisherDOI

• ADAPTIVE CAPABILITIES OF THE TEMPOROMANDIBULAR JOINT: A CONE BEAM COMPUTED TOMOGRAPHY PILOT STUDY

  Oral Surgery Oral Medicine Oral Pathology and Oral Radiology · 2020-08-01

  article
  PublisherDOI

• SYSTEMATIC REVIEW OF CONE BEAM COMPUTED TOMOGRAPHY USE IN DIAGNOSIS OF MEDICATION-RELATED OSTEONECROSIS OF THE JAW

  Oral Surgery Oral Medicine Oral Pathology and Oral Radiology · 2020-08-01 · 1 citations

  articleSenior author
  PublisherDOI

• The use of anti-inflammatory drugs to prevent bleaching-induced tooth sensitivity is ineffective and unnecessary

  Evidence-Based Dentistry · 2020-12-01 · 7 citations

  letterSenior author
  PublisherDOI

• CONE BEAM COMPUTED TOMOGRAPHY IS SUPERIOR TO DIGITAL PERIAPICAL RADIOGRAPHY FOR DIAGNOSIS OF STRIP ROOT PERFORATION

  Oral Surgery Oral Medicine Oral Pathology and Oral Radiology · 2020-08-01

  article
  PublisherDOI

Frequent coauthors

• Steven R. Singer

  9 shared

• Adriana G. Creanga

  Rutgers, The State University of New Jersey

  8 shared

• Kenneth Markowitz

  Rutgers, The State University of New Jersey

  6 shared

• Mel Mupparapu

  Penn Center for AIDS Research

  4 shared

• RufusL Caine

  Rutgers, The State University of New Jersey

  2 shared

• Bhargavi Dasari

  Rutgers, The State University of New Jersey

  2 shared

• L. ALMUFLEH

  Rutgers, The State University of New Jersey

  2 shared

• Rutvi Vyas

  University of Detroit Mercy

  2 shared

Education

• DMD, Diagnostic Sciences

  Fairleigh Dickinson School of Dental Medicine

  1987