Martha Ann Keels | Scholars@Duke

Martha Ann Keels
Associate Consulting Professor in the Department of Surgery

Role of acid exposure (GERD and dietary acids) on the dentition
Dental Trauma
Etiology of Neonatal Teeth
Caries Risk Assessment

Current Research Interests

Dental Caries
Dental Erosion
Dental Trauma
Pediatric Periodontal Disease
Special Needs

Current Appointments & Affiliations

Associate Consulting Professor in the Department of Surgery, Surgery, Clinical Science Departments 2015
Adjunct Associate Professor in the Department of Pediatrics, Pediatrics, Clinical Science Departments 2015

Contact Information

2711 North Duke Street, Durham, NC 27704
Duke Box 3810, Durham, NC 27708
keels001@duke.edu (919) 220-1416

Background
Education, Training, & Certifications
- Ph.D., University of North Carolina - Chapel Hill 1991
- D.D.S., University of North Carolina - Chapel Hill 1984
Previous Appointments & Affiliations
- Chief of Pediatric Dentistry at Duke Children's Hospital, Surgery, Clinical Science Departments 2008 - 2015
- Associate Professor of Pediatrics, Pediatrics, Clinical Science Departments 2009 - 2015
- Associate Professor of Surgery, Surgery, Clinical Science Departments 2009 - 2015
- Assistant Professor in Pediatrics, Pediatrics, Clinical Science Departments 2006 - 2009
- Assistant Professor of Dentistry in the Department of Surgery, Surgery, Clinical Science Departments 2006 - 2009
- Assistant Clinical Professor in Pediatrics, Pediatrics, Clinical Science Departments 1994 - 2006
- Assistant Clinical Professor of Dentistry in the Department of Surgery, Surgery, Clinical Science Departments 1994 - 2006
Academic Positions Outside Duke
- Adjunct Professor, UNC School of Dentistry. 1990 - 2022
Recognition
In the News
- JAN 30, 2014 Reuters Health
  
  Parents, docs can help save kids' broken teeth: report
Awards & Honors
- Mentor of the Year 2019. American Board of Pediatric Dentistry, College of Diplomates. May 25, 2019
Expertise
Subject Headings
- Pediatric Dentistry
- Teeth--Erosion
Research
Selected Grants
- RISK Renewal - Predicting Caries Risk in Underserved Toddlers in Primary Healthcare Settings awarded by University of Michigan 2014 - 2022
- Subcontract: Epidemiological and Behavioral Research in Oral Health awarded by University of Michigan 2014 - 2017
- Subcontract: Epidemiological and Behavioral Research in Oral Health awarded by University of Michigan 2013 - 2014
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Raisin, Joshua A., Martha Ann Keels, Michael W. Roberts, Kimon Divaris, Nina Jain, and Deanna W. Adkins. “Barriers to oral health care for transgender and gender nonbinary populations.” J Am Dent Assoc 154, no. 5 (May 2023): 384-392.e4. https://doi.org/10.1016/j.adaj.2023.02.009.
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  - Kahharova, D., V. Y. Pappalardo, M. J. Buijs, R. X. de Menezes, M. Peters, R. Jackson, A. T. Hara, et al. “Microbial Indicators of Dental Health, Dysbiosis, and Early Childhood Caries.” J Dent Res, April 11, 2023, 220345231160756. https://doi.org/10.1177/00220345231160756.
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  - Pilcher, Lauren, Sarah Pahlke, Olivia Urquhart, Kelly K. O’Brien, Vineet Dhar, Margherita Fontana, Carlos González-Cabezas, et al. “Direct materials for restoring caries lesions: Systematic review and meta-analysis-a report of the American Dental Association Council on Scientific Affairs.” J Am Dent Assoc 154, no. 2 (February 2023): e1–98. https://doi.org/10.1016/j.adaj.2022.09.012.
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  - Crystal, Yasmi O., Martha Ann Keels, Mihiri J. Silva, and Kimon Divaris. “Clinical need and scientific evidence base for a precise early childhood caries classification.” Int J Paediatr Dent 32, no. 6 (November 2022): 773–75. https://doi.org/10.1111/ipd.12968.
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  - Thomson, W. M., L. A. Foster Page, S. M. Levy, M. A. Keels, A. T. Hara, and M. Fontana. “Concurrent validity of the short-form Family Impact Scale (FIS-8) in 4-year-old US children.” Bmc Pediatr 22, no. 1 (July 4, 2022): 391. https://doi.org/10.1186/s12887-022-03437-5.
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  - Brecher, Erica A., Martha Ann Keels, Caroline K. Carrico, and Dylan S. Hamilton. “Teledentistry Implementation in a Private Pediatric Dental Practice During the COVID-19 Pandemic.” Pediatr Dent 43, no. 6 (November 15, 2021): 463–67.
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  - Keels, Martha Ann, Elizabeth S. Gosnell, Paul S. Casamassimo, and J. C. Shirley. “Importance of Oral Health for Adolescents and Adults With Down Syndrome.” Am J Prev Med 61, no. 4 (October 2021): e211–12. https://doi.org/10.1016/j.amepre.2021.04.003.
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  - Warren, John J., Steven M. Levy, Yinghui Xu, Jeanette M. Daly, George J. Eckert, Dennis Clements, Anderson T. Hara, et al. “Tooth Eruption and Early Childhood Caries: A Multisite Longitudinal Study.” Pediatr Dent 43, no. 4 (July 15, 2021): 287–89.
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  - Keels, Marth Ann, and Margherita Fontana. “Reclassification of Caries Disease Patterns Into Age Cohorts in the Primary Dentition.” Pediatr Dent 43, no. 3 (May 15, 2021): 166–67.
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  - Tilton, Erin E., Martha Ann Keels, Miguel A. Simancas-Pallares, Rocío B. Quiñonez, Michael W. Roberts, Andrea G. Ferreira Zandona, and Kimon Divaris. “Child Nutrition Patterns Are Associated with Primary Dentition Dental Caries.” Pediatr Dent 43, no. 3 (May 15, 2021): 205–10.
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  - Clark, Melinda B., Martha Ann Keels, Rebecca L. Slayton, and Rebecca L. SECTION ON ORAL HEALTH. “Fluoride Use in Caries Prevention in the Primary Care Setting.” Pediatrics 146, no. 6 (December 2020). https://doi.org/10.1542/peds.2020-034637.
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  - Kuo, Dennis Z., and Amy J. Houtrow. “Health of Newborns and Infants Born to Women With Disabilities: The Life Course Perspective.” Pediatrics 146, no. 6 (December 2020): e2020032607. https://doi.org/10.1542/peds.2020-032607.
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  - Quinonez, Rocio B., Robert G. Santos, George J. Eckert, Martha Ann Keels, Steven Levy, Barcey T. Levy, Richard Jackson, and Margherita Fontana. “Influence of Temperament As a Risk Indicator for Early Childhood Caries.” Pediatr Dent 42, no. 6 (November 15, 2020): 470–75.
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  - Kahharova, D., B. W. Brandt, M. J. Buijs, M. Peters, R. Jackson, G. Eckert, B. Katz, et al. “Maturation of the Oral Microbiome in Caries-Free Toddlers: A Longitudinal Study.” J Dent Res 99, no. 2 (February 2020): 159–67. https://doi.org/10.1177/0022034519889015.
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  - Keels, Martha Ann. “Personalized Dental Caries Management in Children.” Dent Clin North Am 63, no. 4 (October 2019): 621–29. https://doi.org/10.1016/j.cden.2019.06.002.
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  - Frank, Molly, Martha Ann Keels, Rocio Quiñonez, Michael Roberts, and Kimon Divaris. “Dental Caries Risk Varies Among Subgroups of Children with Special Health Care Needs.” Pediatr Dent 41, no. 5 (September 15, 2019): 378–84.
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  - Fontana, M., G. J. Eckert, M. A. Keels, R. Jackson, B. P. Katz, A. R. Kemper, B. T. Levy, et al. “Predicting Caries in Medical Settings: Risk Factors in Diverse Infant Groups.” J Dent Res 98, no. 1 (January 2019): 68–76. https://doi.org/10.1177/0022034518799080.
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  - Brecher, Erica A., Martha Ann Keels, Al M. Best, Rocio B. Quiñonez, and Michael W. Roberts. “Management of After-Hours Pediatric Dental Emergencies Among Pediatric and General Dentists.” Pediatr Dent 40, no. 5 (September 15, 2018): 352–58.
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  - Brecher, E. A., M. A. Keels, A. M. Best, R. B. Quiñonez, and M. W. Roberts. “Management of after-hours pediatric dental emergencies among pediatric and general dentists.” Pediatric Dentistry 40, no. 5 (September 1, 2018): 353–59.
  - Pena, Loren D. M., Yong-Hui Jiang, Kelly Schoch, Rebecca C. Spillmann, Nicole Walley, Nicholas Stong, Sarah Rapisardo Horn, et al. “Looking beyond the exome: a phenotype-first approach to molecular diagnostic resolution in rare and undiagnosed diseases.” Genet Med 20, no. 4 (April 2018): 464–69. https://doi.org/10.1038/gim.2017.128.
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  - Fontana, M., G. J. Eckert, M. A. Keels, R. Jackson, B. Katz, B. T. Levy, and S. M. Levy. “Fluoride Use in Health Care Settings: Association with Children's Caries Risk.” Adv Dent Res 29, no. 1 (February 2018): 24–34. https://doi.org/10.1177/0022034517735297.
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  - Brecher, Erica A., Martha Ann Keels, Rocio B. Quiñonez, Michael W. Roberts, and William Clay Bordley. “Dental Emergency Practice Characteristics Among North Carolina Pediatric and General Dentists.” Pediatr Dent 39, no. 2 (March 15, 2017): 111–17.
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  - Shashi, Vandana, Loren D. M. Pena, Katherine Kim, Barbara Burton, Maja Hempel, Kelly Schoch, Magdalena Walkiewicz, et al. “De Novo Truncating Variants in ASXL2 Are Associated with a Unique and Recognizable Clinical Phenotype.” Am J Hum Genet 100, no. 1 (January 5, 2017): 179. https://doi.org/10.1016/j.ajhg.2016.12.004.
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  - Shashi, Vandana, Loren D. M. Pena, Katherine Kim, Barbara Burton, Maja Hempel, Kelly Schoch, Magdalena Walkiewicz, et al. “De Novo Truncating Variants in ASXL2 Are Associated with a Unique and Recognizable Clinical Phenotype.” Am J Hum Genet 99, no. 4 (October 6, 2016): 991–99. https://doi.org/10.1016/j.ajhg.2016.08.017.
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  - Brecher, Erica A., Martha Ann Keels, Rocio B. Quiñonez, Michael W. Roberts, and William Clay Bordley. “A policy review of after-hours emergency dental care responsibilities.” J Public Health Dent 76, no. 4 (September 2016): 263–68. https://doi.org/10.1111/jphd.12167.
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  - Byrd, Gentry, Rocio B. Quinonez, Steven Offenbacher, Martha Ann Keels, and Janet M. Guthmiller. “Coordinated Pediatric and Periodontal Dental Care of a Child with Down syndrome.” Pediatr Dent 37, no. 4 (2015): 381–85.
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  - Section On Oral Health, Rima. “Maintaining and improving the oral health of young children.” Pediatrics 134, no. 6 (December 2014): 1224–29. https://doi.org/10.1542/peds.2014-2984.
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  - Keels, Martha Ann, and Martha Ann Section on Oral Health, American Academy of Pediatrics. “Management of dental trauma in a primary care setting.” Pediatrics 133, no. 2 (February 2014): e466–76. https://doi.org/10.1542/peds.2013-3792.
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  - Quinonez, Rocio B., Ashley M. Kranz, Charlotte W. Lewis, Lauren Barone, Suzanne Boulter, Karen G. O’Connor, and Martha Ann Keels. “Oral health opinions and practices of pediatricians: updated results from a national survey.” Acad Pediatr 14, no. 6 (2014): 616–23. https://doi.org/10.1016/j.acap.2014.07.001.
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  - Lewis, Charlotte W., Suzanne Boulter, Martha Ann Keels, David M. Krol, Wendy E. Mouradian, Karen G. O’Connor, and Rocio B. Quinonez. “Oral health and pediatricians: results of a national survey.” Acad Pediatr 9, no. 6 (2009): 457–61. https://doi.org/10.1016/j.acap.2009.09.016.
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  - Section on Pediatric Dentistry and Oral Health, Robert B. “Preventive oral health intervention for pediatricians.” Pediatrics 122, no. 6 (December 2008): 1387–94. https://doi.org/10.1542/peds.2008-2577.
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  - Caspary, Gretchen, David M. Krol, Suzanne Boulter, Martha Ann Keels, and Giusy Romano-Clarke. “Perceptions of oral health training and attitudes toward performing oral health screenings among graduating pediatric residents.” Pediatrics 122, no. 2 (August 2008): e465–71. https://doi.org/10.1542/peds.2007-3160.
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  - Keels, Martha Ann. “Policies and guidelines outside the American Academy of Pediatric Dentistry: influencing oral health care for persons with special health care needs.” Pediatr Dent 29, no. 2 (2007): 140–42.
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  - Krol, David M., and Martha Ann Keels. “Oral conditions.” Pediatr Rev 28, no. 1 (January 2007): 15–22. https://doi.org/10.1542/pir.28-1-15.
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  - Nowak, Art, and Martha Ann Keels. “Guidelines issues workshop report.” Pediatr Dent 29, no. 2 (2007): 148–49.
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  - Grooms, Michael Todd, Martha Ann Keels, Michael W. Roberts, and F Thomas McIver. “Caries experience associated with attention-deficit/hyperactivity disorder.” J Clin Pediatr Dent 30, no. 1 (2005): 3–7.
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  - Hale, Kevin J., and Kevin J. American Academy of Pediatrics Section on Pediatric Dentistry. “Oral health risk assessment timing and establishment of the dental home.” Pediatrics 111, no. 5 Pt 1 (May 2003): 1113–16. https://doi.org/10.1542/peds.111.5.1113.
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  - Burt, B. A., M. A. Keels, and K. E. Heller. “Fluorosis development in seven age cohorts after an 11-month break in water fluoridation.” J Dent Res 82, no. 1 (January 2003): 64–68. https://doi.org/10.1177/154405910308200114.
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  - Burt, B. A., M. A. Keels, K. Heller, and S. Pai. “Fluorosis prevalence after an 11-month interruption in water fluoridation.” Journal of Dental Research 81 (March 1, 2002): A218–A218.
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  - Burt, B. A., M. A. Keels, and K. E. Heller. “Caries prevalence decreases after water fluoridation cessation.” Journal of Evidence Based Dental Practice 1, no. 2 (January 1, 2001): 107–8. https://doi.org/10.1016/s1532-3382(01)70015-2.
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  - Quiñonez, R. B., M. A. Keels, W. F. Vann, F. T. McIver, K. Heller, and J. K. Whitt. “Early childhood caries: analysis of psychosocial and biological factors in a high-risk population.” Caries Res 35, no. 5 (2001): 376–83. https://doi.org/10.1159/000047477.
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  - Delaney, J. E., and M. A. Keels. “Pediatric oral pathology. Soft tissue and periodontal conditions.” Pediatr Clin North Am 47, no. 5 (October 2000): 1125–47. https://doi.org/10.1016/s0031-3955(05)70260-1.
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  - Burt, B. A., M. A. Keels, and K. E. Heller. “The effects of a break in water fluoridation on the development of dental caries and fluorosis.” J Dent Res 79, no. 2 (February 2000): 761–69. https://doi.org/10.1177/00220345000790021001.
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  - Burt, B. A., M. A. Keels, and K. E. Heller. “Fluorosis effects from an 11-month break in water fluoridation; interim results.” Journal of Dental Research 77 (January 1, 1998): 151–151.
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  - Keels, M. A., B. A. Burt, and K. E. Heller. “Caries effects from an 11-month break in water fluoridation: interim results.” Journal of Dental Research 77 (January 1, 1998): 152–152.
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  - Roberts, M. W., M. A. Keels, M. C. Sharp, and J. L. Lewis. “Fluoride supplement prescribing and dental referral patterns among academic pediatricians.” Pediatrics 101, no. 1 (January 1998): E6. https://doi.org/10.1542/peds.101.1.e6.
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  - Keels, M. A., and G. de Lisle Dear. “Computer-based evaluation of pediatric dental residents' clinical performance.” Pediatr Dent 18, no. 1 (1996): 74–75.
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  - Keels, M. A., L. M. Kaste, J. A. Weintraub, D. V. Kleinman, A. C. Verrusio, and E. A. Neidle. “A national survey of women dentists.” J Am Dent Assoc 122, no. 12 (December 1991): 31–41. https://doi.org/10.14219/jada.archive.1991.0208.
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  - KEELS, M. A., and D. A. SAVITZ. “AN ETIOLOGIC STUDY OF CLEFT-PALATE IN HUMANS.” American Journal of Epidemiology 134, no. 7 (October 1, 1991): 778–778.
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  - Savitz, D. A., P. J. Schwingl, and M. A. Keels. “Influence of paternal age, smoking, and alcohol consumption on congenital anomalies.” Teratology 44, no. 4 (October 1991): 429–40. https://doi.org/10.1002/tera.1420440409.
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  - Bawden, J. W., M. A. Keels, T. G. Deaton, and M. A. Crenshaw. “The Ca, Pi, F, and proline content of developing bovine enamel under GBHA-stained and unstained bands.” J Dent Res 67, no. 6 (June 1988): 938–41. https://doi.org/10.1177/00220345880670060901.
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  - Keels, M. A., L. M. Long, and W. F. Vann. “Facial nerve paralysis: report of two cases of Bell's palsy.” Pediatr Dent 9, no. 1 (March 1987): 58–63.
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- Conference Papers
  - Tran, Doan, Angela Rose, Achamyeleh Gebremariam, Margherita Fontana, Emily R. Yanca, Lauren Kimmel, Martha Ann Keels, Rocio B. Quinonez, and Lisa A. Prosser. “PROJECTED HEALTH OUTCOMES FOR RISK-BASED PREVENTION STRATEGIES FOR DENTAL CARIES IN US CHILDREN.” In Medical Decision Making, 41:E325–26, 2021.
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  - Fontana, Margherita, George Eckert, Richard Jackson, Barry Katz, Martha Ann Keels, Alex Kemper, Barcey Levy, Steven Levy, Patrick McKnight, and Nancy Swigonski. “Association Between Fluoride Recommendations and Caries Risk in Medical Settings.” In Section on Oral Health Program. American Academy of Pediatrics, 2018. https://doi.org/10.1542/peds.141.1_meetingabstract.596.
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  - Fontana, Margherita, George Eckert, Richard Jackson, Barry Katz, Martha Ann Keels, Alex Kemper, Barcey Levy, Steven Levy, Patrick McKnight, and Nancy Swigonski. “Association Between Fluoride Recommendations and Caries Risk in Medical Settings.” In Section on Oral Health Program. American Academy of Pediatrics, 2018. https://doi.org/10.1542/peds.141.1_meetingabstract.596-a.
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Education, Training, & Certifications

Previous Appointments & Affiliations

Academic Positions Outside Duke

In the News

Awards & Honors

Subject Headings

Selected Grants

Selected Publications

Academic Articles

Conference Papers