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Health Sciences staff profiles

Professor Alison Rich

PositionActing Dean, Faculty of Dentistry, and Head of Department of Diagnostic and Surgical Sciences
DepartmentDepartment of Oral Diagnostic and Surgical Sciences
QualificationsBDS(Otago) MDSc PhD(Melb) FRACDS FFOP(RCPA)
Research summaryDiagnostic oral pathology
Clinical

I am the Head of the Medlab Dental Oral Pathology Diagnostic Service which provides specialist diagnostic oral pathology reports to dentists and to dental specialists and to anatomical pathologists. Oral pathology specimens, between 2,500 and 3,000 annually, are received from clinicians throughout New Zealand. The laboratory is a fully-equipped and certified histopathology laboratory with accreditation in Medical Laboratory Testing (Histology) from International Accreditation New Zealand. It is accredited for the teaching of postgraduate oral pathology by the Royal College of Pathologists of Australasia (RCPA).

Research

Professor Rich's research interests relate to gaining a greater understanding of the pathogenesis of oral diseases to complement my clinical speciality of diagnostic oral pathology. Her main research interest is in oral cancer, particularly developing tools to more accurately predict the transformation of potentially malignant oral diseases to oral cancer and, more recently, investigation the role of immune cells in the oral cancer environment. She has expertise in project design in these areas, in data analysis and in mentoring colleagues and post- and undergraduate students undertaking related projects. Specialist techniques include light microscopic analysis, immuno-fluorescence microscopy, immunohistochemistry and histomorphometric analysis. More recently she has used polymerase chain reaction and array technology. Professor Rich's contribution to dental research has been recognised by being invited in 2010 to become a member of the Board of the New Zealand Dental Association Research Foundation. She is a co-leader of the Immunopathology Programme of the Sir John Walsh Research Institute.

Professor Rich's research also relates to her activities as Associate Dean -Undergraduate Studies (Dentistry) where she has been involved in curriculum review emphasising research-supported undergraduate teaching and learning. She instigated research into evaluation of undergraduate selection tools and evaluation of curriculum innovations, particularly the outplacement of senior dental students with Māori oral health providers. As well, she is part of a national team investigating dental work force issues in New Zealand.

Publications

Parachuru, V. P. B., Coates, D. E., Milne, T. J., Rich, A. M., & Seymour, G. J. (2018). FoxP3+ regulatory T cells, interleukin 17 and mast cells in chronic inflammatory periodontal disease. Journal of Periodontal Research. Advance online publication. doi: 10.1111/jre.12552

Ebbeling, S., Adam, L., Meldrum, A., Rich, A., McLean, A., & Aitken, W. (2018). Oral health and dental students' perceptions of their clinical learning environment: A focus group study. Journal of Dental Education, 82(10), 1036-1042. doi: 10.21815/JDE.018.102

Yakin, M., Seo, B., Hussaini, H., Rich, A., & Hunter, K. (2018). Human papillomavirus and oral and oropharyngeal carcinoma: The essentials. Australian Dental Journal. Advance online publication. doi: 10.1111/adj.12652

Tawse-Smith, A., Ma, S., Duncan, W. J., Gray, A., Reid, M. R., & Rich, A. M. (2017). Implications of wear at the titanium-zirconia implant-abutment interface on the health of peri-implant tissues. International Journal of Oral & Maxillofacial Implants, 32(3), 599-609. doi: 10.11607/jomi.5014

Hussaini, H. M., Parachuru, V. P. B., Seymour, G. J., & Rich, A. M. (2017). Forkhead box-P3+ regulatory T cells and toll-like receptor 2 co-expression in oral squamous cell carcinoma. Acta Histochemica, 119(3), 205-210. doi: 10.1016/j.acthis.2016.12.005

Journal - Research Article

Parachuru, V. P. B., Coates, D. E., Milne, T. J., Rich, A. M., & Seymour, G. J. (2018). FoxP3+ regulatory T cells, interleukin 17 and mast cells in chronic inflammatory periodontal disease. Journal of Periodontal Research. Advance online publication. doi: 10.1111/jre.12552

Ebbeling, S., Adam, L., Meldrum, A., Rich, A., McLean, A., & Aitken, W. (2018). Oral health and dental students' perceptions of their clinical learning environment: A focus group study. Journal of Dental Education, 82(10), 1036-1042. doi: 10.21815/JDE.018.102

Tawse-Smith, A., Ma, S., Duncan, W. J., Gray, A., Reid, M. R., & Rich, A. M. (2017). Implications of wear at the titanium-zirconia implant-abutment interface on the health of peri-implant tissues. International Journal of Oral & Maxillofacial Implants, 32(3), 599-609. doi: 10.11607/jomi.5014

Hussaini, H. M., Parachuru, V. P. B., Seymour, G. J., & Rich, A. M. (2017). Forkhead box-P3+ regulatory T cells and toll-like receptor 2 co-expression in oral squamous cell carcinoma. Acta Histochemica, 119(3), 205-210. doi: 10.1016/j.acthis.2016.12.005

Al-Hassiny, A., Friedlander, L. T., Parachuru, V. P. B., Seo, B., Hussaini, H. M., & Rich, A. M. (2017). Upregulation of angiogenesis in oral lichen planus. Journal of Oral Pathology & Medicine. Advance online publication. doi: 10.1111/jop.12665

Seo, B., Hussaini, H. M., & Rich, A. M. (2017). Second opinion oral pathology referrals in New Zealand. Pathology, 49(3), 277-284. doi: 10.1016/j.pathol.2016.11.007

Apperley, O., Medlicott, N., Rich, A., Hanning, S., & Huckabee, M. L. (2017). A clinical trial of a novel emulsion for potential use as a saliva substitute in patients with radiation induced xerostomia. Journal of Oral Rehabilitation, 44(11), 889-895. doi: 10.1111/joor.12545

Avadhani, A. V., Parachuru, V. P. B., Milne, T., Seymour, G. J., & Rich, A. M. (2017). Multiple cells express interleukin 17 in oral squamous cell carcinoma. Journal of Oral Pathology & Medicine, 46(1), 39-45. doi: 10.1111/jop.12465

Yakin, M., Gavidi, R. O., Cox, B., & Rich, A. (2017). Oral cancer risk factors in New Zealand. New Zealand Medical Journal, 130(1451), 30-38. Retrieved from https://www.nzma.org.nz/journal

Kazantseva, M., Hung, N. A., Mehta, S., Roth, I., Eiholzer, R., Rich, A. M., Seo, B., Baird, M. A., Braithwaite, A. W., & Slatter, T. L. (2017). Tumor protein 53 mutations are enriched in diffuse large B-cell lymphoma with irregular CD19 marker expression. Scientific Reports, 7, 1566. doi: 10.1038/s41598-017-01800-6

Sinon, S. H., Rich, A. M., Parachuru, V. P. B., Firth, F. A., Milne, T., & Seymour, G. J. (2016). Downregulation of toll-like receptor-mediated signalling pathways in oral lichen planus. Journal of Oral Pathology & Medicine, 45, 28-34. doi: 10.1111/jop.12319

Foster Page, L. A., Gray, L., Gallagher, P., McKinlay, E., & Rich, A. M. (2016). Untangling the web of influences on dental students' participation in interprofessional education programs. Journal of Dental Education, 80(6), 677-685.

Seo, B., Coates, D. E., Seymour, G. J., & Rich, A. M. (2016). Unfolded protein response-related gene regulation in inflamed periodontal tissues with and without Russell bodies. Archives of Oral Biology, 69, 1-6. doi: 10.1016/j.archoralbio.2016.04.009

Javvadi, L. R., Parachuru, V. P. B., Milne, T. J., Seymour, G. J., & Rich, A. M. (2016). Regulatory T-cells and IL17A+ cells infiltrate oral lichen planus lesions. Pathology, 48(6), 564-573. doi: 10.1016/j.pathol.2016.06.002

Yakin, M., Jalal, J. A., Al-Khurri, L. E., & Rich, A. M. (2016). Oral and maxillofacial pathology submitted to Rizgary Teaching Hospital: A 6-year retrospective study. International Dental Journal, 66(2), 78-85. doi: 10.1111/idj.12211

Firth, F. A., Friedlander, L. T., Parachuru, V. P. B., Kardos, T. B., Seymour, G. J., & Rich, A. M. (2015). Regulation of immune cells in oral lichen planus. Archives of Dermatological Research, 307, 333-339. doi: 10.1007/s00403-015-1540-8

Friedlander, L. T., Hussani, H., Cullinan, M. P., Seymour, G. J., De Silva, R. K., De Silva, H., Cameron, C., & Rich, A. M. (2015). VEGF and VEGFR2 in dentigerous cysts associated with impacted third molars. Pathology, 47(5), 446-451. doi: 10.1097/pat.0000000000000272

Bakri, M. M., Rich, A. M., Cannon, R. D., & Holmes, A. R. (2015). In vitro expression of Candida albicans alcohol dehydrogenase genes involved in acetaldehyde metabolism. Molecular Oral Microbiology, 30(1), 27-38. doi: 10.1111/omi.12064

Anderson, V. R., Rapana, S. T., Broughton, J. R., Seymour, G. J., & Rich, A. M. (2015). Preliminary findings from the Oranga Niho dental student outplacement project. New Zealand Dental Journal, 111(1), 6-14.

Gavidi, R. O., Rich, A. M., Cox, B., & King, T. (2014). Comparing the occurrence of oral squamous cell carcinoma in New Zealand and the Fiji Islands from 2000-2010. International Journal of Cancer Research, 48(1), 1212-1225.

Rich, A. M., Hussaini, H. M., Parachuru, V. P. B., & Seymour, G. J. (2014). Toll-like receptors and cancer, particularly oral squamous cell carcinoma. Frontiers in Immunology, 5, 464. doi: 10.3389/fimmu.2014.00464

Bakri, M. M., Cannon, R. D., Holmes, A. R., & Rich, A. M. (2014). Detection of Candida albicans ADH1 and ADH2 mRNAs in human archival oral biopsy samples. Journal of Oral Pathology & Medicine, 43(9), 704-710. doi: 10.1111/jop.12193

Parachuru, V. P. B., Coates, D. E., Milne, T. J., Hussaini, H. M., Rich, A. M., & Seymour, G. J. (2014). Forkhead box P3-positive regulatory T-cells and interleukin 17-positive T-helper 17 cells in chronic inflammatory periodontal disease. Journal of Periodontal Research, 49(6), 817-826. doi: 10.1111/jre.12169

Hunter, K., Speight, P., Wright, J., van Heerden, W., Rich, A., & Franklin, C. (2014). An international survey of speciality training in oral and maxillofacial pathology. Journal of Oral Pathology & Medicine, 43(3), 232-236. doi: 10.1111/jop.12118

Kamel, M. S., Broadbent, J. M., & Rich, A. M. (2013). Epidemiological and clinical characteristics of oral leukoplakia in a New Zealand population: Analysis of a 10-year case series. Journal of Dental, Oral & Craniofacial Epidemiology, 1(4), 6-13.

Sinon, S. H., Rich, A. M., Firth, N. A., & Seymour, G. J. (2013). Qualitative and quantitative assessment of immune cells in oral mucosal lichen planus (OMLP). Sains Malaysiana, 42(1), 65-71.

Sinon, S. H., Rich, A. M., Hussaini, H. M., Yoon, H.-S., Firth, N. A., & Seymour, G. J. (2013). Metastases to the oral region from pleural mesothelioma: Clinicopathologic review. Head & Neck, 35(4), 599-604. doi: 10.1002/hed.21942

Rich, A. M., Ayers, K. M. S., Thomson, W. M., Sinclair, R. J., Rohan, M. J., & Seymour, G. J. (2012). Does performance in selection processes predict performance as a dental student? European Journal of Dental Education, 16(1), 27-34. doi: 10.1111/j.1600-0579.2011.00706.x

Hussaini, H. M., Angel, C. M., Speight, P. M., Firth, N. A., & Rich, A. M. (2012). A double-clear variant of epithelial-myoepithelial carcinoma of the parotid gland. Head & Neck Pathology, 6(4), 471-475. doi: 10.1007/s12105-012-0350-y

Anderson, V. R., Rich, A. M., & Seymour, G. J. (2011). Undergraduate dental education in New Zealand: 2007-2009 final-year student feedback on clinical learning environments. New Zealand Dental Journal, 107(3), 85-90.

Desai, S. V., Love, R. M., Rich, A. M., & Seymour, G. J. (2011). Toll-like receptor 2 expression in refractory periapical lesions. International Endodontic Journal, 44(10), 907-916. doi: 10.1111/j.1365-2591.2011.01893.x

Jattan, R., De Silva, H. L., De Silva, R. K., Rich, A. M., & Love, R. M. (2011). A case series of odontogenic keratocysts from a New Zealand population over a 20-year period. New Zealand Dental Journal, 107(4), 112-116.

Ng, L. K., Rich, A. M., Hussaini, H. M., Thomson, W. M., Fisher, A. L., Horne, L. S., & Seymour, G. J. (2011). Toll-like receptor 2 is present in the microenvironment of oral squamous cell carcinoma. British Journal of Cancer, 104(3), 460-463. doi: 10.1038/sj.bjc.6606057

Campbell, D. I., De Silva, R. K., De Silva, H., Sinon, S. H., & Rich, A. M. (2011). Temporomandibular joint synovial chondromatosis with intracranial extension: A review and observations of patient observed for 4 years. Journal of Oral & Maxillofacial Surgery, 69(8), 2247-2252. doi: 10.1016/j.joms.2010.10.042

Desai, S. V., Love, R. M., Rich, A. M., & Seymour, G. J. (2011). Antigen recognition and presentation in periapical tissues: A role for TLR expressing cells? International Endodontic Journal, 44(2), 87-99. doi: 10.1111/j.1365-2591.2010.01817.x

Hussaini, H. M., Waddell, J. N., Girvan, L., West, L. M., Kardos, T. B., Rich, A. M., & Seymour, G. J. (2011). Silver solder ″tattoo,″: A novel form of oral pigmentation identified with the use of field emission scanning electron microscopy and electron dispersive spectrography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, & Endodontology, 112(4), e6-e10. doi: 10.1016/j.tripleo.2011.03.049

Rosdy, N. M. M. N. M., Firth, N. A., & Rich, A. M. (2010). Calibre-persistent labial artery: Often misdiagnosed as a mucocoele. International Journal of Oral & Maxillofacial Surgery, 39(12), 1230-1233. doi: 10.1016/j.ijom.2010.05.003

Mohd Bakri, M., Hussaini, H. M., Holmes, A. R., Cannon, R. D., & Rich, A. M. (2010). Revisiting the association between candidal infection and carcinoma, particularly oral squamous cell carcinoma. Journal of Oral Microbiology, 2, 5780. doi: 10.3402/jom.v2i0.5780

Ayers, K. M. S., Thomson, W. M., Newton, J. T., Morgaine, K. C., & Rich, A. M. (2009). Self-reported occupational health of general dental practitioners. Occupational Medicine, 59(3), 142-148. doi: 10.1093/occmed/kqp004

Kaur, J., Hay, K. D., Macdonald, H., & Rich, A. M. (2009). Retrospective audit of the use of the Marx Protocol for prophylactic hyperbaric oxygen therapy in managing patients requiring dental extractions following radiotherapy to the head and neck. New Zealand Dental Journal, 105(2), 47-50.

Ayers, K. M. S., Thomson, W. M., Rich, A. M., & Newton, J. T. (2008). Gender differences in dentists' working practices and job satisfaction. Journal of Dentistry, 36(5), 343-350. doi: 10.1016/j.jdent.2008.01.012

Ayers, K. M. S., Thomson, W. M., Newton, J. T., & Rich, A. M. (2008). Job stressors of New Zealand dentists and their coping strategies. Occupational Medicine, 58(4), 275-281. doi: 10.1093/occmed/kqn014

Ayers, K. M. S., Thomson, W. M., Al-Hassiny, H., Rich, A. M., & Newton, J. T. (2008). A qualitative investigation of the experiences of immigrant dentists working in New Zealand. New Zealand Dental Journal, 104(3), 97-103.

Ayers, K. M. S., Thomson, W. M., Whyman, R. A., Rich, A. M., & Newton, J. T. (2008). Changes in the New Zealand dentist workforce over a nine-year period. New Zealand Dental Journal, 104(1), 19-26.

Lou, S. M.-Y., Rich, A. M., De Silva, R. K., & Ferguson, M. M. (2006). Pleomorphic adenoma of a molar salivary gland. Oral Oncology EXTRA, 42, 170-172.

Innes, P., & Rich, A. (2005). Changes in the selection of dental students in New Zealand. New Zealand Dental Journal, 101(1), 19-21.

Beggs, K. T., Holmes, A. R., Cannon, R. D., & Rich, A. M. (2004). Detection of Candida albicans mRNA in archival histopathology samples by reverse transcription-PCR. Journal of Clinical Microbiology, 42(5), 2275-2278.

Rich, A. M., & Reade, P. C. (2001). Epithelial-mesenchymal interactions in experimental oral mucosal carcinogenesis. Journal of Oral Pathology & Medicine, 30, 389-397.

Rich, A. M. (2000). Tongue lesions: What can it be? Annals of the Royal Australasian College of Dental Surgeons, 15, 106-110.

Rich, A. M., Firth, N. A., & Reade, P. C. (1999). A colour atlas of gum diseases. Part 2: noninfectious causes. Modern Medicine, 42, 28-37.

Rich, A. M., Kerdpon, D., & Reade, P. C. (1999). P53 expression in oral precancer and cancer. Australian Dental Journal, 44, 103-105.

Rich, A. M., Firth, N. A., & Reade, P. C. (1999). A colour atlas of gum diseases: Part 1: Infectious and immunological causes. Modern Medicine, 42, 66-81.

Polonowita, A. D., Firth, N. A., & Rich, A. M. (1999). Verruciform xanthoma and concomitant lichen planus of the oral mucosa. International Journal of Oral & Maxillofacial Surgery, 28, 62-66.

Firth, N. A., Rich, A. M., & Reade, P. C. (1998). A colour atlas of diseases of the tongue. Modern Medicine, 41, 34-45.

Kerdpon, D., Rich, A. M., & Reade, P. C. (1997). Expression of p53 in oral mucosal hyperplasia, dysplasia and squamous cell carcinoma. Oral Diseases, 3, 86-92.

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Journal - Research Other

Yakin, M., Seo, B., Hussaini, H., Rich, A., & Hunter, K. (2018). Human papillomavirus and oral and oropharyngeal carcinoma: The essentials. Australian Dental Journal. Advance online publication. doi: 10.1111/adj.12652

Hussaini, H. M., Parachuru, V. P. B., Seymour, G. J., & Rich, A. M. (2017). FoxP3 and TLR2 in co-expression in oral cancer. Acta Histochemica. Advance online publication. doi: 10.1016/j.acthis.2017.06.006

Rich, A. M., Seo, B., Parachuru, V., & Hussaini, H. M. (2017). The nexus between periodontics and oral pathology. Periodontology 2000, 74(1), 176-181. doi: 10.1111/prd.12197

Tawse-Smith, A., Atieh, M. A., Leichter, J., Girvan, L., & Rich, A. M. (2015). Peri-implant bone loss and its uncommon causes: A case report. Clinical Advances in Periodontics, 5(4), 242-247. doi: 10.1902/cap.2014.140024

Goldsmith, S. M., Seo, B. L., de Silva, R. K., Parachuru, P., Rich, A. M., & Seymour, G. J. (2014). Oral mycosis fungoides: Report with immune profile. Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology, 118(2), e48-e52. doi: 10.1016/j.oooo.2013.10.005

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