JDR Clinical & Translational Research最新文献

{"title":"Parental Oral Health Attitudes and Knowledge and Their High Caries Risk Infants' Oral Health Conditions.","authors":"B W Luo, G H M Lee, P Liu, H M Wong, E C M Lo, M C M Wong","doi":"10.1177/23800844261454269","DOIUrl":"https://doi.org/10.1177/23800844261454269","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to examine, among 1-y-old Hong Kong infants at high caries risk, how parental oral health attitudes and knowledge were associated with sociodemographic factors and their caring behaviors, as well as how these behaviors and sociodemographic factors were associated with infant oral health conditions.</p><p><strong>Methods: </strong>A cross-sectional analysis of baseline data from a randomized controlled trial on infants aged 1 y with high caries risk in Hong Kong was conducted. A self-completed structured questionnaire collected family sociodemographic background, parental oral health attitudes and knowledge, and infants' oral health practices. The infants received an oral examination to assess dental caries and oral hygiene.</p><p><strong>Results: </strong>There were 579 parent-infant dyads. The infants' caries experience was 1.04%. Their oral health-related behaviors were unfavorable. Almost all infants (99.5%) had not been to the dentist. Parents had positive attitudes toward oral health, but their knowledge was inadequate. More positive parental oral health attitudes and greater knowledge were found among mothers, parents with higher education and income, prior oral health education, and those who cleaned or brushed their infants' teeth. Higher household income and toothbrushing with toothpaste were associated with lower plaque level, whereas sleeping with a milk bottle was associated with higher caries.</p><p><strong>Conclusions: </strong>Parents' understanding of and attitudes toward oral health are related to their sociodemographic background. Parents with more positive attitudes and better knowledge tend to exhibit more favorable behaviors for caring for their infants' teeth. In addition, a family's socioeconomic status and parental care practices are associated with the infant's oral health.Knowledge Transfer Statement:The results of this study can be used by dental clinicians when providing oral health instructions to parents who bring their infants to their first dental visit. Based on the different sociodemographic backgrounds and oral health practices of parent-infant dyads, the instructions could vary.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261454269"},"PeriodicalIF":2.0,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing a Community-Grounded, Cross-Disciplinary Dental, Oral, and Craniofacial Research Workforce.","authors":"D T García, K Jasmer, S Duarte, M Charles-Ayinde","doi":"10.1177/23800844261457065","DOIUrl":"https://doi.org/10.1177/23800844261457065","url":null,"abstract":"<p><p>The Diversity Matters: Advancing Dental, Oral, and Craniofacial Research Leaders Symposium has become a staple at the annual meeting of the American Association for Dental, Oral, and Craniofacial Research (AADOCR). Approaching its fifth year, this report synthesizes insights from the 2025 AADOCR Committee on Diversity and Inclusion's (CDI's) Diversity Matters Symposium, which explored strategies for cultivating an inclusive, community-grounded research workforce. Drawing on participant perspectives, it highlights key levers-including mentorship, cross-disciplinary collaboration, and institutional practices that reduce exclusionary barriers-to strengthen innovation across the dental, oral, and craniofacial (DOC) research ecosystem. While grounded in the US context, these context-informed recommendations may offer insights adaptable across settings, supporting a workforce that reflects the populations it serves and advances structurally responsive, community-grounded research.Knowledge Transfer Statement:This article offers actionable, context-informed recommendations from the 2025 AADOCR Diversity Matters Symposium to integrate inclusive, community-grounded practices into dental, oral, and craniofacial research systems, workforce development, and translational research. These insights can guide institutions, funders, and policymakers in strengthening research excellence, innovation, and translational impact, while remaining adaptable beyond the US context.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261457065"},"PeriodicalIF":2.0,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Frailty, Social Frailty, and 6-Year Risk of Long-term Care Onset.","authors":"I Susanti, H Abbas, K Takeuchi, J Aida, K Osaka","doi":"10.1177/23800844261452968","DOIUrl":"10.1177/23800844261452968","url":null,"abstract":"<p><strong>Objectives: </strong>This 6-y longitudinal study examined the relationship between oral frailty measured in 2016 and the onset of long-term care (LTC) measured in 2022 and investigated whether social frailty (SF) measured in 2019 mediates the association among community-dwelling older adults aged ≥65 y in Japan.</p><p><strong>Methods: </strong>Four waves (2013-2022) of data from the Japan Gerontological Evaluation Study (JAGES) were analyzed. Oral frailty was classified into robust, pre-oral frail, and oral frail categories. LTC onset was identified through official certification records. Logistic regression models estimated odds ratios (ORs) for LTC onset after adjusting for sociodemographic, behavioral, and health-related confounders measured in 2013. Causal mediation analysis using parametric logistic regression models was used to assess social frailty (robust and social frail) as a mediating pathway.</p><p><strong>Results: </strong>During 6 y of follow-up among 3,559 participants (48.7% males, mean [SD] age 71.9 [4.8]), 6.1% developed LTC dependency. Overall, a clear gradient relationship was observed. The oral frail group had a 47% likelihood of enrolling in LTC compared with the robust group (adjusted OR = 1.47; 95% confidence interval [CI], 1.01-2.17), while the pre-oral frail group was 39% more likely to enroll in LTC (adjusted OR = 1.39; 95% CI, 0.96-2.02) than the robust group. Furthermore, SF mediated approximately 7% to 19% of the association between oral frailty and LTC onset, indicating that declining oral function contributes to social vulnerability, which in turn accelerates the dependency. Moreover, sensitivity analysis restricted to a complete data scenario attenuated the relationship, likely due to reduced power and missing data.</p><p><strong>Conclusion: </strong>These findings suggest that oral frailty may be an important predictor of long-term care onset, with part of the association potentially explained by social frailty. Maintaining oral health and promoting social participation may be important components of strategies aimed at supporting healthy aging and potentially reducing the risk of care dependency.Knowledge Transfer Statement:This longitudinal cohort study shows that oral frailty increased the risk of long-term care dependency among older adults after 6 years, partly through social frailty. For patients and clinicians, maintaining natural dentition and oral function might help preserve social engagement and delay care dependency. For policymakers, these findings could guide the provision of oral health initiatives, such as integrating oral health promotion and social participation strategies into healthy aging and long-term care prevention policies.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261452968"},"PeriodicalIF":2.0,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Education Barriers for Ghanaian Parents of Children with Cleft Lip and Palate: Qualitative Study.","authors":"A A Amuasi, D Long-White, J Saindon, A O Crentsil, E E Boham, J H Amuasi","doi":"10.1177/23800844261451851","DOIUrl":"10.1177/23800844261451851","url":null,"abstract":"<p><strong>Introduction: </strong>Health education plays a critical role in managing congenital anomalies like cleft lip and palate (CL/P). It equips parents with the knowledge and confidence needed for effective care, addressing medical, nutritional, and psychosocial challenges. In Ghana, where CL/P prevalence exceeds the global average and no national health education guidelines exist, initiatives often overlook culturally tailored approaches.</p><p><strong>Objective: </strong>To explore health education perceptions and barriers faced by Ghanaian parents of children with CL/P, guided by the social-ecological model at Komfo Anokye Teaching Hospital, Kumasi, Ghana.</p><p><strong>Methods: </strong>This qualitative study collected data through face-to-face, in-depth semi-structured interviews. Using criterion-based purposive sampling with maximum variation, parents of children with CL/P who visited the Department of Maxillofacial Surgery at the Komfo Anokye Teaching Hospital in Kumasi, Ghana, were selected. Thematic content analysis was employed to interpret the data and identify themes and subthemes.</p><p><strong>Results: </strong>Three themes were identified from analysis of data from 21 parents: 1) social challenges in educational and community settings; 2) inadequate health education information, characterized by overreliance on hospital-based oral instruction with limited availability of written or visual materials; and 3) lack of support facilities, organizations, and government policies beyond the hospital setting. Findings reveal multilevel barriers to effective CL/P health education in Ghana, including knowledge gaps, community stigma, limited organizational support, and absent national policy guidelines.</p><p><strong>Discussion: </strong>Addressing multilevel barriers to CL/P health education in Ghana requires culturally appropriate, multilingual materials; community outreach beyond hospitals; and national guidelines to improve outcomes for children with CL/P. Participants, while satisfied with surgical care, highlighted the need for better access to educational materials, stronger support networks, and greater public awareness to improve outcomes for children with CL/P.Knowledge Transfer Statement:This study provides important findings to inform community health education programs for parents, training workshops for clinicians on family-centered care, and policy briefs to inform health care leaders. It highlights the need to develop culturally appropriate educational materials to bridge knowledge gaps. Strengthening collaboration between hospitals, schools, and local governments will ensure that improved health education, psychosocial support, and outreach services are integrated into cleft care initiatives, ultimately enhancing outcomes for children with orofacial clefts.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261451851"},"PeriodicalIF":2.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Utility Analysis of Treatments for Early Childhood Caries in Remote Aboriginal Communities.","authors":"U Tonmukayakul, S Kularatna, D Atkinson, L Jamieson, P Arrow","doi":"10.1177/23800844251346743","DOIUrl":"10.1177/23800844251346743","url":null,"abstract":"<p><strong>Introduction: </strong>Early childhood caries is a significant problem affecting Aboriginal preschoolers in remote communities who lack access to dental services. A trial was conducted to assess the benefits of atraumatic restorative treatment combined with the Hall technique (ART-HT) versus usual care for managing early childhood caries in this population.</p><p><strong>Objectives: </strong>This trial-based cost-utility analysis evaluates costs and quality-adjusted life-years (QALYs) of ART-HT compared with usual care within a 1-y time frame.</p><p><strong>Methods: </strong>A decision-analytic model simulated the costs and QALYs for 2 scenarios: trial service delivery and minimum ART-HT delivery. The incremental cost per QALY gain ratio (ICER) was calculated for each scenario. QALY were estimated using the Early Childhood Oral Health Impact Scale-4D (ECOHIS-4D) and adjusted for baseline. Probabilistic sensitivity analyses were conducted to assess the robustness of the base-case results. Cost-effectiveness acceptability curves were generated to determine the likelihood of ART-HT being cost-effective at various willingness-to-pay thresholds. All costs are presented in Australian dollars for 2021.</p><p><strong>Results: </strong>Children receiving ART-HT had slightly higher QALYs than those receiving usual care did (0.85 vs. 0.83). The base-case analysis showed an average ICER of $2,013/QALY gained (95% uncertainty interval -$45,246 to $21,676). In the sensitivity analysis, the average ICER was $2,573/QALY gained (95% uncertainty interval -$43,658 to $23,352). ART-HT had an 85% and 81% chance of being cost-effective at a $15,000/QALY gained threshold in the base-case and alternative scenario, respectively.</p><p><strong>Conclusion: </strong>ART-HT showed potential cost-effectiveness compared with usual care within the observed period. While QALY gains were modest, ART-HT may offer a valuable strategy to improve service access for Aboriginal children in remote communities.Knowledge Transfer Statement:This study demonstrates that atraumatic restorative treatment combined with the Hall technique (ART-HT) is cost-effective in managing early childhood caries in remote Aboriginal communities. By providing a viable dental care strategy, ART-HT can improve access to essential dental services, enhance oral health outcomes for Aboriginal preschoolers, and offer value for money, thereby contributing to overall better health in these underserved populations.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"368-376"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Basic Package of Oral Care Training Program for Primary Health Care Nurses.","authors":"G Kaguru, R Mutave, R Ayah, P Karimi, C Mugambi","doi":"10.1177/23800844251346768","DOIUrl":"10.1177/23800844251346768","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses are key in the delivery of the basic package of oral care in the primary health care system. Whereas oral health care training is essential for apt oral care delivery, the scope and training approaches for the primary health care nurse are not well established. A mentorship approach has rarely been explored for oral health training.</p><p><strong>Objective: </strong>This study aimed to develop a basic package of oral health care training program for primary health care nurses in Kenya. It also evaluated and compared the effects of workshop and mentorship approaches on a basic package of oral care training outcomes.</p><p><strong>Methods: </strong>The Analysis, Design, Development, Implementation and Evaluation (ADDIE) instructional model was used to develop the training program. This used a scoping review approach to inform the design and development stages of the training. Implementation followed a quasi-experimental design to deliver a 1-y postworkshop mentorship program (experiment) against a workshop-only (control) group. The Kirkpatrick framework was used for evaluation.</p><p><strong>Results: </strong>A training program with 7 learning areas and 37 subtopics covering nurses' basic package of oral care tasks was developed and evaluated. Summative analysis included 67 nurses (experiment, <i>n</i> = 33; control, <i>n</i> = 34) and 1,128 parents (experiment, <i>n</i> = 570; control, <i>n</i> = 558). Improvement was noted in nurses' overall knowledge (47.9% to 64.7%), confidence (77.3% to 92.2%), and oral health care services delivery (0.3% to 35.8%). Overall parental child oral health practices improved from 31.3% to 44.4%. The experiment group exhibited significantly higher scores for confidence, oral health care services delivery, and parental child oral health practices. Longitudinal decay in knowledge and confidence was lower in the experiment group.</p><p><strong>Conclusion: </strong>A basic package of oral health care training program for primary health care nurses in Kenya was successfully developed and evaluated. For all outcomes evaluated, the mentorship approach yielded better results than the workshop approach did. These results highlight mentorship as an integral component in a basic package of oral care training.Knowledge Transfer Statement:This study of primary health care nurses in Kenya provides insights to inform oral health and primary health care policy makers about oral health education, oral urgent treatment, referral, and oral health service documentation training requirements. It shows how planning and prioritization for in-service oral health training sessions could be maximized with limited resources. It also demonstrates the benefit of a mentorship training approach over a workshop-only approach to ensure optimal outcomes of oral health indicators.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"501-510"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of Dental Stakeholders on the Clinical Use of Silver Diamine Fluoride in Australia for Caries.","authors":"S Tang, G H Soares, S Sethi, D G Haag, L Jamieson, B Poirier","doi":"10.1177/23800844251362108","DOIUrl":"10.1177/23800844251362108","url":null,"abstract":"<p><strong>Introduction: </strong>Silver diamine fluoride (SDF) is an effective cariostatic agent that has reemerged globally in recent years. Its resurgence is timely as dental caries remains prevalent, necessitating an affordable and simple treatment option. Its implementation in Australia has been slow, with inconsistent views on its use among practitioners, but is likely imminent given the recent global uptake. There is currently no literature examining Australian dental stakeholder views on SDF's implementation.</p><p><strong>Objectives: </strong>This study aims to investigate Australian dental stakeholder views on the use of SDF and to identify the challenges and facilitators to its implementation for managing dental caries.</p><p><strong>Methods: </strong>Qualitative semi-structured interviews were conducted with Australian dental stakeholders. The analysis was carried out using Braun and Clarke's reflexive thematic analysis framework and NVivo14 software.</p><p><strong>Results: </strong>Ten participants were interviewed (7 dentists, 2 hygiene therapists, and 1 hygienist) from 4 Australian states. The barriers and facilitators to Australia's use of SDF were found within the themes of policy, research, manufacturer, teaching and exposure, and clinical setting. Major barriers to SDF adoption include insufficient training in the undergraduate setting, lack of a standardized Australian guideline detailing use, no Therapeutic Goods Administration approval for caries, and the manufacturer's product design. Facilitators included continual professional development on SDF, manufacturer marketing of the product, and ample research supporting SDF's effectiveness for dental caries.</p><p><strong>Conclusions: </strong>This study highlights both barriers and facilitators to SDF use in Australia, providing insight into factors that may influence its future integration into dental practice.Knowledge Transfer Statement:The results of this study show that successful implementation into Australia will require effort and changes by policymakers, universities, and manufacturers to support clinician use.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"377-387"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recruiting Dental Practices for Research: Insights from a Practice-Based Trial in Germany.","authors":"P Hennrich, V Fehrer, A L Müller, J Daniels-Stumpf, S Jepsen, S Listl","doi":"10.1177/23800844251357877","DOIUrl":"10.1177/23800844251357877","url":null,"abstract":"<p><strong>Background: </strong>While the relevance of implementation research in dentistry is increasingly emphasized, practice-based trials are still relatively uncommon in dental research. Despite being critical for successful practice-based research, little is known about the recruitment of dental professionals to participate in practice-based trials. Against this background, the purpose of this study was to extract key learnings about the opportunities and challenges for recruiting dental practices from a large-scale practice-based trial in Germany.</p><p><strong>Methods: </strong>Leveraging quantitative and qualitative methods, participation rates of dental practices and experiences of researchers involved in a large-scale trial in German dental practices were examined. Quantitative analyses focused on the rate of practices that initially expressed interest to participate in the trial, the rate of practices that subsequently gave informed consent to participate in the trial, and variations in participation by different modes of invitation for the study. Qualitative data from dental practices and a focus group with the research coordinators were analyzed by means of thematic analysis, focused on drivers and barriers for practices to participate in the trial.</p><p><strong>Results: </strong>Of 6,840 invited practices, 287 (4.2%) practices indicated their interest and 159 (2.3%) participated. The mode of invitation was significantly associated with participation (<i>p</i> < 0.05). The practices' reasons for nonparticipation included shortage of staff and time to adequately integrate the study processes into practice workflows. The research coordinators also identified a lack of established practice-based research networks in dentistry.</p><p><strong>Discussion: </strong>While practice-based research is key to driving positive change in oral health systems, the findings of this study suggest considerable barriers for recruiting dental practices to participate in research. Understanding the mechanisms through which participation rates can be increased is crucial for the successful operationalization of practice-based research in dentistry. Implementation-oriented research in dentistry would benefit substantially from enhancements of practice-based research networks.</p><p><strong>Trial registration: </strong>The underlying project was registered prospectively on July 3, 2023, at the German Clinical Trials Register (www.drks.de) under ID DRKS00030587.Knowledge Transfer Statement:The results of this study can be used by clinicians and clinical researchers when planning practice recruitment for practice-based trials. This could allow for more precise sample size planning and ultimately contribute to improved patient health through the increased validity of studies.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"521-528"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Anti-inflammatory Drugs and Recovery after Periodontal Surgery: A Systematic Review and Meta-Analysis.","authors":"M Abusamak, A Elananza, I Alshdaifat, F S Al-Hamed, H Al-Waeli","doi":"10.1177/23800844251365539","DOIUrl":"10.1177/23800844251365539","url":null,"abstract":"<p><strong>Introduction: </strong>Periodontal disease is a multifactorial chronic inflammatory condition that progressively destroys the periodontal supportive tissues. While periodontal surgical therapy is a successful treatment for periodontal disease, patients often experience postoperative complications such as pain, swelling, and discomfort, which affect their quality of life. This systematic review evaluated the efficacy and safety of perioperative steroidal and nonsteroidal anti-inflammatory drugs (SAIDs and NSAIDs) on postoperative pain and swelling and rescue medication consumption in adults undergoing periodontal surgeries.</p><p><strong>Methods: </strong>A protocol guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was followed. Multiple online databases were searched up to April 2025 for randomized clinical trials (RCTs) comparing perioperative SAIDs and NSAIDs after periodontal surgery. The primary outcome measure was postoperative pain, while the secondary outcome measures were swelling and rescue medication consumption using a random-effects model. The GRADE system assessed the quality of the evidence for each included study.</p><p><strong>Results: </strong>Of 2,354 articles screened, 6 RCTs with 262 participants were included. Perioperative NSAIDs showed a statistically significant reduction in postoperative pain for the first 6 h postoperatively compared with perioperative SAIDs (mean difference [MD]: 1.00 to 2.23; 95% confidence interval [CI]: 0.21, 3.77). Perioperative SAIDs yielded a statistically significantly greater reduction in postoperative pain 48 h postoperatively than perioperative NSAIDs did (MD: -0.23, 95% CI: -0.31, -0.14). Perioperative SAIDs and NSAIDs had comparable outcomes in terms of postoperative swelling and rescue medication consumption.</p><p><strong>Discussion: </strong>Perioperative NSAIDs may be more effective in reducing early postoperative pain while SAIDs might offer better longer-term pain management postoperatively after periodontal surgery. However, these findings should be viewed with caution because of the clinically insignificant differences and the evidence based on few studies, with moderate-to-low certainty of evidence, due to methodological biases and discrepancies in drugs used and regimens. Therefore, further optimized RCTs confirming the efficacy and safety of perioperative SAIDs and NSAIDs in periodontal surgical procedures are still needed.Knowledge Transfer Statement:This systematic review and analysis found moderate-to-low-certainty evidence and limitations in the studies assessing the effectiveness of perioperative anti-inflammatory drugs to improve postoperative recovery after periodontal surgical therapies. This emphasizes the need for individualized perioperative therapeutic protocols based on surgical complexity and the need for tension-free wound healing pending further high-quality trials.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"311-323"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relative Affordability of Private Dentistry in Australia over the Past Decade.","authors":"M S Hopcraft, A Singh","doi":"10.1177/23800844251384649","DOIUrl":"10.1177/23800844251384649","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to analyze private dental fees in Australia in relation to weekly earnings as a measure of relative affordability, looking at changes from 2014 to 2022 and geographic differences within Australia.</p><p><strong>Methods: </strong>Using publicly available data from the Australian Dental Association, fees for select dental procedures were calculated based on national averages and compared with weekly full-time earnings across 2014 to 2022. The proportion of full-time weekly earnings (at various percentile levels) required to pay for procedures was analyzed.</p><p><strong>Results: </strong>Mean private practice fees for the 6 dental procedures increased 5.3% to 16.8% between 2014 and 2022. Median weekly full-time earnings increased 24.2% from $1,208 to $1,500. There were smaller increases in income for those below the 25th percentile and larger increases above the 75th percentile. The proportion of median weekly full-time income required to pay for various procedures declined from 2014 to 2022, with a dental checkup costing 22% of median income in 2014 and 18.7% in 2022. Variations were apparent across and within states. For those in the lower income groups, dental treatment consumed a much larger proportion of their weekly earnings than those on higher incomes.</p><p><strong>Conclusion: </strong>Private dental fees have not increased greater than average weekly earnings over the past decade. Focusing on price misses only the additional context of the competing costs of other necessities, particularly when they are increasing at a rate higher than inflation and income. Improving our understanding of relative affordability is important in informing policies designed to address the broader inequalities evident in access to dental care.Knowledge Transfer Statement:This study found that although private dental fees have not increased greater than average weekly earnings over the past decade, income inequality and geographic fee variability are likely to affect dental visiting patterns. This is important for those advocating measures to improve access to care through a better understanding of dental care affordability.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"511-520"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13232581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}