JDR Clinical & Translational Research最新文献

{"title":"Tooth Loss and Cardiovascular Disease: A 17-Year Australian Cohort Study.","authors":"S King, S Marschner, D Quintans, A Gibson, C K Chow","doi":"10.1177/23800844261444275","DOIUrl":"https://doi.org/10.1177/23800844261444275","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease (CVD) is highly prevalent, affecting 1 in 6 Australians. Tooth loss has consistently been associated with an increased risk of CVD, influenced by social determinants of health as well as effects on chewing function and diet. However, there is little evidence regarding the role of diet in the relationship between tooth loss and CVD. This study aimed to determine the impact of retaining a functional dentition (minimum of 20 teeth) on the risk of incident CVD and the role of diet in this relationship.</p><p><strong>Methods: </strong>This prospective cohort study recruited Australian women from the 1946 to 1951 cohort of the Australian Longitudinal Study on Women's Health. Tooth loss and diet quality were assessed from survey 5 (2007) and incident CVD from linked data over a 17-y follow-up period (2024). Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) adjusted for known risk factors (age, sociodemographic, lifestyle, and medical history factors).</p><p><strong>Results: </strong>A total of 8,306 women, average age 58.5 ± 1.5 y, 69.2% with a functional dentition, were included. Over the 17-y follow-up period, 1,432 (17.2%) women developed incident CVD. The presence of a functional dentition was associated with a lower risk of incident CVD compared to women with a nonfunctional dentition, 15.5% versus 21.1%, respectively (HR = 0.83; 95% CI, 0.74-0.93). A greater proportion of women with a functional dentition had a high-quality diet score compared to those with a nonfunctional dentition (42% vs. 36%, <u>P</u> < 0.001). Even after controlling for diet quality, a statistically significant association was observed (HR = 0.82; 95% CI, 0.73-0.92).</p><p><strong>Conclusion: </strong>Although tooth loss negatively impacts diet quality, dietary changes alone do not explain why tooth loss is a marker of incident CVD, and loss of a functional dentition should prompt cardiovascular prevention action.Knowledge transfer statement:This study demonstrates that loss of a functional dentition in women increases the risk of developing cardiovascular disease, independent of changes in diet quality. Policymakers and clinicians should promote cardiovascular preventive action for women with significant tooth loss.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261444275"},"PeriodicalIF":2.2,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148030054","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":"Infodemiology Analysis of Toothache-Related Posts on Instagram.","authors":"J R Leite, D W Almeida, M Lotto, T S Menezes, A M Jucá, T Cruvinel","doi":"10.1177/23800844261444287","DOIUrl":"https://doi.org/10.1177/23800844261444287","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the interaction performance of English-language posts related to toothache information on Instagram regarding qualitative categories.</p><p><strong>Methods: </strong>A sample of 500 posts with the highest total interaction was evaluated by 2 independent investigators according to their facticity, author's profile, content, motivation, sentiment, and time of publication. Data were analyzed descriptively, using the Mann-Whitney U test and generalized structural equation modeling.</p><p><strong>Results: </strong>Posts from business/health-related profiles with financial motivation and negative/neutral sentiment showed higher total interaction, while more recent posts involving misinformation or satire and containing commercial content had better overperforming scores. Also, posts with financial motivation were more related to misinformation/satire (56.3%), positive sentiment (74.5%), and higher total interaction (50.9%). Positive sentiment was negatively associated with business/health profiles (odds ratio [OR] = 0.57) and positively associated with financial motivation (OR = 4.43). Misinformation was positively associated with positive sentiment (OR = 3.15), business/health profiles (OR = 2.41), and financial motivation (OR = 7.86). Commercial content was positively associated with business/health profiles (OR = 2.22). Higher total interaction was positively associated with business/health profiles (OR = 2.20), misinformation (OR = 1.56), and financial motivation (OR = 4.45). It also showed a negative association between total interaction and positive sentiment (OR = 0.31). Finally, the overperforming score was positively associated with business/health profiles (OR = 1.92).</p><p><strong>Conclusion: </strong>This study revealed that Instagram posts about toothache often contain misinformation, which tends to be positively associated with positive sentiment, business profiles, and financial intentions and elicits higher user engagement, together with business/health profiles, negative/neutral sentiments, and financial motivation.Knowledge Transfer Statement:The results of this study can be used by dentists and promoters of oral health policies in the context of formulating public policies in digital health with the aim of combating information pollution in oral health.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261444287"},"PeriodicalIF":2.2,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148030693","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-Effectiveness of Sealant Placement on Molars in Young Adults in the United States.","authors":"C R Scherrer, S Naavaal, M Lin, L Wei, S O Griffin","doi":"10.1177/23800844261443993","DOIUrl":"https://doi.org/10.1177/23800844261443993","url":null,"abstract":"<p><strong>Introduction: </strong>Untreated caries can diminish quality of life and decrease productivity. About 20% of young adults aged 20 to 34 y have untreated caries, with adults living in lower-income households bearing the greatest burden. Teeth most affected with caries are molars. About 57% of molar caries occurring over 4 y could be prevented with dental sealants. At present, insurance typically covers sealants only for children and adolescents.</p><p><strong>Objective: </strong>This study estimates the incremental cost-effectiveness (ie, net cost per averted disability-adjusted life-year; DALY) of sealing compared with not sealing all eligible molars in US adults aged 21 to 25 y from the societal and Medicaid (household income ≤138% of federal poverty level) perspectives.</p><p><strong>Methods: </strong>We used a discrete event simulation model that assumed sealants lost effectiveness after 48 mo. The model followed 1,000 molars over 84 mo (additional 36 mo captures sequelae of outcomes incurred in first 48 mo) with 1,000 replications. Transition probabilities and other input data were derived from published studies and nationally representative surveys. We used deterministic sensitivity analysis to identify parameters with the most influence on cost-effectiveness estimates.</p><p><strong>Results: </strong>Providing sealants reduced treatment costs by about 50% from both perspectives. Net cost per averted DALY overall was $37,053 (95% confidence interval [CI]: $36,062, $38,045) from the societal perspective and $13,079 (95% CI: $12,665, $13,493) from the Medicaid perspective. The parameter with the most influence on findings overall was the annual probability a sound, unsealed molar developed caries: the incremental cost-effectiveness equaled $25,030 and $60,650 when this parameter varied by ±20% from its baseline value.</p><p><strong>Conclusion: </strong>Providing dental sealants to young adults could reduce dental caries and provide good value. The net cost per averted DALY aligns with that for other preventive interventions recommended by the US Preventive Services Task Force.Knowledge Transfer Statement:Dental insurance typically does not cover dental sealants for young adults. This age group has a high prevalence of untreated decay, primarily located in the molars. Our discrete simulation model comparing sealing to not sealing molars in young adults indicated sealing may provide good value; the incremental cost-effectiveness ratio (net cost per averted disability life-year) was in line with those for preventive interventions typically mandated to be provided with no copay.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261443993"},"PeriodicalIF":2.2,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147981924","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":"Anthropometric Measures and Early Childhood Caries: A Thai Birth Cohort Study.","authors":"P Sawaengcharoen, A Nirunsittirat, P Keentupthai, P Patcharanuchat, B Muktabhant, O Angwaravong, A T Merchant, W Pitiphat","doi":"10.1177/23800844261446273","DOIUrl":"10.1177/23800844261446273","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the associations between nutritional status and early childhood caries (ECC) in a Thai population, hypothesizing that nutritional extremes, including undernutrition and overnutrition, are associated with increased ECC risk.</p><p><strong>Methods: </strong>Data from a birth cohort study of Thai children in Khon Kaen were analyzed. Nutritional status at 2 y of age was assessed using anthropometric measurements (height-for-age, weight-for-age, weight-for-height, and body mass index-for-age [BMI-for-age]) categorized by Z-scores adjusted for age and sex. Dental caries was assessed at ages 3 to 4 y using World Health Organization criteria, with ECC defined by the presence of cavitated lesions. Modified Poisson and negative binomial regression analyses with robust variance estimated relative risks (RRs) and 95% confidence intervals (CIs) for ECC prevalence and dmft scores, adjusting for maternal education, breastfeeding duration, sweet consumption frequency, and visible plaque.</p><p><strong>Results: </strong>Among 549 children, overweight/obese children (n = 27) exhibited a significantly lower prevalence of ECC compared with those with normal weight (n = 471) or wasting (n = 50; 59.3% versus 89% and 94%, respectively; P < 0.001). The adjusted RR for overweight/obesity was 0.66 (95% CI: 0.48-0.92) compared with normal weight and 0.64 (95% CI: 0.46 -0.90) compared with wasting. Children with normal weight and those with wasting had comparable ECC prevalence rates (P = 0.50). Similar trends were observed for dmft scores, with overweight/obese children having significantly lower scores compared with those with normal weight or wasting (4.3 versus 7.3 and 8.0, respectively; P = 0.004). Height-for-age and weight-for-age were not significantly associated with ECC, while BMI-for-age yielded results consistent with those for weight-for-height.</p><p><strong>Conclusion: </strong>This study reveals an unexpected inverse relationship between overweight status and ECC, suggesting a more complex interplay between nutrition and caries risk. These findings underscore the need for further research into the mechanisms underlying this relationship to inform ECC prevention strategies.Knowledge Transfer Statement:Our findings challenge the hypothesis that all nutritional extremes increase caries risk, revealing an unexpected protective effect of being overweight. This highlights the complex nutrition-caries relationship and the need for context-specific evidence. Further research into the mechanisms behind this surprising link is essential to develop effective and targeted preventive strategies, rather than assuming all nutritional improvements are beneficial for dental health.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261446273"},"PeriodicalIF":2.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147981932","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":"Validity of Denture Usage Definitions Based on Claims Data in Japanese Older Adults.","authors":"A Kinugawa, Y Tamada, T Kusama, M Hoshi-Harada, S Ono, F Oda, M Maeda, N Yoda, K Osaka, H Fukuda, K Takeuchi","doi":"10.1177/23800844261444341","DOIUrl":"https://doi.org/10.1177/23800844261444341","url":null,"abstract":"<p><strong>Background: </strong>Administrative claims data are increasingly used in oral health research, but their validity for identifying denture use has not been established.</p><p><strong>Objective: </strong>To evaluate the accuracy of algorithms based on dental claims codes for identifying denture users, dentist-reported oral health screening records were used as the reference standard.</p><p><strong>Methods: </strong>We analyzed data from 4,053 adults aged ≥65 y in the Longevity Improvement and Fair Evidence (LIFE) Study in Japan. Twelve algorithms incorporating 56 denture-related diagnosis and procedure codes were developed from claims in the 12 mo preceding the screening. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Sensitivity analyses used a 6-mo claims window. A post hoc bias analysis was also performed.</p><p><strong>Results: </strong>During screening, 59.9% of the participants were classified as denture users. Algorithms based solely on diagnosis codes showed very high specificity (98.3%-100%) but low sensitivity (1.4%-20.8%). Among the procedure-based definitions, oral rehabilitation codes (algorithm f; denture adjustment or instruction) had the highest sensitivity (63.6%). The combined algorithm using both diagnosis and procedure codes (algorithm C) achieved the best balance, with 65.3% sensitivity, 96.6% specificity, 96.6% PPV, and 65.1% NPV. Similar findings were observed using the 6-mo claims data. Bias analysis indicated that the risks for denture use could be underestimated by 26% to 59%, with algorithm C showing the least bias.</p><p><strong>Conclusions: </strong>Denture use can be identified from dental claims data with moderate accuracy. Algorithms combining denture-related diagnosis and procedure codes or using oral rehabilitation codes provide practical definitions for research on oral and systemic health outcomes.Knowledge Transfer Statement:The result of this validated study can be identified as denture use from dental claims with moderate accuracy. In combination with validated denture use and the number of remaining teeth, it can expand opportunities to assess oral health status and its relationship with systemic health outcomes in large-scale epidemiologic studies using claims data.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261444341"},"PeriodicalIF":2.2,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147981877","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":"Opioid Prescribing by US Dentists and Dental Specialists after Continuing Education.","authors":"D E Polk, A Carrasco-Labra, N H Shah, N Mukhopadhyay, K J Suda","doi":"10.1177/23800844261433880","DOIUrl":"10.1177/23800844261433880","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to determine whether dental providers wrote fewer prescriptions for opioid-containing medications and more prescriptions for non-opioid analgesics after taking a continuing education course that targeted both knowledge about an American Dental Association-endorsed guideline on the management of acute dental pain and challenges in shared decision-making.</p><p><strong>Methods: </strong>The implementation strategy comprised a prerecorded 1-h video continuing education course and supplementary materials that were previously shown to increase knowledge about shared decision-making. Using propensity score matching, we matched 420 dentists and dental specialists who took the continuing education course to 4,200 providers who had not. We used regression analyses to compare learners with their propensity score-matched controls on their change in opioid prescribing and change in non-opioid analgesic prescribing from the 6 mo before to the 6 mo after course completion.</p><p><strong>Results: </strong>Providers who took the continuing education course decreased the number of opioid prescriptions they wrote by 0.60 prescriptions more than providers who did not take the continuing education course (B = -0.60; 95% confidence interval [CI] -1.07, -0.13; t = -2.50; P < 0.01). Among providers who decreased their prescribing by 3 or more prescriptions, a greater percentage took the continuing education course. There was no difference in non-opioid analgesic prescribing between providers who took the continuing education course and providers who did not (B = -0.10; 95% CI -0.87 0.68; t = -0.25, ns).</p><p><strong>Conclusion: </strong>Equipping dental providers with skills in shared decision-making to use in conversations with patients about approaches to acute pain management may enable them to decrease the number of opioid prescriptions they write more than providers who are not exposed to these skills.Knowledge Transfer Statement:The results of this study can be used by groups and organizations seeking to improve dental providers' adherence to the guideline on managing acute dental pain following simple and surgical tooth extraction or toothache.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261433880"},"PeriodicalIF":2.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837991","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":"Salivary Biological Responses to Nonsurgical Periodontal Treatment in Type 2 Diabetics.","authors":"J L Ebersole, S S Kirakodu, X Zhang, D Dawson, C S Miller","doi":"10.1177/23800844261437825","DOIUrl":"https://doi.org/10.1177/23800844261437825","url":null,"abstract":"<p><strong>Background: </strong>This investigation evaluated the predictive capacity of the oral microbiome and host salivary biomarkers on treatment outcomes for periodontitis in patients with type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>Two patient cohorts were enrolled: T2DM without periodontitis (DWoP; n = 32) and T2DM with periodontitis (DWP; n = 29). Whole saliva was collected at baseline and 4 to 7 wk posttreatment (i.e., DWoP, supragingival prophylaxis; DWP, scaling and root planing). The oral microbiome (operational taxonomic units; OTUs) and targeted salivary biomarkers were assessed in pre- and posttreatment saliva.</p><p><strong>Results: </strong>Most OTUs (57%-68%) and salivary biomarkers (43%-55%) decreased after treatment in both groups. Supragingival prophylaxis in the DWoP patients altered a limited number of taxa (V. dispar, P. denticola, Rothia, Neisseria), showing substantial increases in the microbiome, whereas predominantly gram-negative OTUs decreased. In the DWP, decreases were observed following therapy for Bacillota, Bacteroidetes, and Proteobacteria, again representing primarily gram-negative taxa. Microbe-host response biomarker correlations increased posttherapy in DWoP and decreased in DWP samples. Importantly, poor response (PR) to therapy was independent of HbA1c levels but associated with higher pretreatment levels of multiple bacterial genera (i.e., Alloprevotella, Campylobacter, Corynebacterium, Fusobacterium, and Leptotrichia) and elevated levels of interleukin (IL)-1b, IL-6, matrix metalloprotease-8 (MMP-8), adiponectin, and resistin. After therapy, PR was characterized by increases in Lachnospiraceae, Prevotella, and a lack of effects on Leptotrichia, Alloprevotella, Porphyromonas, and Stomatobaculum.</p><p><strong>Conclusions: </strong>Poor clinical response to therapy was characterized by (1) less microbiome diversity and elevated levels of specific bacteria and salivary analytes pretherapy and (2) posttherapy elevations in multiple taxa and sustained levels of IL-1b and MMP-8 in both groups of PR patients. These findings support that a panel of salivary features could enhance our prediction and earlier decisions on response to therapy at the biological level, thus opening the door for more precise patient-level management.Knowledge Transfer Statement:These findings contribute to a pathway for understanding oral health using biological measures as a standard for better decisions in oral health care. Specifically, microbiome and host response parameters provided important insights with predictive value and differential biological presentation related to response to therapy. While these measures do not dictate disease causation, they appear to reflect the periodontal environment, hallmarks of disease, and response to therapy.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261437825"},"PeriodicalIF":2.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837975","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":"Relative Effectiveness of School-Based versus Clinic-Based Fluoride Varnish Application.","authors":"P-Y Lin, J Wang, D-Y Hsu, P-Y Lin, L-Y Chi","doi":"10.1177/23800844261435921","DOIUrl":"https://doi.org/10.1177/23800844261435921","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the relative effectiveness of school-based versus clinic-based fluoride varnish (FV) application within a single program in Taiwan.</p><p><strong>Methods: </strong>Data for the phase 1 study (population-based analysis) were extracted from Taiwan's National Health Insurance Research Database (NHIRB). The phase 1 cohort included 347,544 children born in 2015 or 2016 who received FV application services at school, in a dental clinic, or in both settings. FV services were recorded using specific codes: 88 and 89 for school-based FV application and 81 and 87 for clinic-based FV application. During follow-up, primary molars were assessed for caries-related treatments. The phase 2 (fieldwork) cohort included 1,479 children examined for early childhood caries (ECC). Their data were linked to the NHIRB to obtain corresponding data on the FV application. In both phases, logistic regression was performed to determine the associations of application setting with the odds of caries-related treatments and ECC.</p><p><strong>Results: </strong>The odds of the following treatments were significantly higher with school-based FV application than with clinic-based FV application (all <u>P</u>s < 0.0001): dental restoration (odds ratio [OR] = 1.09; 95% confidence interval [CI], 1.06-1.11), endodontic treatment (OR = 1.21; 95% CI, 1.16-1.26), and tooth extraction (OR = 1.33; 95% CI, 1.25-1.42). This difference was particularly prominent in moderately and highly urbanized areas. Furthermore, the risk of ECC was higher with school-based FV application (OR = 1.52; 95% CI, 1.10-2.11; <u>P</u> < 0.05) than with school-based FV application. However, after covariate adjustment, both groups had similar risk estimates (OR = 1.03; 95% CI, 0.71-1.50).</p><p><strong>Conclusions: </strong>Clinic-based FV application significantly reduces the likelihood of caries-related treatments for primary molars. Future studies should consider our findings when evaluating the effectiveness of FV application.Knowledge Transfer Statement:Compared with school-based FV application, clinic-based FV application significantly reduced the likelihood of caries-related treatments, particularly among children residing in urban areas. For children who received only school-based FV application services, dentists may recommend additional clinic-based FV application services. Our findings may guide future studies aimed at evaluating the effectiveness of FV application.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261435921"},"PeriodicalIF":2.2,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771959","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":"Dental Provider Experiences with AI Radiograph Annotation: A Qualitative Case Study.","authors":"K L Schroeder, L Slashcheva, L J Heaton, H J Cheung, B Prosa, N Ferrian, J Grantz, D Jacobi, M Helgeson, E P Tranby","doi":"10.1177/23800844261429908","DOIUrl":"10.1177/23800844261429908","url":null,"abstract":"<p><strong>Introduction: </strong>The use of artificial intelligence (AI) tools to aid in dental diagnosis, treatment planning, and education is rapidly growing in oral health care. One type of artificial intelligence (AI) tool is radiographic annotation software that identifies and highlights anomalies on dental radiographs that may be indicative of oral disease.</p><p><strong>Objectives: </strong>The aim of this study was to explore challenges and facilitators that contributed to oral health professionals accepting and using an AI radiograph annotation software in a large US oral health care organization.</p><p><strong>Methods: </strong>A qualitative collective case study design was used to gain insight into dental providers' experiences using AI radiograph annotation software. Semi-structured interviews were conducted from November 8, 2024, to December 15, 2024, through an online platform. Study participants were from 5 Apple Tree Dental clinics located in Little Falls, Madelia, Mounds View, Rochester, and Fairmont, Minnesota. Abductive coding was conducted to create themes related to the interviewees' experiences with the AI software.</p><p><strong>Results: </strong>Study participants included dentists (<u>n</u> = 6), dental hygienists (<u>n</u> = 2), and dental therapists (<u>n</u> = 3). The themes identified were providers' first impressions, current beliefs, utilization, diagnostic confidence, treatment plan alignment, person-centered care, unexpected benefits, and challenges related to the AI annotation software. Providers gained understanding over time that the AI software is a tool to assist with decision-making and is not capable of replacing critical thinking skills needed for patient-centered care.</p><p><strong>Conclusion: </strong>These study findings provide insights for oral health care delivery organizations on how best to support oral health professionals faced with implementing AI software protocols.Knowledge Transfer Statement:This study explored how dental AI radiograph annotation software could enhance diagnostic confidence, support treatment planning, and improve patient education. While adoption by the participants in this study varied, they found the tool valuable for engaging patients and identifying early signs of disease. This supports the need for structured onboarding, ongoing training, and peer support to optimize AI integration. Embracing such technologies could promote earlier intervention, more personalized care, and improved oral health outcomes across diverse populations.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261429908"},"PeriodicalIF":2.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772032","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":"Characteristics of Value-Based Oral Health Care: A Scoping Review.","authors":"R Bentley, C Liu, H Khalil","doi":"10.1177/23800844261435909","DOIUrl":"https://doi.org/10.1177/23800844261435909","url":null,"abstract":"<p><strong>Introduction: </strong>This review presents a scoping review exploring the characteristics of value-based oral health care (VBOHC) and the potential to transform the delivery of dental services. VBOHC represents a shift from the traditional fee-for-service model, which prioritises service volume, to a system focused on improving patient outcomes, enhancing preventive care, and optimising cost-efficiency.</p><p><strong>Objectives: </strong>To identify and synthesise the defining characteristics of VBOHC and assess the potential to enhance patient outcomes, cost-efficiency, and care delivery in dental systems.</p><p><strong>Methods: </strong>Following methodology per the Joanna Briggs Institute and guidance per PRISMA-ScR reporting (Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews), a scoping review was undertaken to include literature discussing VBOHC across various health care settings. Searches were undertaken in 6 relevant databases. Peer-reviewed quantitative and qualitative studies published in English were included and thematically analysed. A total of 50 studies were included after 185 studies were screened.</p><p><strong>Results: </strong>This research identifies several defining characteristics of VBOHC, including prevention and early intervention, patient-centred care, shared decision making, and outcome-based compensation. The scoping review highlights how VBOHC emphasises preventive care to reduce the incidence of severe dental conditions, particularly benefiting vulnerable populations with limited access to regular care. By encouraging proactive engagement with oral health, VBOHC improves long-term patient outcomes while reducing health care costs. Additionally, VBOHC promotes shared decision making, fostering a collaborative relationship between providers and patients, which enhances patient satisfaction and adherence to treatment plans. For providers, the transition to VBOHC requires significant operational and cultural changes, including adopting new workflows focused on outcomes, incorporating digital health technologies, embracing team-based care models, and integrating dental services into broader health care systems.</p><p><strong>Conclusion: </strong>This review concludes that VBOHC is characterised by patient empowerment and a patient-centred whole system approach. However, successful implementation requires addressing the challenges associated with transitioning from the fee-for-service model, particularly through provider support, infrastructure investments, and policy reforms.Knowledge Transfer Statement:The findings of this scoping review can inform policy makers, dental professionals, and health service planners seeking to implement value-based oral health care models. By understanding the core characteristics, this evidence can support more sustainable, equitable, and efficient dental care delivery across a range of health care settings.</p>","PeriodicalId":14783,"journal":{"name":"JDR Clinical & Translational Research","volume":" ","pages":"23800844261435909"},"PeriodicalIF":2.2,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662653","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}