Journal of the American Dental Association最新文献

Association between Life's Essential 8 score and periodontitis in patients with diabetes: Insights from the National Health and Nutrition Examination Survey 2009-2014. Life’s Essential 8评分与糖尿病患者牙周炎的关系：来自2009-2014年全国健康与营养调查的见解

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-07 DOI: 10.1016/j.adaj.2025.02.015

Yujie Bao, Qingwei Gu, Wanxian Xu, Qi Sun, Bo Ding

{"title":"Association between Life's Essential 8 score and periodontitis in patients with diabetes: Insights from the National Health and Nutrition Examination Survey 2009-2014.","authors":"Yujie Bao, Qingwei Gu, Wanxian Xu, Qi Sun, Bo Ding","doi":"10.1016/j.adaj.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.015","url":null,"abstract":"<p><strong>Background: </strong>The authors explored the relationship between Life's Essential 8 (LE8) scores and periodontitis among patients with diabetes in the United States.</p><p><strong>Methods: </strong>The authors used data from a large cohort in the United States. A weighted multivariable logistic regression model was used to analyze the association between LE8 score and the prevalence of periodontitis, adjusting for sociodemographic factors, health behaviors, and other relevant factors. Restricted cubic splines were applied to explore nonlinear relationships.</p><p><strong>Results: </strong>A total of 1,164 people participated in this study; 51.8% were male and 48.2% were female. In a multivariable logistic regression model, the LE8 score was inversely associated with periodontitis prevalence (odds ratio, 0.98; 95% CI, 0.97 to 0.99; P = .001), and this association was consistent across low, medium, and high LE8 score groups. Participants in the highest LE8 score group had 64% lower odds of periodontitis prevalence than those in the lowest group (odds ratio, 0.36; 95% CI, 0.13 to 0.99; P = .04). Restricted cubic spline regression analysis indicated no significant nonlinear association between LE8 score and periodontitis.</p><p><strong>Conclusions: </strong>Elevated LE8 scores were significantly associated with lower prevalence odds of periodontitis in participants with diabetes.</p><p><strong>Practical implications: </strong>The study results indicated an association between cardiovascular health (assessed by the LE8 score) and periodontitis in patients with diabetes, suggesting that both cardiovascular health and periodontal status should be considered in the management of diabetes.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term mandibular advancement appliance therapy for obstructive sleep apnea: Adherence and outcomes over 10 years. 长期下颌推进矫治器治疗阻塞性睡眠呼吸暂停：10年以上的依从性和结果。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-05 DOI: 10.1016/j.adaj.2025.03.001

Clarissa Martensen Abruzzi, Audrey Yoon, Jorge Faber

{"title":"Long-term mandibular advancement appliance therapy for obstructive sleep apnea: Adherence and outcomes over 10 years.","authors":"Clarissa Martensen Abruzzi, Audrey Yoon, Jorge Faber","doi":"10.1016/j.adaj.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.03.001","url":null,"abstract":"<p><strong>Background: </strong>The authors evaluated patients who received a diagnosis of obstructive sleep apnea (OSA) and were treated with a mandibular advancement appliance (MAA) for more than 10 years.</p><p><strong>Methods: </strong>In a cohort of 839 patients who received a diagnosis of OSA and initiated MAA therapy for a period exceeding 10 years, a subset of 298 patients underwent both pretreatment and posttitration polysomnography. These patients participated in a survey conducted through an electronically distributed, questionnaire-based method. The analysis encompassed participants' perceived enhancement in symptoms of OSA and the satisfaction levels reported by the participants. In addition, the authors investigated the factors affecting adherence to and discontinuation of the treatment through a stepwise forward binary logistic regression analysis.</p><p><strong>Results: </strong>A total of 121 patients (54.5%) returned the questionnaire. The main reason for seeking treatment was that their snoring was disturbing a bed partner (77.6%). Factors associated with long-term adherence included experiencing morning headaches before treatment (odds ratio [OR], 32.11; 95% CI, 2.52 to 404.13; P = .007), perception that MAA therapy improves sleep (OR, 6.58; 95% CI, 1.58 to 27.38; P = .01), bed partner satisfaction with MAA therapy (OR, 4.12; 95% CI, 1.64 to 10.36; P = .003), and perception of irritability as a motivating factor for seeking treatment (B = -3.64; OR, 0.026; 95% CI, 0.002 to 0.412; P = .009).</p><p><strong>Conclusions: </strong>Results of long-term MAA therapy for OSA, with more than a decade of use, showed significant benefits in improving self-perception of OSA symptoms, reducing daytime sleepiness, and enhancing partner satisfaction.</p><p><strong>Practical implications: </strong>Understanding the factors influencing long-term adherence or nonadherence to OSA treatment with MAA is essential for sustaining the health and quality of life of the patients affected.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The ethics of sustainability in dentistry. 牙科的可持续性伦理。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-03 DOI: 10.1016/j.adaj.2025.02.014

David O Danesh, Jennifer Luca, Paul S Casamassimo, Kimberly J Hammersmith

引用次数: 0

Author's Response. 作者的回应。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-03 DOI: 10.1016/j.adaj.2025.02.016

Tim Wright

引用次数: 0

IQ and Water Fluoridation. 智商与氟化水。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-03 DOI: 10.1016/j.adaj.2025.01.011

Thomas R Osborn

引用次数: 0

An explosion of scientific and medical misinformation can harm patients. 科学和医学错误信息的爆炸性增长会对患者造成伤害。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-02 DOI: 10.1016/j.adaj.2025.02.013

Michael G Newman

引用次数: 0

Understanding Multifocal Epithelial Hyperplasia 了解多灶性上皮增生。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-01 DOI: 10.1016/j.adaj.2025.01.008

Austin J. Davies DDS, MS

引用次数: 0

Citizen science in dentistry and community oral health 公民科学在牙科和社区口腔健康：范围审查。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-01 DOI: 10.1016/j.adaj.2025.02.002

Rosemary S.A. Shinkai DDS, MSc, PhD, Isabella de Lima Silva DDS, Ezequiel Ortiz Rosa DDS, MSc, PhD, Maria Gabriela H. Biazevic DDS, MSc, PhD

{"title":"Citizen science in dentistry and community oral health","authors":"Rosemary S.A. Shinkai DDS, MSc, PhD, Isabella de Lima Silva DDS, Ezequiel Ortiz Rosa DDS, MSc, PhD, Maria Gabriela H. Biazevic DDS, MSc, PhD","doi":"10.1016/j.adaj.2025.02.002","DOIUrl":"10.1016/j.adaj.2025.02.002","url":null,"abstract":"<div><h3>Background</h3><div>The authors aimed to identify, describe, and discuss models and experiences of citizen science in dentistry and community oral health, with a focus on moderate through large involvement of citizens in the research process.</div></div><div><h3>Types of Studies Reviewed</h3><div>A search strategy was used in 6 databases and supplemented in gray literature with no restrictions on language or date. Eligible sources of evidence were observational studies, intervention studies, implementation studies, case study reports, and citizen science documents. Publications were assessed for final inclusion according to the eligibility criteria. Data were charted and synthetized qualitatively.</div></div><div><h3>Results</h3><div>From 1,236 records, 875 titles and abstracts were screened, 36 publications were selected for full-text reading, and 16 studies were included for data charting and analysis. All studies were conducted in North America, Europe, and Oceania. Participants were members of underserved communities, stakeholders (eg, dental care professionals, health care managers, and policy makers), and the general public. Most studies targeted socially disadvantaged local minority groups (eg, indigenous people, immigrants, and low-income families) with several health problems (eg, oral diseases, bad habits, and poor access to oral health care services).</div></div><div><h3>Conclusions and Practical Implications</h3><div>Citizen science in dentistry is still evolving, with concepts and methods for projects that require a multisectoral and interdisciplinary approach. The authors shared different possibilities for citizen science to directly address real-world oral health challenges, from local to multinational research problems. Citizen science can positively affect priority areas of prevention and education in oral health care across the life course, particularly for underserved groups.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 4","pages":"Pages 309-319.e5"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors affecting wages of dentists in the United States 影响美国牙医工资的因素：毕业牙医职业选择指南》。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-01 DOI: 10.1016/j.adaj.2024.08.014

Dennis Park DDS, Siew-Ging Gong BDS, MS, MA, PhD, MBA

引用次数: 0

Approach to patients with body dysmorphic disorder in dentistry 牙科身体畸形障碍患者的治疗方法：系统综述。

IF 3.1 2区医学

Journal of the American Dental Association Pub Date : 2025-04-01 DOI: 10.1016/j.adaj.2025.02.001

Célia Borges DDS, Maria Lurdes Pereira DDS, PhD, Inês Caldas DDS, PhD, Leonor Frey-Furtado DDS

{"title":"Approach to patients with body dysmorphic disorder in dentistry","authors":"Célia Borges DDS, Maria Lurdes Pereira DDS, PhD, Inês Caldas DDS, PhD, Leonor Frey-Furtado DDS","doi":"10.1016/j.adaj.2025.02.001","DOIUrl":"10.1016/j.adaj.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Body dysmorphic disorder (BDD), characterized by an obsessive focus on perceived flaws in appearance and affects approximately 0.7% through 2.4% of the general population, with dental-related concerns accounting for 20% of cases. Dentists in clinical practice could play a role in identifying and managing the care of patients with this condition. The authors aimed to evaluate the prevalence of BDD in dental patients and describe the characteristics of affected patients and available diagnostic tools.</div></div><div><h3>Types of Studies Reviewed</h3><div>The authors followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses checklist and conducted searches in PubMed, Web of Science, and Scopus on July 4, 2024. Inclusion criteria included studies on adult patients with BDD and relevant to dental medicine. Exclusion criteria included studies in which this disorder was not the primary focus and studies involving children.</div></div><div><h3>Results</h3><div>Of 401 articles retrieved, 8 met the inclusion criteria. Among these, in 4 studies researchers indicated that patients with BDD in dental settings are predominantly single and in 3 studies a higher prevalence in female patients was reported.</div></div><div><h3>Conclusions and Practical Implications</h3><div>Accurate identification of BDD in patients seeking esthetic procedures is essential due to ethical and safety concerns for both oral health care professionals and patients, such as prevention of overtreatment and dissatisfaction with treatment outcomes. The results of this systematic review equip oral health care providers with insights into patient characteristics and screening tools to facilitate identification, informed decision making, and mitigation of potential medicolegal risks.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 4","pages":"Pages 300-308"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0