Journal of the American Dental Association最新文献

{"title":"Motivational interviewing at home: A community trial to improve oral health literacy and reduce morbidity in disadvantaged Chilean families.","authors":"Ricardo Cartes-Velásquez, Luis Luengo-Machuca","doi":"10.1016/j.adaj.2024.09.012","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.09.012","url":null,"abstract":"<p><strong>Background: </strong>Limited evidence exists regarding the effects of home-based interventions on oral health outcomes in preschool-aged children or caregivers despite the success of such interventions in other child and pregnancy health outcomes. The aim of this community trial was to assess the impact after 12 months of a home-delivered motivational interviewing (MI) intervention on oral health outcomes in disadvantaged Chilean families.</p><p><strong>Methods: </strong>This trial was conducted with a community single-blinded design, including preschoolers (aged 2-4 years) and their caregivers from 2 disadvantaged communities who received either the MI intervention or standard oral health interventions at kindergartens. The MI intervention comprised from 4 through 6 tailored home visits by MI-trained dental hygienists. Data on socioeconomic-demographic factors, caries (International Caries Detection and Assessment System [ICDAS]), oral hygiene, and caregivers' oral health literacy (OHL) (assessed with Oral Health Literacy Instrument and Rapid Estimate of Adult Literacy in Dentistry, 30 items) were collected at baseline and 12-month follow-up.</p><p><strong>Results: </strong>Two hundred fifty-two dyads completed baseline measurements, and 212 completed the follow-up (control, n = 104; intervention, n = 108). Weak associations were found between clinical-sociodemographic factors and OHL at baseline (correlations, < 0.3) and follow-up. Analysis of covariance revealed a reduction in caries incidence for lesions with ICDAS scores above 0 (P = .03) but not for ICDAS scores above 2 (P = .47). No reduction in oral hygiene was observed (P = .74). Oral Health Literacy Instrument scores showed no improvement (P = .10), and Rapid Estimate of Adult Literacy in Dentistry, 30 items scores showed a marginal increase (P = .03).</p><p><strong>Conclusions: </strong>Home-delivered MI intervention had a marginal impact on preschoolers' caries incidence and caregivers' OHL but no effect on preschoolers' oral hygiene, with the primary impact observed at the level of caries ICDAS scores above 0.</p><p><strong>Practical implications: </strong>Home-delivered MI interventions by dental hygienists marginally reduce caries incidence in preschoolers from disadvantaged populations. This trial was registered at the Australian and New Zealand Clinical Trials Registry. The registration number is ACTRN12615000450516.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583666","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}

{"title":"Fluid-filled blisters with background white striations.","authors":"Shravan Thiagarajan, Naftali Price, Najwa Yousef, Yishai Brown, Brandon Le, Christine Livesay, Timothy Meiller, Ahmed Sultan, Dana R Weikel","doi":"10.1016/j.adaj.2024.08.011","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.08.011","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583604","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}

{"title":"Effect of staining solutions on color and translucency stability of resin-composite computer-aided design and computer-aided manufacturing blocks.","authors":"Luyao Zhang, Yang Yu, Sinuo Li, Fan Yang, Shanshan Liang, Wenzhong Xing","doi":"10.1016/j.adaj.2024.09.003","DOIUrl":"10.1016/j.adaj.2024.09.003","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to investigate the color difference (ΔE₀₀) and translucency changes (ΔTP₀₀) of resin-composite computer-aided design and computer-aided manufacturing blocks after exposure to staining solutions.</p><p><strong>Methods: </strong>A total of 250 rectangular specimens (1.0-mm thick) were prepared from 4 resin-based composites (Brilliant Crios [Coltène Whaledent], Lava Ultimate [3M], Hyramic [Upcera], and Shofu HC [Shofu]) and a polymer-infiltrated ceramic network material (Vita Enamic [Vita Zahnfabrik]). These specimens were divided into 5 groups and stored in 5 solutions (artificial saliva, cola, black tea, coffee, red wine) at 37 °C for 3, 7, and 14 days to simulate approximately 3, 7, and 14 months, respectively, of clinical staining in the oral environment. Then, toothbrushing was conducted for 4 minutes every 24 hours of immersion to remove extrinsic staining. Measurements of color coordinates were taken at baseline and subsequent testing intervals, and changes in color and translucency were calculated.</p><p><strong>Results: </strong>The results of the 3-way repeated-measures analysis of variance indicated that material, staining beverages, and time interval and the interactions between these factors collectively affected the alterations in both color and translucency (P < .001). At the 14-day immersion period, the ΔE₀₀ values of all tested materials varied from 0.43 to 2.12 and were clinically acceptable (ΔE₀₀ < 1.8), except for Lava Ultimate and Hyramic in red wine. All materials showed a decrease in translucency, with the ΔTP₀₀ values ranging from -0.23 through -1.34 over 14 days and were clinically acceptable (translucency acceptability threshold < 2.62).</p><p><strong>Conclusions: </strong>Differences in color and translucency changes were observed between resin-based composites and polymer-infiltrated ceramic network material. All tested materials showed acceptable color and translucency changes when exposed to different staining solutions after the 14-day staining and toothbrushing simulation.</p><p><strong>Practical implications: </strong>Discoloration of resin-matrix ceramics due to immersion in solution is related to material type and solutions but is generally acceptable. The dietary habits of the patient should be considered in material selection.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583487","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}

{"title":"Holistic care for patients with cancer: A new paradigm for integrating oral medicine and oral oncology services in cancer centers.","authors":"Alessandro Villa, Maggy Pons, Mark Davis","doi":"10.1016/j.adaj.2024.09.014","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.09.014","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583614","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}

{"title":"Emergency department use for nontraumatic dental conditions for children with special health care needs enrolled in Oregon Medicaid.","authors":"Kimia Imani, Courtney M Hill, Donald L Chi","doi":"10.1016/j.adaj.2024.09.009","DOIUrl":"10.1016/j.adaj.2024.09.009","url":null,"abstract":"<p><strong>Background: </strong>This cross-sectional study evaluated whether children with special health care needs (CSHCN) were more likely to use the emergency department (ED) for nontraumatic dental conditions (NTDCs) than children without special health care needs (SHCN). The study also examined whether the likelihood of receiving an opioid prescription after an NTDC-ED visit differed between children with and without SHCN.</p><p><strong>Methods: </strong>This analysis was based on 2017 Oregon Medicaid enrollment, claims, and pharmacy data (N = 225,614 children aged 3-17 years). To assess associations between SHCN, NTDC-ED use, and receipt of opioid prescriptions, confounding variable-adjusted odds ratios and 95% CIs were generated from logistic regression models.</p><p><strong>Results: </strong>Approximately 14% (n = 31,867) of children had an SHCN. The prevalence of NTDC-ED use was 0.36% (n = 807) for all children. In the confounding variable-adjusted model, the odds of NTDC-ED use were 1.6 times greater for CSHCN than children without SHCN (95% CI, 1.3 to 1.9; P < .001). Among children with an NTDC-ED visit, 8.3% received an opioid prescription. In the confounding variable-adjusted model, CSHCN were at lower odds of receiving an opioid prescription after an NTDC-ED visit than children without SHCN, but this difference was not statistically significant (odds ratio, 0.84; 95% CI, 0.4 to 1.6; P = .57).</p><p><strong>Conclusions: </strong>CSHCN enrolled in Medicaid had significantly higher odds of having NTDC-ED visits than children without SHCN, but there was no significant difference between the 2 groups in the odds of receiving an opioid prescription after an NTDC-ED visit.</p><p><strong>Practical implications: </strong>All children, especially those with SHCN, should have adequate access to office-based oral health care through a dental home to reduce use of the ED for NTDC.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583521","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}

{"title":"Effectiveness of synchronous teledentistry consultations in facilitating treatment compliance of rural pediatric patients.","authors":"Bhoomi Shah, Sean W McLaren, Changyong Feng, Gene E Watson, Ronald J Billings, Dorota T Kopycka-Kedzierawski","doi":"10.1016/j.adaj.2024.09.015","DOIUrl":"10.1016/j.adaj.2024.09.015","url":null,"abstract":"<p><strong>Background: </strong>Limited access to pediatric oral health care in rural US areas is a substantial dental public health problem. In 2010, the Eastman Institute for Oral Health at the University of Rochester, initiated a synchronous teledentistry program to enhance oral health screenings, treatment planning, and treatment completion for rural pediatric patients who reside in the Western region of New York.</p><p><strong>Methods: </strong>Data from dental records of all pediatric patients who were participants in the teledentistry program from its inception on April 13, 2010 through December 31, 2022, were reviewed. Multiple logistic regression models were used to study the association between treatment compliance rate and age, sex, treatment modality, and impact of the COVID-19 pandemic.</p><p><strong>Results: </strong>Data from the dental records of 1,168 children were reviewed. Nine hundred fifty-four children (81.6%) completed the recommended treatment within 6 months of synchronous teledentistry consultation. Treatment completion rates varied significantly according to treatment modality. In-office consultation had the highest rate (96.8%), followed by oral sedation (89.7%) and operating room treatment (89.5%). Nitrous oxide (66.7%) had the lowest rate (P < .0001). Children recommended for nitrous oxide anxiolysis had the lowest odds of completing treatment (odds ratio, 0.25; 95% CI, 0.18 to 0.36; P < .0001) compared with other treatment modalities. Being older decreased the likelihood of completing treatment (odds ratio, 0.92; 95% CI, 0.85 to 0.99; P = .02). The COVID-19 pandemic did not significantly affect compliance rates.</p><p><strong>Conclusions: </strong>Synchronous teledentistry consultations with rural pediatric patients and their guardians or caregivers can effectively facilitate treatment completion for children with complex treatment needs in underserved areas.</p><p><strong>Practical implications: </strong>Synchronous teledentistry is a practical adjunct tool to be considered in dental offices.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583493","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}

{"title":"Endodontic and periapical status of patients with osteoporosis: A cross-sectional study with age- and sex-matched controls.","authors":"Selin Goker Kamalı, Dilek Turkaydın","doi":"10.1016/j.adaj.2024.09.010","DOIUrl":"10.1016/j.adaj.2024.09.010","url":null,"abstract":"<p><strong>Background: </strong>The aim of the authors was to evaluate the periapical and endodontic conditions of patients with osteoporosis and compare them with those of age- and sex-matched controls. The association between bisphosphonate (BiP) use and periapical and endodontic status in patients with osteoporosis was also investigated.</p><p><strong>Methods: </strong>Panoramic radiographs of 711 patients with osteoporosis and 711 age- and sex-matched healthy patients were examined. The presence and number of root canal-filled teeth (RCFT), inadequate RCFT (iRCFT), and teeth with apical periodontitis (AP) were evaluated. BiP treatment history of patients with osteoporosis was also recorded.</p><p><strong>Results: </strong>No significant difference was observed between the osteoporosis group and control group in terms of endodontic and periapical conditions. Results of bivariate logistic regression analysis showed a positive association between the number of teeth with AP and the number of iRCFT with AP and osteoporosis, and a negative association between the number of RCFT with AP and osteoporosis. Among the patients with osteoporosis, 37.5% used BiPs, specifically alendronate, ibandronate, zoledronate, and risedronate (34.3%, 24.9%, 10.6%, 7.2%, respectively). In addition, the results showed a negative association between BiP use and RCFT.</p><p><strong>Conclusions: </strong>As the number of teeth with AP and number of iRCFT with AP increased, patients were more likely to be in the osteoporosis group. These findings imply that periapical lesions may enlarge and become more detectable in patients with osteoporosis with lower bone density, and enhanced inflammatory response.</p><p><strong>Practical implications: </strong>Dentists can collaborate with health care professionals to manage the overall health of patients with osteoporosis to reduce the impact of osteoporosis on oral health and effectively treat dental problems, such as AP.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583527","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}

{"title":"Evidence-based approaches and considerations for nonrestorative treatments within modern caries management: Integrating science into practice.","authors":"Margherita Fontana, Carlos Gonzalez-Cabezas, Livia M A Tenuta","doi":"10.1016/j.adaj.2024.09.007","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.09.007","url":null,"abstract":"<p><strong>Background: </strong>A high level of scientific evidence supports several nonrestorative strategies for the control of caries, with the goal of reducing progression of mineral loss and arresting existing lesions. The authors provide an overview of evidence for nonrestorative caries control and considerations in the decision making for selecting nonrestorative options.</p><p><strong>Types of studies reviewed: </strong>The authors discuss findings from existing reviews, systematic reviews, and evidence-based guidelines (particularly from the American Dental Association) describing the effectiveness of nonrestorative strategies available in the US market for remineralization and arrest of caries lesions.</p><p><strong>Results: </strong>Studies support a wide range of products for arresting caries lesions, such as fluorides, sealants, infiltration resins, and chlorhexidine varnish, among others, depending on the tooth surface, primary or permanent dentition, and whether lesions are noncavitated or cavitated. Decisions should be based on appropriate detection, diagnosis, and risk assessment.</p><p><strong>Conclusions and practical implications: </strong>Effective nonrestorative strategies should be used to manage active, noncavitated caries lesions in primary and permanent teeth, and can be considered for managing active cavitated lesions when restorative intervention is not feasible. These lesion-centered interventions should be part of the required overall management of the caries disease process and existing modifiable risk variables at the patient level. They must be monitored over time and reapplied periodically, as needed.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564276","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}

{"title":"White plaques of the oral mucosa.","authors":"Malak Al-Hadlaq, Sook-Bin Woo","doi":"10.1016/j.adaj.2023.12.006","DOIUrl":"10.1016/j.adaj.2023.12.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139741354","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}

{"title":"Beating antimicrobial resistance takes all of us.","authors":"Erinne Kennedy","doi":"10.1016/j.adaj.2024.09.002","DOIUrl":"10.1016/j.adaj.2024.09.002","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349073","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}