Journal of the American Dental Association最新文献

{"title":"Perception and intention of dentists toward clinical volunteering for continuing education credits for license renewal.","authors":"Grace F Gomez, Kristin A Williams, Catherine Demko, Sena Narendran","doi":"10.1016/j.adaj.2025.07.018","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.018","url":null,"abstract":"<p><strong>Background: </strong>Certain state dental boards permit dentists to apply continuing education (CE) credits from clinical volunteerism toward license renewal. The authors assessed Ohio dentists' perceptions about, and intention toward, clinical volunteerism and their awareness of such CE credit benefits.</p><p><strong>Methods: </strong>An internet-based self-administered questionnaire about demographic, professional, and practice characteristics; perception about clinical volunteerism; and awareness of CE credit benefits was emailed to 6,281 dentists. Ten Likert scale items measured respondents' behavioral, normative, and control belief agreement levels about clinical volunteerism. Data analyses included descriptives, Spearman rank correlation, median test, computation of odds ratio (95% CI), and logistic regression.</p><p><strong>Results: </strong>Survey response rate was 6.5%; 59.1% of respondents were male, 80.3% were White, and 56% had more than 25 years of clinical practice. Some respondents (27.8%) accepted public health insurance in their practices, and only 35.7% were aware of the CE credit benefits for clinical volunteerism. Among the respondents, 81.5% believed that volunteering oral health care services was important, 78.3% were willing to help underserved communities, and 68.5% had provided nearly 40 hours of pro bono oral health care in the previous 2 years. The following were the significant predictors of respondents' intention to volunteer, confirmed by the 95% CI for the adjusted odds ratios: younger age (95% CI, 1.22 to 3.74), race and ethnicity (95% CI, 1.19 to 5.85), provision of pro bono oral health care (95% CI, 1.89 to 5.57), and more than 25 years in practice (95% CI, 1.81 to 5.58).</p><p><strong>Conclusions: </strong>The authors identified a need to publicize the CE credit benefits from clinical volunteerism toward license renewal.</p><p><strong>Practical implications: </strong>Dentists' positive perceptions of clinical volunteerism and intention to volunteer could help improve oral health care access to underserved populations.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040620","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":"Multilocular radiolucency in the mandibular ramus.","authors":"Niranzena Panneer Selvam, Abrar A Alamoudi, Ali Z Syed","doi":"10.1016/j.adaj.2025.07.015","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.015","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040529","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":"Self-reported pain after buccal infiltration of articaine vs buccal and palatal infiltration of lidocaine for maxillary primary molar extractions: A noninferiority randomized clinical trial.","authors":"Danielle Cristina Alves Rigo, Pablo Silveira Santos, Bárbara Suelen Moccelini, Aurélio de Oliveira Rocha, Julia Maldonado Garcia, Isabela Ramos, Carla Miranda Santana, Mariane Cardoso","doi":"10.1016/j.adaj.2025.07.014","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.014","url":null,"abstract":"<p><strong>Background: </strong>Effective pain control is essential in pediatric dental procedures to ensure cooperation and minimize psychological trauma. Although lidocaine is the reference standard, articaine has been proposed as a less invasive alternative due to its superior diffusion properties.</p><p><strong>Methods: </strong>A randomized, single-blind, noninferiority clinical trial was conducted with 76 children aged 6 through 9 years requiring extraction of maxillary primary molars. Participants were allocated into 2 groups: single buccal infiltration with 4% articaine and conventional buccal and palatal infiltration with 2% lidocaine. The primary outcome was self-reported pain using a visual analog scale (ie, a 10-cm horizontal line where 0 represented no pain and 10 represented the most pain imaginable). Noninferiority was assessed with a predefined margin of 1.5 cm. Negative binomial regression was used to explore predictors of pain.</p><p><strong>Results: </strong>Mean (SD) pain scores were significantly higher in the articaine group (4.18 [3.41] cm) than the lidocaine group (1.68 [2.71] cm; P < .001). The upper limit of the 95% CI (3.90 cm) exceeded the noninferiority margin, precluding confirmation of noninferiority (P = .919). Results of regression analysis showed that articaine was associated with 2.15 times higher pain scores (P = .008) and increased heart rate correlated with increased pain (P = .023).</p><p><strong>Conclusions: </strong>Our findings do not support the use of buccal infiltration with 4% articaine only as a noninferior technique to conventional lidocaine infiltration with palatal injection in pediatric maxillary molar extractions.</p><p><strong>Practical implications: </strong>Buccal infiltration with articaine only may not be sufficient to ensure adequate anesthesia for extraction of maxillary primary molars. This clinical trial was registered at ClinicalTrials.gov. The registration number is NCT05443009.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033539","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":"An unusual gingival lesion.","authors":"Josefina Martínez-Ramírez, Marina Silva, Alan Roger Santos-Silva, Pablo Agustin Vargas, Márcio Ajudarte Lopes","doi":"10.1016/j.adaj.2025.07.016","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.016","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030369","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":"A blind spot on fluoride: Responsibility vs lottery in dentistry and public health.","authors":"Moshe Porat Wojakowski, Yechiel Michael Barilan","doi":"10.1016/j.adaj.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.011","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033586","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":"Oral health quality measurement and improvement in Medicaid and Children's Health Insurance Programs: A qualitative analysis of oral health-related performance improvement projects.","authors":"Alex Sheen, Marcie S Rubin, Burton L Edelstein","doi":"10.1016/j.adaj.2025.07.010","DOIUrl":"10.1016/j.adaj.2025.07.010","url":null,"abstract":"<p><strong>Background: </strong>Performance measurement and improvement are increasingly critical for enhancing the quality and accountability of the US oral health care delivery system, especially for Medicaid beneficiaries. States and their managed care plans conduct performance improvement projects (PIPs) annually to measure the oral health care being delivered to beneficiaries and test new interventions that may lead to improvements in those measures. The authors reviewed these PIPs to identify themes and trends in performance indicators being measured and interventions being implemented to promote quality improvement in oral health.</p><p><strong>Methods: </strong>The authors identified oral health-related PIPs by means of analyzing existing external quality review reports for the contract year ending 2021. The authors categorized performance indicators and interventions using frameworks, such as those from the Agency for Healthcare Research and Quality and the Centers for Medicare & Medicaid Services Core Sets, adding novel categories when necessary.</p><p><strong>Results: </strong>Sixty-seven oral health-related PIPs were conducted across 19 states. Most reported performance indicators tracked use of different oral health services by beneficiaries. Most PIPs implemented interventions focused on improving beneficiary use of services. Provider-focused interventions aimed to provide education and training, care-gap or benchmark reports, and incentive payments for rendering evidence-based care.</p><p><strong>Conclusions: </strong>The findings suggested that states and managed care plans are actively implementing PIPs to improve oral health care delivery, which may lead to more standardized, evidence-based, and accountable care practices.</p><p><strong>Practical implications: </strong>Collaboration among relevant stakeholders, including state Medicaid agencies, managed care plans, and providers will be key to creating sustainable quality measurement and improvement initiatives that deliver improved outcomes.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958794","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":"Association Directory","authors":"","doi":"10.1016/S0002-8177(25)00424-6","DOIUrl":"10.1016/S0002-8177(25)00424-6","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Page A12"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926598","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":"JADA Reviewers","authors":"","doi":"10.1016/S0002-8177(25)00446-5","DOIUrl":"10.1016/S0002-8177(25)00446-5","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages A15-A17"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926593","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":"A census-matched survey of dental fear and fear-treatment interest in the United States","authors":"Richard E. Heyman PhD,&nbsp;Kelly A. Daly PhD,&nbsp;Salomi Aladia MA,&nbsp;Sarah L. Harris BA,&nbsp;Nicole A. Roitman BA,&nbsp;Annette C. Kim BA,&nbsp;Amy M. Smith Slep PhD","doi":"10.1016/j.adaj.2025.07.004","DOIUrl":"10.1016/j.adaj.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>The authors aimed to measure dental fear prevalence via the first national census-matched US adult sample and, among fearful people, interest in evidence-based digital fear treatment (ie, computerized, mobile application, and telehealth approaches) or reasons for declining.</div></div><div><h3>Methods</h3><div>A cross-sectional census-matched online survey (n = 1,003) was conducted (October 31-November 11, 2024) ensuring representation of US adult demographic characteristics. Dental fear was assessed using the validated Gatchel single-item scale (from 0 [no fear] through 10 [extreme fear]). People with moderate through severe fear were asked about their interest in digital treatment and, if they refused, about their reasons for declining.</div></div><div><h3>Results</h3><div>The prevalence was 72.6% (95% CI, 70.9% to 74.3%), with 45.8% reporting moderate fear and 26.8% reporting severe fear. Among fearful people, 71.2% (95% CI, 69.4% to 73.0%) were interested in digital treatment. Those who declined indicated skepticism about effectiveness (31.8%), satisfaction with their coping strategies (23.4%), and time concerns (22.3%).</div></div><div><h3>Conclusions</h3><div>Dental fear remains widespread in the United States, suggesting little progress in prevalence reduction. The high interest in digital treatment indicates demand for accessible interventions.</div></div><div><h3>Practical Implications</h3><div>Brief digital dental fear treatments offer potential for widespread dissemination. Public health messaging must address skepticism about treatment effectiveness and value among the fearful patients not yet interested (≈ 30%).</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 696-705.e3"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926587","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":"Bactericidal efficacy of electrochemically activated solutions for dental unit waterlines","authors":"Zhe Zhong DDS, PhD,&nbsp;Wu Zhang MD,&nbsp;Erben Bayeta MS,&nbsp;Jessica J. Kim DDS,&nbsp;V. Leroy Leggitt DDS, MS, PhD,&nbsp;Udochukwu E. Oyoyo MPH,&nbsp;Mahdieh Noori BS,&nbsp;Yiming Li DDS, MSD, PhD","doi":"10.1016/j.adaj.2025.06.008","DOIUrl":"10.1016/j.adaj.2025.06.008","url":null,"abstract":"<div><h3>Background</h3><div>Biofilm formed on the interior surfaces of dental unit waterline (DUWL) tubing serves as a reservoir for planktonic microorganisms. The authors aimed to investigate the bactericidal efficacy of neutralized electrochemically activated solution (ECAS) for the water quality of DUWLs.</div></div><div><h3>Methods</h3><div>Twelve dental units were divided into group A (30 waterlines) and group B (6 waterlines) to be treated with the neutralized ECAS (ie, concentrated ECAS solution for shock treatment and diluted ECAS for daily maintenance, generated via the DW-8 countertop device [Dentaqua]) with different regimens. Three dental units (9 waterlines) were selected as a control group without treatment. Water samples were collected and then cultured to determine heterotrophic bacterial counts. Mann-Whitney <em>U</em> test and generalized estimating equations were used to determine the difference between groups. Tubing samples were evaluated by means of scanning electron microscopic analysis to assess the biofilm.</div></div><div><h3>Results</h3><div>The treatment was effective in diminishing the planktonic bacteria to meet the Centers for Disease Control and Prevention standards and inhibiting biofilm regrowth. Compared with the control group, the biofilm in DUWLs was partially removed in group A and group B at the end of treatment.</div></div><div><h3>Conclusions</h3><div>The neutralized ECAS is highly effective in eliminating the planktonic bacteria in DUWLs and is able to partially remove the established biofilm in DUWLs.</div></div><div><h3>Practical Implications</h3><div>The neutralized ECAS is a reasonable selection for biofilm prevention and inhibition in DUWLs.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 718-728.e2"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926589","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}