Journal of the American Dental Association最新文献

{"title":"From names to concepts: Unraveling bioactivity in restorative dental materials.","authors":"João Vitor do Nascimento Santos, Gabriela de Alencar Pinto Magalhães, Juan Vitor Costa Leite, Rafael Rocha Pacheco, Regina Maria Puppin-Rontani, Jack L Ferracane, Renally Bezerra Wanderley Lima","doi":"10.1016/j.adaj.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.005","url":null,"abstract":"<p><strong>Background: </strong>The authors aimed to establish the scope and types of evidence concerning the bioactivity of materials used in restorative dentistry. The investigation adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews and Joanna Briggs Institute methodologies for scoping reviews and was registered on the Open Science Framework platform.</p><p><strong>Types of studies reviewed: </strong>A systematic search was conducted across PubMed/MEDLINE, Embase, Scopus, and Web of Science databases through May 31, 2024, along with gray literature and manual searching of the list of references in the articles. Inclusion criteria encompassed clinical and laboratory studies exploring the bioactivity of restorative materials, including both temporary and permanent, commercially available, or experimental materials. Studies deviating from manufacturer's suggested applications for the materials were excluded.</p><p><strong>Results: </strong>The qualitative analysis incorporated 80 studies. There was a predominance of in vitro studies (63), complemented by a smaller number of reviews (11), randomized clinical trials (4), and case reports (2). Among the various types of restorative materials, resin composites and resin cements were investigated most extensively. Additive components commonly used within the studied restorative materials were bioactive glass and hydroxyapatite or nanohydroxyapatite.</p><p><strong>Conclusions and practical implications: </strong>Clinically, the benefits of composites purported to be bioactive remain uncertain. This is largely because the scientific evidence for the bioactivity of dental restorative materials comes mainly from in vitro studies, and there is an absence of specific guidelines for the use of these materials. At this stage, using complementary in vitro methods, such as assessing apatite formation, therapeutic ion release, and mineral formation at the dentin-material interface, is recommended to evaluate bioactivity.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710117","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 care use among an insured population after COVID-19: An update.","authors":"Joseph Dill, Margherita Fontana, Jim Bader, Jeffrey Chaffin, George Eckert","doi":"10.1016/j.adaj.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.007","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676885","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 pediatric patient with mandibular swelling.","authors":"Corissa P Chang, Nile Hodges, John Lankalis, Daniel Sierra-Vasquez, Brian Ford","doi":"10.1016/j.adaj.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676882","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":"Integrating firearm secure storage counseling into dental practice: Opportunities for dental practice-based research.","authors":"Alexander Testa, Rahma Mungia","doi":"10.1016/j.adaj.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.010","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674229","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":"Asymptomatic unilateral radiopacity in a 59-year-old man.","authors":"Davis C Thomas, Damian Lee, Steven R Singer, Christian Loo, Priyanka Kodaganallur Pitchumani, Noamaan Ahmed","doi":"10.1016/j.adaj.2025.02.004","DOIUrl":"10.1016/j.adaj.2025.02.004","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657602","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 ulcerated lesion on the floor of the mouth.","authors":"Deepak Pandiar, Reshma Poothakulath Krishnan, NishaJaisree S","doi":"10.1016/j.adaj.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657601","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":"Metastatic neuroendocrine carcinoma of the small intestine presenting as temporomandibular disorder.","authors":"Shaiba Sandhu, Sonya Kalim, Demetria Ileana Strauch Jacks, Muhammad Ali Shazib","doi":"10.1016/j.adaj.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.008","url":null,"abstract":"<p><strong>Background: </strong>Neuroendocrine carcinomas (NECs) are rare tumors from hormone-secreting neuroendocrine cells, often within the gastrointestinal tract. The authors report what is, to their best knowledge, the first case of a small intestine NEC metastasizing to the temporomandibular joint (TMJ).</p><p><strong>Case description: </strong>A 60-year-old man came to the oral medicine, oncology, and orofacial pain clinic with a chief concern of left-sided jaw pain. Clinical examination revealed left TMJ arthralgia and deep masseter myalgia, and results of imaging showed both osteoblastic and osteolytic changes in the left TMJ. A comprehensive diagnostic approach, including detailed history, clinical evaluation, and advanced imaging techniques, such as positron emission tomography computed tomography, was used to establish an accurate diagnosis.</p><p><strong>Practical implications: </strong>This case highlights the importance of considering metastasis in differential diagnosis of TMJ pain in patients with NEC, underscoring collaboration between oncology and orofacial pain specialists for accurate diagnosis and effective management.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605431","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":"Approach to patients with body dysmorphic disorder in dentistry: A systematic review.","authors":"Célia Borges, Maria Lurdes Pereira, Inês Caldas, Leonor Frey-Furtado","doi":"10.1016/j.adaj.2025.02.001","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.001","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Types of studies reviewed: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions and practical implications: </strong>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.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-10","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}

{"title":"A survey of general dentists on the involvement of endodontists in restorative procedures.","authors":"Gabriella Blazquez Deese, Michelle T Spoto, Qiang Zhu, Robert H Aseltine, Chia-Ling Kuo, Kelin Zhong, Olivia Dort, Blythe Kaufman","doi":"10.1016/j.adaj.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.01.007","url":null,"abstract":"<p><strong>Background: </strong>The authors investigated, via a web-based survey, the perceptions of general dentists in the United States regarding endodontists restoring endodontically treated teeth (ETT).</p><p><strong>Methods: </strong>A 15-question survey was distributed to American Dental Association members. Participants were asked to rate their comfort with various scenarios. In the control scenario, an endodontist placed restorations without prior discussion with the general dentist. In the experimental scenario, an endodontist trained in endorestorative procedures, having previously discussed their intentions, placed the restorations. Data were analyzed using descriptive statistics, Fisher exact test, McNemar test, and false discovery rate adjustment (P_adj).</p><p><strong>Results: </strong>The response rate was 48% (N = 544). General dentists were significantly more likely to accept the experimental scenario than the control scenario for post space creation (88.1% vs 84.2%; P_adj = .026), post placement (66.7% vs 52.2%; P_adj = 3.35e-13), and core placement (68.2% vs 55.1%; P_adj = 2.28e-12). Overall, 69% (374) supported endodontists placing restorations after discussion with referring general dentists, 12.9% (70) disagreed, and 18.4% (100) were undecided. Opponents (67) cited lack of trust (64%) and billing preferences (18%). Undecided general dentists (83) identified residency training (28%), case portfolios (16%), and individualized discussions (13%) as factors likely to increase acceptance. More recent graduates, female practitioners, those practicing at community clinics, in rural or urban areas, and in the South or West were significantly more comfortable with endodontists placing restorations (P_adj < .05).</p><p><strong>Conclusions: </strong>General dentists broadly supported endodontists restoring ETT if they were trained in endorestorative procedures and after prior discussion.</p><p><strong>Practical implications: </strong>Endodontists should communicate their intent to restore ETT with general dentists to facilitate interdisciplinary collaboration.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586103","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":"Innovation in oral health: a mandate for equity.","authors":"Kaz Rafia","doi":"10.1016/j.adaj.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586104","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}