Journal of the American Dental Association最新文献

{"title":"Ethical concerns with intoxicated adult and pediatric oral health care","authors":"Karen Diane Foster DDS, Debra Peters DDS","doi":"10.1016/j.adaj.2024.10.002","DOIUrl":"10.1016/j.adaj.2024.10.002","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1079-1080"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780025","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":"Motivational interviewing at home","authors":"Ricardo Cartes-Velásquez DDS, MD, PsyD, MPH, MSc, MPhil, PhD,&nbsp;Luis Luengo-Machuca MSc","doi":"10.1016/j.adaj.2024.09.012","DOIUrl":"10.1016/j.adaj.2024.09.012","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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, &lt; 0.3) and follow-up. Analysis of covariance revealed a reduction in caries incidence for lesions with ICDAS scores above 0 (<em>P</em> = .03) but not for ICDAS scores above 2 (<em>P</em> = .47). No reduction in oral hygiene was observed (<em>P</em> = .74). Oral Health Literacy Instrument scores showed no improvement (<em>P</em> = .10), and Rapid Estimate of Adult Literacy in Dentistry, 30 items scores showed a marginal increase (<em>P</em> = .03).</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Practical Implications</h3><div>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.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1060-1069"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","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":"Good choices for healthy teeth","authors":"Anita M. Mark","doi":"10.1016/j.adaj.2024.10.008","DOIUrl":"10.1016/j.adaj.2024.10.008","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Page 1082"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780027","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":"Deepfakes in health care","authors":"Shankargouda Patil BDS, MDS, PhD,&nbsp;Frank W. Licari MBA, MPH, DDS","doi":"10.1016/j.adaj.2024.04.006","DOIUrl":"10.1016/j.adaj.2024.04.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 997-999"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140898683","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 MS,&nbsp;Courtney M. Hill MS,&nbsp;Donald L. Chi DDS, PhD","doi":"10.1016/j.adaj.2024.09.009","DOIUrl":"10.1016/j.adaj.2024.09.009","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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; <em>P</em> &lt; .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; <em>P</em> = .57).</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Practical Implications</h3><div>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.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1031-1042"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","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":"Holistic care for patients with cancer","authors":"Alessandro Villa DDS, PhD, MPH,&nbsp;Maggy Pons CPA, MBA,&nbsp;Mark Davis MD","doi":"10.1016/j.adaj.2024.09.014","DOIUrl":"10.1016/j.adaj.2024.09.014","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1075-1078.e1"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","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":"Oral papulonodular lesions in a 10-year-old girl","authors":"Caris M. Smith BS,&nbsp;John M. Le DDS, MD,&nbsp;Brian E. Kinard DMD, MD","doi":"10.1016/j.adaj.2024.01.001","DOIUrl":"10.1016/j.adaj.2024.01.001","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1070-1074"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651061","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":"Reprint of: Now is the time to prohibit patient-based licensure examinations","authors":"","doi":"10.1016/j.adaj.2024.08.005","DOIUrl":"10.1016/j.adaj.2024.08.005","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 995-996"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468631","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 access with different computer navigation systems in calcified root canals","authors":"Carmen García Franco DDS,&nbsp;Elena Riad Deglow DDS, PhD,&nbsp;Javier Montero DDS, PhD,&nbsp;Francesc Abella Sans DDS, PhD,&nbsp;Venkateshbabu Nagendrababu BDS, MDS, FDS RCPS (Glasg), PhD,&nbsp;Paul M.H. Dummer BDS, MScD, PhD, DDS, FDS, RCS,&nbsp;Ana Belén Lobo Galindo DDS,&nbsp;Álvaro Zubizarreta-Macho DDS, PhD","doi":"10.1016/j.adaj.2024.09.011","DOIUrl":"10.1016/j.adaj.2024.09.011","url":null,"abstract":"<div><h3>Background</h3><div>A range of computer-aided navigation techniques to aid endodontic access cavity preparation have been developed. The aim of this study was to analyze the accuracy of access cavities prepared with the aid of computer-aided static navigation (SN), computer-aided dynamic navigation (DN), and navigation based on augmented reality (AR) compared with a conventional freehand (FH) method in extracted mandibular teeth with calcified root canal systems.</div></div><div><h3>Methods</h3><div>Forty single-rooted mandibular teeth were divided into 4 groups, and preoperative cone-beam computed tomographic scans and digital impressions through an intraoral scan were obtained. Access cavities were then prepared using SN (n = 10), DN (n = 10), AR (n = 10), or FH (n = 10), and postoperative cone-beam computed tomographic scans of each tooth were obtained to evaluate deviation of the access cavities between the virtually planned preoperative preparations and the actual postoperative preparations. Analysis of variance followed by Tukey post hoc tests were used to identify significant differences in deviation, with <em>P</em> values below .05 being considered significant.</div></div><div><h3>Results</h3><div>Significant deviations of the access cavities were found coronally between SN and DN (<em>P</em> &lt; .001), SN and AR (<em>P</em> &lt; .001), DN and FH (<em>P</em> = .015), and AR and FH (<em>P</em> = .003) and apically between SN and AR (<em>P</em> = .003) and AR and FH (<em>P</em> = .006). There were significant differences at angular level between SN and DN (<em>P</em> &lt; .001), SN and AR (<em>P</em> &lt; .001), and SN and FH (<em>P</em> = .013).</div></div><div><h3>Conclusions</h3><div>AR was associated with significantly smaller differences in dentin removal and cavity alignment than the SN, DN, and FH methods.</div></div><div><h3>Practical Implications</h3><div>Endodontic access cavity preparations using AR technology were more accurate than preparations using other techniques and have the potential to be adopted in clinical practice when canal systems are obliterated.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1043-1052"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623052","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 BDS, MS,&nbsp;Sean W. McLaren DDS, MBA,&nbsp;Changyong Feng PhD,&nbsp;Gene E. Watson DDS, PhD,&nbsp;Ronald J. Billings DDS, MSD,&nbsp;Dorota T. Kopycka-Kedzierawski DDS, MPH","doi":"10.1016/j.adaj.2024.09.015","DOIUrl":"10.1016/j.adaj.2024.09.015","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> &lt; .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; <em>P</em> &lt; .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; <em>P</em> = .02). The COVID-19 pandemic did not significantly affect compliance rates.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Practical Implications</h3><div>Synchronous teledentistry is a practical adjunct tool to be considered in dental offices.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 12","pages":"Pages 1053-1059"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","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}