Journal of the American Dental Association最新文献

{"title":"Authors’ Response","authors":"Heather L. Taylor PhD, MPH, LDH","doi":"10.1016/j.adaj.2024.09.020","DOIUrl":"10.1016/j.adaj.2024.09.020","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 95-96"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846951","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":"The impact of teledentistry on travel distance and carbon emissions at a children’s hospital","authors":"David O. Danesh DMD, MPH, MS,&nbsp;Jennifer Luca DMD, MS,&nbsp;Skyler E. Kalady MD,&nbsp;Janice A. Townsend DDS, MS,&nbsp;Kim J. Hammersmith DDS, MPH, MS,&nbsp;Beau D. Meyer DDS, MPH","doi":"10.1016/j.adaj.2024.11.007","DOIUrl":"10.1016/j.adaj.2024.11.007","url":null,"abstract":"<div><h3>Background</h3><div>Health care emissions account for approximately 8.5% of total US domestic greenhouse gas emissions. Staff member and patient travel is the largest contributor to dental office–related emissions, and this number has been increasing. One approach to reduce such emissions is to use telehealth instead of in-person office visits.</div></div><div><h3>Methods</h3><div>This pilot retrospective cross-sectional study included all children who completed a teledentistry visit from November 15, 2022, through June 23, 2023 in a pediatric dentistry clinic. Electronic health record data collected included age, race and ethnicity, insurance type, preferred language, and street address. Patient miles and travel time saved were calculated using mapping software. Emissions prevented were calculated using a miles-per-gallon fuel efficiency of 25 miles per gallon and 8.82 kg of carbon dioxide (CO₂) produced per gallon of gasoline consumed (standard US Environmental Protection Agency ratios).</div></div><div><h3>Results</h3><div>For the 101 patient visits, teledentistry saved 13,822.1 patient miles of round-trip travel distance, with a mean of 136.9 miles saved (range, 5.4-309.5 miles), and more than 15,000 minutes of round-trip drive time, with a mean of 150.3 minutes saved (range, 14.8-318.6 minutes), and resulted in 552.9 fewer gallons of gasoline consumed and 4,875.4 fewer kilograms of CO₂ emissions from gasoline consumption than in-person clinic visits. Most reduced carbon emissions realized were contributed from patients living in rural communities.</div></div><div><h3>Conclusions</h3><div>Teledentistry consultations reduced patient miles traveled and drive time traveled and resulted in fewer kilograms of CO₂ emissions and fewer gallons of gasoline used.</div></div><div><h3>Practical Implications</h3><div>Teledentistry is a tool for patients and contributes to reducing greenhouse gas emissions and waste in dentistry.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 144-150"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846954","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":"The greater palatine nerve and artery both supply the maxillary teeth","authors":"Joe Iwanaga DDS, PhD,&nbsp;Yohei Takeshita DDS, PhD,&nbsp;Muralidharan Anbalagan PhD,&nbsp;Binghao Zou MS,&nbsp;Taku Toriumi DDS, PhD,&nbsp;Yuki Kunisada DDS, PhD,&nbsp;Soichiro Ibaragi DDS, PhD,&nbsp;R. Shane Tubbs PhD","doi":"10.1016/j.adaj.2024.11.012","DOIUrl":"10.1016/j.adaj.2024.11.012","url":null,"abstract":"<div><h3>Background</h3><div>It is generally accepted that the greater palatine nerve and artery supply the palatal mucosa, gingiva, and glands, but not the bone or tooth adjacent to those tissues. When the bony palate is observed closely, multiple small foramina are seen on the palatal surface of the alveolar process. The authors hypothesized that the greater palatine nerve and artery might supply the maxillary teeth via the foramina on the palatal surface of the alveolar process and the superior alveolar nerve and artery. The authors aimed to investigate the palatal innervation and blood supply of the maxillary teeth.</div></div><div><h3>Methods</h3><div>Eight cadaveric maxillae containing most teeth or alveolar sockets were selected. The mean age at the time of death was 82.4 years. The samples were examined with colored water injection, latex injection, microcomputed tomography with contrast dye, gross anatomic dissection, and histologic observation.</div></div><div><h3>Results</h3><div>Through both injection studies and microcomputed tomographic analysis, the authors found that the small foramina on and around the greater palatine groove connected to the alveolar process and tooth sockets. The small foramina in the greater palatine and incisive canal also continued inside the alveolar process and the tooth sockets.</div></div><div><h3>Conclusions</h3><div>The alveolar branches of the greater palatine nerve and artery as well as the nasopalatine nerve and sphenopalatine artery supply maxillary teeth, alveolar bone, and periodontal tissue via the palatal alveolar foramina with superior alveolar nerves and arteries.</div></div><div><h3>Practical Implications</h3><div>This knowledge is essential for dentists when administering local anesthetic to the maxillary teeth and performing an osteotomy. Anatomic and dental textbooks should be updated with this new knowledge for better patient care.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 151-159.e1"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral-Systemic Connection","authors":"Stanley Markman DDS, DABOP","doi":"10.1016/j.adaj.2024.10.017","DOIUrl":"10.1016/j.adaj.2024.10.017","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Page 97"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168312","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":"Adult mental health impairment and oral health care use in the United States, Medical Expenditure Panel Survey 2017-2021","authors":"Ziwei Chen DMD,&nbsp;Lindsay N. Overhage BA,&nbsp;Jennifer L. Cully DMD, MEd,&nbsp;Anupama R. Tate DMD, MPH","doi":"10.1016/j.adaj.2024.11.001","DOIUrl":"10.1016/j.adaj.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Mental illnesses can cause mental health (MH) impairments such as decreased interest and generalized fatigue. MH impairments can adversely affect oral health. The aim of this study was to investigate the associations between MH impairment, MH care, and oral health care use.</div></div><div><h3>Methods</h3><div>This cross-sectional study used nationally representative data of US adults from the 2017-2021 Medical Expenditure Panel Survey. Pearson χ² test and logistic regressions were used to assess the associations between oral health care use and MH impairment and oral health care use and MH care use. Regressions controlled for age, sex, race and ethnicity, income, education, survey year, marital status, geographic region, and dental insurance status.</div></div><div><h3>Results</h3><div>MH impairment was associated with lower odds of using any dental care (odds ratio [OR], 0.85; 95% CI, 0.81 to 0.90) and preventive care (OR, 0.79; 95% CI, 0.74 to 0.84) and with higher odds of oral surgery (OR, 1.32; 95% CI, 1.20 to 1.46) use. Receiving MH care was associated with higher odds of using overall dental care (OR, 1.62; 95% CI, 1.43 to 1.82; <em>P</em> &lt; .001), preventive care (OR, 1.72; 95% CI, 1.52 to 1.96; P &lt; .001), and restorative care (OR, 1.26; 95% CI, 1.05 to 1.50; <em>P</em> = .01) use.</div></div><div><h3>Conclusions</h3><div>MH impairment was associated with lower odds of preventive and overall dental care use and with higher odds of oral surgery use. For adults with MH impairment, receiving MH care was associated with higher odds of preventive, restorative, and overall dental care use.</div></div><div><h3>Practical Implications</h3><div>Mental illness can be a barrier in accessing preventive dental care. However, MH care service may aid in increasing preventive, restorative, and overall oral health care use.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 133-143.e11"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872436","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":"Nonopioid vs opioid analgesics after impacted third-molar extractions","authors":"Cecile A. Feldman DMD,&nbsp;Janine Fredericks-Younger DMD,&nbsp;Paul J. Desjardins DMD, PhD,&nbsp;Hans Malmstrom DDS,&nbsp;Michael Miloro DMD, MD,&nbsp;Gary Warburton DDS, MD,&nbsp;Brent B. Ward DDS, MD,&nbsp;Vincent B. Ziccardi DDS, MD,&nbsp;Patricia Greenberg MS,&nbsp;Tracy Andrews MS,&nbsp;Pamela B. Matheson PhD,&nbsp;Rafael Benoliel BDS,&nbsp;Daniel H. Fine DMD,&nbsp;Shou-En Lu PhD","doi":"10.1016/j.adaj.2024.10.014","DOIUrl":"10.1016/j.adaj.2024.10.014","url":null,"abstract":"<div><h3>Background</h3><div>Opioids are still being prescribed to manage acute postsurgical pain. Unnecessary opioid prescriptions can lead to addiction and death, as unused tablets are easily diverted.</div></div><div><h3>Methods</h3><div>To determine whether combination nonopioid analgesics are at least as good as opioid analgesics, a multisite, double-blind, randomized, stratified, noninferiority comparative effectiveness trial was conducted, which examined patient-centered outcomes after impacted mandibular third-molar extraction surgery. Participants were randomized to receive 5 mg of hydrocodone with 300 mg of acetaminophen (opioid) or 400 mg of ibuprofen and 500 mg of acetaminophen (nonopioid). After an initial dose, analgesic was taken every 4 through 6 hours as needed for pain.</div></div><div><h3>Results</h3><div>In this randomized multisite clinical trial (n = 1,815 adults), those not taking opioids experienced significantly less pain (numeric rating scale ranging from 0 [no pain] through 10 [worst pain imaginable]) for first day and night (mean difference, –0.70; 95% CI, –0.94 to –0.45; <em>P</em> &lt; .001) and second day and night (mean difference, –0.28; 95% CI, –0.52 to –0.04; <em>P</em> = .015), and experienced no more pain than participants taking opioids over the entire postoperative period (mean difference, –0.20; 98.75% CI, –0.45 to 0.05; <em>P</em> = .172). Participants not taking opioids had higher overall satisfaction at the postoperative visit (85.3% extremely satisfied or satisfied vs 78.9%; 95% CI, 1.21 to 1.98; <em>P</em> = .006).</div></div><div><h3>Conclusions</h3><div>The ibuprofen and acetaminophen combination managed pain better for the first 2 days and led to greater satisfaction over the entire postoperative period than hydrocodone with acetaminophen. At no time did hydrocodone outperform the nonopioid.</div></div><div><h3>Practical Implications</h3><div>Routine opioid prescribing after dental surgery is not supported. The results of this study confirmed the American Dental Association’s recommendations that ibuprofen and acetaminophen in combination should be the first-line therapy for acute pain management. This clinical trial was registered at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>. The registration number is NCT04452344.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 110-123.e9"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Licensure","authors":"Marinho Del Santo Jr DDS, MS, PhD","doi":"10.1016/j.adaj.2024.09.021","DOIUrl":"10.1016/j.adaj.2024.09.021","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Page 96"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168314","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":"Dental Benefits","authors":"Donna L. Kurc DMD, MHA","doi":"10.1016/j.adaj.2024.09.019","DOIUrl":"10.1016/j.adaj.2024.09.019","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Page 95"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846952","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":"Author’s Response","authors":"Linda J. Edgar DDS","doi":"10.1016/j.adaj.2024.10.016","DOIUrl":"10.1016/j.adaj.2024.10.016","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 96-97"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168313","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":"To do good and refrain from harm","authors":"Carlos S. Smith DDS, MDiv,&nbsp;Lisa E. Simon MD, DMD","doi":"10.1016/j.adaj.2024.08.003","DOIUrl":"10.1016/j.adaj.2024.08.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 2","pages":"Pages 91-94"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289910","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}