{"title":"To do good and refrain from harm: Combating racism as an ethical and professional duty.","authors":"Carlos S Smith, Lisa E Simon","doi":"10.1016/j.adaj.2024.08.003","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.08.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-12","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}
Gulaiim Almatkyzy PhD, MS, Kailey Thomsen DDS, Joshua C. Orack MPH, Jane K. Soper BS, Donald L. Chi DDS, PhD
{"title":"Examining the association between untreated caries in children and parent fluoride treatment refusal","authors":"Gulaiim Almatkyzy PhD, MS, Kailey Thomsen DDS, Joshua C. Orack MPH, Jane K. Soper BS, Donald L. Chi DDS, PhD","doi":"10.1016/j.adaj.2024.06.003","DOIUrl":"10.1016/j.adaj.2024.06.003","url":null,"abstract":"<div><h3>Background</h3><p>In this case-control study, the authors examined the relationship between untreated caries in children and parent fluoride treatment refusal<span>. The authors hypothesized that parents of children with a history of untreated caries would be less likely to refuse topical fluoride for their children than parents of children with no history of untreated caries.</span></p></div><div><h3>Methods</h3><p>The study included children (≤ 18 years old) who were patients at a university dental clinic from January 2016 through June 2020. Children whose parents refused fluoride treatment were age-matched with children whose parents did not refuse fluoride treatment (n = 356). The outcome variable was parent topical fluoride refusal for their children (no, yes). The predictor variable was a history of untreated caries (no, yes). Confounding variable–adjusted modified Poisson regression models were used to estimate the prevalence ratio of parent fluoride refusal by means of children’s untreated caries status.</p></div><div><h3>Results</h3><p>Approximately 46.3% of children had a history of untreated caries. The prevalence of parent fluoride refusal for children with a history of untreated caries was significantly lower than that for children with no history of untreated caries (adjusted prevalence ratio, 0.79; 95% CI, 0.64 to 0.98; <em>P</em> = .03).</p></div><div><h3>Conclusions</h3><p>Parents of children with a history of caries are less likely to refuse topical fluoride treatment, which suggests that untreated caries may motivate parents to accept preventive dental treatments like fluoride.</p></div><div><h3>Practical Implications</h3><p>Dental care professionals should assess caries risk and communicate a child’s caries risk before making a recommendation regarding topical fluoride treatment.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 774-780"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633765","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}
Davis C. Thomas BDS, DDS, MSD, MSc Med, MSc, Tanvee Somaiya BDS, Miguel Meira E. Cruz DDS, MSc, Priyanka Kodaganallur Pitchumani BDS, Anil Ardeshna DMD, MDS, Anjali Ravi BDS, Shranya Prabhakar BDS
{"title":"The enigma of sleep","authors":"Davis C. Thomas BDS, DDS, MSD, MSc Med, MSc, Tanvee Somaiya BDS, Miguel Meira E. Cruz DDS, MSc, Priyanka Kodaganallur Pitchumani BDS, Anil Ardeshna DMD, MDS, Anjali Ravi BDS, Shranya Prabhakar BDS","doi":"10.1016/j.adaj.2024.05.007","DOIUrl":"10.1016/j.adaj.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Sleep disturbances have been shown to result in considerable morbidity and mortality. It is important for dental clinicians to understand the neuroscience behind sleep disorders.</p></div><div><h3>Types of Studies Reviewed</h3><p>The authors conducted a search of the literature published from January 1990 through March 2024 of sleep medicine–related articles, with a focus on neuroscience. The authors prioritized articles about the science of sleep as related to dental medicine.</p></div><div><h3>Results</h3><p><span><span>The authors found a proliferation of articles related to sleep neuroscience along with its implications in dental medicine. The authors also found that the intricate neuroscientific principles of sleep medicine are being investigated robustly. The salient features of, and the differences between, central and </span>obstructive sleep apneas have been elucidated. Sleep genes, such as </span><span><span><em>CRY, </em><em>PER1</em><em>, </em></span><em>PER2</em><em>,</em></span> and <em>CLOCK,</em><span> and their relationship to cancer and neurodegeneration are also additions to this rapidly developing science.</span></p></div><div><h3>Conclusions and Practical Implications</h3><p>The dental clinician has the potential to be the first to screen patients for possible sleep disorders and make prompt referrals to the appropriate medical professionals. This can be lifesaving as well as minimize potential future morbidity for the patient.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 735-746"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616696","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}
Mariana A.S. Pereira, Giulia R. Santos, Juan M.A. Legarrea DDS, Giseli Mitsuy Kayahara BMS, MS, PhD, Felipe P. Fonseca DDS, MS, PhD, José Cândido C. Xavier-Junior MD, PhD, Glauco I. Miyahara DDS, MS, PhD, Daniel G. Bernabé DDS, MS, PhD, Mariana S. Urazaki MD, Gabriel M. Cortopassi MD, Vitor B. Valente DDS, MS, PhD
{"title":"A rare development of classical Hodgkin lymphoma in the head and neck region","authors":"Mariana A.S. Pereira, Giulia R. Santos, Juan M.A. Legarrea DDS, Giseli Mitsuy Kayahara BMS, MS, PhD, Felipe P. Fonseca DDS, MS, PhD, José Cândido C. Xavier-Junior MD, PhD, Glauco I. Miyahara DDS, MS, PhD, Daniel G. Bernabé DDS, MS, PhD, Mariana S. Urazaki MD, Gabriel M. Cortopassi MD, Vitor B. Valente DDS, MS, PhD","doi":"10.1016/j.adaj.2024.07.011","DOIUrl":"10.1016/j.adaj.2024.07.011","url":null,"abstract":"<div><h3>Background</h3><p>Classical Hodgkin lymphoma (CHL) is characterized by a proliferation of malignant cells of the lymphoreticular system and often involves lymph nodes, spleen, liver, and bone marrow; it is rare in the head and neck region.</p></div><div><h3>Case Description</h3><p>A 58-year-old man had an enlargement with ulceration in the left palatine tonsil that was causing dysphagia. Microscopic examination revealed an infiltrate of large, atypical lymphoid cells positive for cluster of differentiation 30, cluster of differentiation 15, PAX5, and Epstein-Barr virus. Complementary tests initially ruled out other sites of the disease. The results led to diagnosis of a rare development of CHL in the palatine tonsil, which was staged as IIEB. Before therapy was initiated, nodal lesions developed in the neck and the CHL was restaged as IIB. The patient was treated successfully with a regimen of doxorubicin, bleomycin, vinblastine, and dacarbazine. After a review of the literature, the authors found only 3 cases with the clinical, imaging, and microscopic features of primary CHL of the palatine tonsil.</p></div><div><h3>Practical Implications</h3><p>Despite being a rare event, CHL may first develop in extranodal sites, such as the palatine tonsil. In this context, the role of the dentist is pivotal for early diagnosis of the disease. Investigations into the development of primary tonsillar CHL in the oropharynx are needed because the disease has a different clinical course than nodal lesions.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 781-786"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902106","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}
Ehsan N. Azadani DDS, MS, Misa Yoshioka DMD, MS, Jin Peng MD, MS, PhD, Janice Townsend DDS, MS, Kimberly Hammersmith DDS, MPH, MS, Paul Casamassimo DDS, MS
{"title":"Restorative and patient factors associated with repeat general anesthesia for dental treatments in young children","authors":"Ehsan N. Azadani DDS, MS, Misa Yoshioka DMD, MS, Jin Peng MD, MS, PhD, Janice Townsend DDS, MS, Kimberly Hammersmith DDS, MPH, MS, Paul Casamassimo DDS, MS","doi":"10.1016/j.adaj.2024.06.014","DOIUrl":"10.1016/j.adaj.2024.06.014","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to assess factors associated with higher odds of undergoing repeat general anesthesia (GA2) for dental treatments.</p></div><div><h3>Methods</h3><p>The authors studied children up to age 48 months of age enrolled in Medicaid who underwent dental treatment under first general anesthesia (GA1). The authors used a case-control design to compare children who had a GA2 within 48 months of GA1 (case patients) with those who did not (control patients).</p></div><div><h3>Results</h3><p>In total, 60 case patients were age and sex matched to 120 control patients. Mean (SD) age at GA1 was 38 (5.2) months for case participants and 40 (4.7) months for control participants (<em>P</em> = .08). Higher caries involvement of maxillary incisors (<em>P</em> = .04), and lower caries involvment of canines (<em>P</em> = .003), first molars (<em>P =</em> .012), and second molars (<em>P</em> < .001) at GA1 was associated with higher odds of occurrence of GA2. There was a significant inverse association between full-coverage restoration on canines (<em>P</em> = .003), first molars (<em>P</em> = .001), and second molars (<em>P</em> = .002) at GA1 and occurrence of GA2. There was a significant direct association between the use of composites or sealants on second molars in GA1 and occurrence of GA2 (<em>P</em> = .02). The number of extractions at GA1 was not associated significantly with the occurrence of GA2.</p></div><div><h3>Conclusions</h3><p>The use of full-coverage restorations on primary molars and canines under general anesthesia (GA) was associated with lower odds of occurrence of GA2. Resin restorations and sealants on primary second molars were associated with higher odds of occurrence repeat GA. The findings support preferential use of full-coverage restorations for young children undergoing dental GA.</p></div><div><h3>Practical Implications</h3><p>Full-coverage restorations should be considered strongly for young children undergoing GA for dental treatments to reduce the risk of requiring GA2.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 765-773"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889594","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":"Value-based care and the sustainable dental practice","authors":"","doi":"10.1016/j.adaj.2023.09.015","DOIUrl":"10.1016/j.adaj.2023.09.015","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 731-732"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66783955","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":"Artificial intelligence applications in dentistry","authors":"Fernanda Pretto Zatt DDS, MS, Aurélio de Oliveira Rocha DDS, MS, Lucas Menezes dos Anjos DDS, MS, Ricardo Armini Caldas DDS, MS, PhD, Mariane Cardoso DDS, MS, PhD, Gustavo Davi Rabelo DDS, MS, PhD","doi":"10.1016/j.adaj.2024.05.013","DOIUrl":"10.1016/j.adaj.2024.05.013","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to understand the trends regarding the use of artificial intelligence in dentistry through a bibliometric review.</p></div><div><h3>Types of Studies Reviewed</h3><p>The authors performed a literature search on Web of Science. They collected the following data: articles—number and density of citations, year, key words, language, document type, study design, and theme (main objective, diagnostic method, and specialties); journals—impact factor; authors—country, continent, and institution. The authors used Visualization of Similarities Viewer software (Leiden University) to analyze the data and Spearman test for correlation analysis.</p></div><div><h3>Results</h3><p>After selection, 1,478 articles were included. The number of citations ranged from 0 through 327. The articles were published from 1984 through 2024. Most articles were characterized as proof of concept (979). Definition and classification of structures and diseases was the most common theme (550 articles). There was an emphasis on radiology (333 articles) and radiographic-based diagnostic methods (715 articles). China was the country with the most articles (251), and Asia was the continent with the most articles (871). The Charité–University of Medicine Berlin was the institution with the most articles (42), and the author with the most articles was Schwendicke (53).</p></div><div><h3>Practical Implications</h3><p>Artificial intelligence is an important clinical tool to facilitate diagnosis and provide automation in various processes.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 755-764.e5"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875207","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":"Authors’ Response","authors":"Riki Gottlieb DMD, MS, Al M. Best PhD","doi":"10.1016/j.adaj.2024.07.009","DOIUrl":"10.1016/j.adaj.2024.07.009","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Page 734"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875208","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":"2024 JADA Reviewers List","authors":"","doi":"10.1016/S0002-8177(24)00426-4","DOIUrl":"10.1016/S0002-8177(24)00426-4","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages A16-A17"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142128919","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}
Donald L. Chi DDS, PhD, Shelley Guinn RDH, BSDH, MPH, Mary Ellen Shands RN, MN, Deeksha Nemawarkar BDS, MPH, Courtney M. Hill MS, Miriam Mayhle BA, Thinh T. Do BS, Sophie Li, Shraddha Panchal BDS, RDA
{"title":"Socioeconomic vulnerability and access to community water fluoridation in Washington","authors":"Donald L. Chi DDS, PhD, Shelley Guinn RDH, BSDH, MPH, Mary Ellen Shands RN, MN, Deeksha Nemawarkar BDS, MPH, Courtney M. Hill MS, Miriam Mayhle BA, Thinh T. Do BS, Sophie Li, Shraddha Panchal BDS, RDA","doi":"10.1016/j.adaj.2024.05.011","DOIUrl":"10.1016/j.adaj.2024.05.011","url":null,"abstract":"<div><h3>Background</h3><p>The aim of the authors was to determine whether socioeconomic vulnerability is associated with community water fluoridation (CWF).</p></div><div><h3>Methods</h3><p>The authors used US Census Bureau data to create 4 county-level vulnerability markers (percentages non-White, Hispanic or Latino, below the federal poverty threshold, education below high school), obtained county-level CWF data from the Washington State Department of Health, and evaluated associations using Spearman rank correlation coefficient and the Kruskal-Wallis rank sum test. The authors then interviewed 122 community members in Washington (December 2022-March 2023) and analyzed the interview data inductively.</p></div><div><h3>Results</h3><p>A higher percentage of non-White people at the county level was associated with a significantly higher level of CWF (Spearman rank correlation coefficient, 0.55; 95% CI, 0.29 to 0.82; <em>P</em> < .001), whereas county-level poverty was associated with significantly lower CWF (Spearman rank correlation coefficient, −0.36; 95% CI, −0.70 to −0.03; <em>P</em> = .02). High school completion was not associated with county-level CWF. Significantly larger proportions of Hispanics and Latinos lived in counties with higher CWF (<em>P</em> < .05). From the interviews, more participants thought tap water was healthy than unhealthy, but 41% had mixed feelings. Similarly, more participants thought CWF was acceptable than unacceptable, with 35% reporting mixed feelings. Negative views about tap water and CWF were more common among non-White participants.</p></div><div><h3>Conclusions</h3><p>People in racially and ethnically diverse communities in Washington appear to have greater access to CWF, whereas those in lower-income communities have poorer access.</p></div><div><h3>Practical Implications</h3><p>CWF is an important population-level strategy to prevent caries. Additional work is needed to improve access to CWF, especially for people from low-income communities.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 747-754.e2"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616695","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}