Journal of the American Dental Association最新文献

{"title":"Pedunculated nodule on the hard palate.","authors":"Bruna do Amaral Ferreira Souza, Victor de Mello Palma, Deisi Romitti Maglia, Erick Souza Pedraça, Igor Cavalcante Guedes, Rita de Kássia Souza, Pantelis Varvaki Rados, Fernanda Visioli","doi":"10.1016/j.adaj.2025.08.006","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.08.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251644","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":"Reconsidering the role of dentistry in managing Sjögren disease: Insights from The National Dental Practice-Based Research Network findings.","authors":"Rahma Mungia, Gene Watson, Ellen Funkhouser, Thomas W Oates, Melanie Taverna, Gregg H Gilbert","doi":"10.1016/j.adaj.2025.08.014","DOIUrl":"10.1016/j.adaj.2025.08.014","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225581","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":"Defending community water fluoridation: A public health imperative grounded in evidence.","authors":"Yanfang Ren, Lainie Friedman Ross, Jin Xiao, Dorota T Kopycka-Kedzierawski, William Calnon, Eli Eliav, Cyril Meyerowitz","doi":"10.1016/j.adaj.2025.08.012","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.08.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225622","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":"Tooth loss rate and death in older adults.","authors":"Yiran Yang, Meng Qu, Yang Hu, Longbing Ren, Peng Wang, Yan Zhou, Yao Yao, Jing Sun","doi":"10.1016/j.adaj.2025.08.008","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.08.008","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to obtain a new indicator, tooth loss rate (TLR), to predict death and raise the awareness among older adults to prevent tooth loss in advance.</p><p><strong>Methods: </strong>In this population-based study, data of participants older than 65 years were drawn from 3 cohorts enrolled in 2005, 2008, and 2011 from the Chinese Longitudinal Healthy Longevity Survey. The TLR was calculated for each participant by dividing the difference between the number of teeth at baseline and the first follow-up by the time difference between the surveys. The median is considered the boundary between rapid and slow TLR, with zero TLR as the reference group. Cox proportional hazards models were used to analyze the association between TLR and mortality and the influencing factors in older adults, adjusted for a range of covariates.</p><p><strong>Results: </strong>TLR was an independent risk factor associated with higher mortality (adjusted hazard ratio [HR], 1.16 [95% CI, 1.11 to 1.21]). For people with tooth loss, the adjusted mortality risk was higher with rapid TLR (adjusted HR, 1.23 [95% CI, 0.94 to 1.62]) in comparison with slow TLR (adjusted HR, 1.02 [95% CI, 0.90 to 1.15]), accounting for potential confounding variables. The association between TLR and mortality risk was stronger for people 80 years and older, those who did not exercise regularly, and denture wearers compared with other variables.</p><p><strong>Conclusions: </strong>Rapid TLR is associated with a higher risk of death in older adults, suggesting that TLR is one of the indicators that can predict mortality in older adults.</p><p><strong>Practical implications: </strong>The evidence shows the need to prioritize older adults' oral health, especially regarding tooth loss, to boost oral care and foster good hygiene habits. This is important given the failure to meet the World Health Organization's 8020 Campaign goals and the high global TLR. Using TLR as a death predictor offers an easily observable risk factor.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225644","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 reddish nodule on the mandibular alveolar ridge","authors":"Luiza Deitos Menti DDS,&nbsp;Liliana Wolf Braun DDS,&nbsp;Luís Afonso Tochetto MD,&nbsp;Simone Marcia dos Santos Machado MD,&nbsp;Manoela Domingues Martins PhD,&nbsp;Marco Antônio Trevizani Martins PhD,&nbsp;Vinicius Coelho Carrard PhD","doi":"10.1016/j.adaj.2024.11.014","DOIUrl":"10.1016/j.adaj.2024.11.014","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 868-872"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408859","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":"Impact of Online Misinformation","authors":"S.M. Hashim Nainar BDS, MDSc","doi":"10.1016/j.adaj.2025.06.012","DOIUrl":"10.1016/j.adaj.2025.06.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 780-781"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229832","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 road to 2050","authors":"Richard J. Rosato DMD","doi":"10.1016/j.adaj.2025.08.005","DOIUrl":"10.1016/j.adaj.2025.08.005","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 775-776"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229921","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":"Evaluation of 2 intraoral scanners and a desktop scanner for replicating removable complete dentures of various anatomies","authors":"Louise Le Texier DDS,&nbsp;Emmanuel Nicolas DDS, PhD, HDR,&nbsp;Cindy Batisse DDS, PhD","doi":"10.1016/j.adaj.2025.07.013","DOIUrl":"10.1016/j.adaj.2025.07.013","url":null,"abstract":"<div><h3>Background</h3><div>Technological advances have enabled intraoral scanners (IOSs) to replicate removable complete dentures (RCDs). The authors evaluated the acquisition effectiveness and accuracy of scanners for RCD replication and the impact of artificial landmarks on acquisition success for maxillary (mx) RCDs.</div></div><div><h3>Methods</h3><div>Two IOSs (Primescan, Dentsply Sirona and TRIOS 4, 3Shape A/S) and 1 desktop scanner (DS) (D2000, 3Shape A/S) scanned 10 mx and 10 mandibular RCDs. Mx RCDs were rescanned with IOSs using artificial landmarks. Acquired files were compared with the reference, the virtual RCD design file using Geomagic software (3D Systems). Objective measurements included acquisition effectiveness, assessed visually and statistically (Pearson χ² test); accuracy, evaluated through trueness (average closeness); and precision (repeatability) (univariate analysis of variance and Student-Newman-Keuls test, α = .05); and clinical accuracy, assessed using tolerance thresholds and colorimetric deviation maps.</div></div><div><h3>Results</h3><div>Only the DS successfully replicated all RCDs. The IOSs failed to acquire some mx RCDs (Primescan, 50%; TRIOS 4, 10%) with no substantial improvement using landmarks. The DS had the highest trueness (mean [SD], 28 [22] μm; <em>P</em> &lt; .05). Primescan and TRIOS 4 had similar trueness (mean [SD], 59 [19] μm and 60 [25] μm, respectively). The DS and Primescan had superior precision (mean [SD], 72 [36] μm and 70 [20] μm, respectively) than TRIOS 4 (mean [SD], 104 [29] μm) (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>The DS is the most reliable for replicating RCDs. RCD characteristics influenced IOS acquisition success.</div></div><div><h3>Practical Implications</h3><div>Digital RCD scanning may enhance clinical workflows. Acquiring the mandibular RCD is more feasible than acquiring the mx RCD. Optimizing techniques and identifying factors facilitating acquisition are essential for clinical viability.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 816-824"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229845","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":"Therapeutic potential of cannabidiol in oral disorders","authors":"Lukas Mendes de Abreu DDS, MS,&nbsp;Mariel Ruivo Biancardi DDS, MS,&nbsp;Michele Di Benedetto DDS,&nbsp;Raquel Molina Sanches DDS,&nbsp;Camila Lopes Cardoso DDS, MS, PhD,&nbsp;Cássia Maria Fischer Rubira DDS, MS, PhD,&nbsp;Izabel Regina Fischer Rubira-Bullen DDS, MS, PhD","doi":"10.1016/j.adaj.2025.07.021","DOIUrl":"10.1016/j.adaj.2025.07.021","url":null,"abstract":"<div><h3>Background</h3><div>This review aimed to evaluate the therapeutic potential of cannabidiol (CBD) for management of oral disorders, focusing on its effectiveness in treatment (therapy) of orofacial pain, inflammation, and mucosal lesions.</div></div><div><h3>Types of Studies Reviewed</h3><div>This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. A comprehensive search in 5 databases included randomized controlled trials and nonrandomized trials evaluating CBD’s clinical effects on oral disorders. Inclusion criteria were applied independently by 2 reviewers using predefined eligibility parameters.</div></div><div><h3>Results</h3><div>Of 4,093 records, 7 studies met inclusion criteria: 6 randomized controlled trials and 1 nonrandomized clinical study. Topical and intraoral CBD formulations had beneficial effects in reducing pain, muscle tension, gingival inflammation, bacterial load, and aphthous ulcer symptoms. No serious adverse effects were reported. Heterogeneity in dosage, formulation, follow-up duration, and outcome measures limited direct comparison across studies and precluded meta-analysis.</div></div><div><h3>Practical Implications</h3><div>CBD may serve as a safe adjunct in managing oral pain and inflammation. Its integration into dental care protocols requires further validation through standardized, long-term clinical trials to ensure efficacy and safety.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 838-850.e2"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145229934","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","authors":"Alex Sheen DDS, MPH,&nbsp;Marcie S. Rubin DrPH, MPH, MPA,&nbsp;Burton L. Edelstein DDS, MPH","doi":"10.1016/j.adaj.2025.07.010","DOIUrl":"10.1016/j.adaj.2025.07.010","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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 &amp; Medicaid Services Core Sets, adding novel categories when necessary.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Practical Implications</h3><div>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.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 10","pages":"Pages 825-837"},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","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}