Journal of the American Dental Association最新文献

{"title":"Infection prevention and antibiotic stewardship in dentistry: Partnering for a safer future.","authors":"Marie T Fluent, Elaine M Bailey, Laraine L Washer, Amanda Hill, Erinne Kennedy","doi":"10.1016/j.adaj.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.04.005","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136296","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 extensive radiolucent and radiopaque mass in the posterior mandible.","authors":"Paulo Ricardo Elias de Melo, Wvelton Mendes Pereira, Anna Karolline Cadengue de Siqueira, Ronaldo Gabriel Martiniano da Silva, Thiago Lima Maia, Pollianna Muniz Alves, Breno Macedo Maia, John Lennon Silva Cunha","doi":"10.1016/j.adaj.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.04.007","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120078","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":"Dangers of Misinformation.","authors":"Manas Bajpai","doi":"10.1016/j.adaj.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.04.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120081","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 painless nodule on the anterior dorsal tongue.","authors":"Kristie L Wise, Prokopios P Argyris, Kristin K McNamara, John R Kalmar","doi":"10.1016/j.adaj.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.04.004","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078841","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":"Alpha-gal syndrome: potential for a hypersensitivity reaction after the use of dental products: Literature review and case report.","authors":"John K Brooks, Naomi I Hoch, Ellie R Hoch, Ahmed S Sultan","doi":"10.1016/j.adaj.2025.04.001","DOIUrl":"10.1016/j.adaj.2025.04.001","url":null,"abstract":"<p><strong>Background: </strong>Alpha-gal syndrome (AGS) is associated with a potentially severe delayed immunoglobulin E-based hypersensitivity reaction produced via transmission of a salivary oligosaccharide (galactose-⍺-1,3-galactose) predominately from the bite of the lone star tick (Amblyomma americanum). Sensitized people are at an increased risk of experiencing cross-reactivity reactions to numerous foods, pharmaceuticals, and medical and dental products that could result in a spectrum of pathophysiological responses, ranging from gastrointestinal and cutaneous disturbances to anaphylaxis. The authors have summarized the relevant literature and presented a case report describing an alpha-gal (AG) reaction associated with oral health care.</p><p><strong>Types of studies reviewed: </strong>The authors provided an overview of clinical studies, review articles, case reports, and case series of AGS obtained from PubMed and Google Scholar electronic databases. In addition, various medical and dental pharmaceuticals and health care products were reviewed for the presence of AG epitopes.</p><p><strong>Results: </strong>Factors implicated in an AGS-like event included consuming nonprimate red meat and dairy products, intake of pharmaceuticals with animal-based ingredients and excipients, and use of medical and dental products containing AG epitopes. The most common promoter of AGS-related dental events was the administration of animal-based hemostatic agents.</p><p><strong>Practical implications: </strong>Oral health care providers should be knowledgeable about the salient features of AGS and perform a thorough review of an affected patient's diagnosis, triggering events, associated adverse incidents, and therapeutic measures used. To gain greater insight into an affected patient's disorder, consultation with their attending allergist or immunologist is advised. To reduce the onset of a hypersensitivity reaction, attending clinicians must maintain strict avoidance of the use of pharmaceuticals and medical or dental products that express AG epitopes.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078842","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":"Association Directory","authors":"","doi":"10.1016/S0002-8177(25)00175-8","DOIUrl":"10.1016/S0002-8177(25)00175-8","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 5","pages":"Page A12"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903690","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":"Outpatient antibiotic prescribing by general dentists in the United States from 2018 through 2022","authors":"Cam-Van T. Huynh DDS, MPH,&nbsp;Katryna A. Gouin MPH,&nbsp;Lauri A. Hicks DO,&nbsp;Sarah Kabbani MD, MSc,&nbsp;Michele Neuburger DDS, MPH,&nbsp;Emily McDonald MD, MPH","doi":"10.1016/j.adaj.2024.12.003","DOIUrl":"10.1016/j.adaj.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Dentists play a role in combatting antimicrobial resistance. This analysis characterizes antibiotic prescribing changes by dentists after the American Dental Association’s dental infection treatment guideline was released in 2019.</div></div><div><h3>Methods</h3><div>The Xponent (IQVIA) database was used to extract antibiotic prescriptions dispensed from 2018 through 2022. General dentist prescriptions were compared with total outpatient oral antibiotics and summarized by patient and provider characteristics. Census denominators were used to calculate prescribing rates per 1,000 people.</div></div><div><h3>Results</h3><div>Dentists prescribed 24.65 million antibiotics in 2018 compared with 25.17 million in 2022, resulting in 75.5 prescriptions per 1,000 people for both years. From 2018 through 2022, dentists prescribed 9.8% through 12.1% of all outpatient antibiotics. Females, patients 65 years and older, and patients in the Northeast received the most antibiotic prescriptions.</div></div><div><h3>Conclusions</h3><div>Prescribing by general dentists remained stable from 2018 through 2022 despite guideline recommendations to limit antibiotic use for dental infections. Variation by patient and provider characteristics may represent unnecessary antibiotic use.</div></div><div><h3>Practical Implications</h3><div>Antibiotic stewardship is needed to optimize prescribing in the dental care setting. The Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship framework can be adapted for dental stewardship implementation.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 5","pages":"Pages 382-389.e2"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567489","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 explosion of scientific and medical misinformation can harm patients","authors":"Michael G. Newman DDS, FACD","doi":"10.1016/j.adaj.2025.02.013","DOIUrl":"10.1016/j.adaj.2025.02.013","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 5","pages":"Pages 343-344"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772626","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 ethics of sustainability in dentistry","authors":"David O. Danesh DMD, MPH, MS,&nbsp;Jennifer Luca DMD, MS,&nbsp;Paul S. Casamassimo DDS, MS,&nbsp;Kimberly J. Hammersmith DDS, MPH, MS","doi":"10.1016/j.adaj.2025.02.014","DOIUrl":"10.1016/j.adaj.2025.02.014","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 5","pages":"Pages 424-425"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780281","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":"Association between Life’s Essential 8 score and periodontitis in patients with diabetes","authors":"Yujie Bao MD,&nbsp;Qingwei Gu MD,&nbsp;Wanxian Xu MD,&nbsp;Qi Sun MD,&nbsp;Bo Ding MD","doi":"10.1016/j.adaj.2025.02.015","DOIUrl":"10.1016/j.adaj.2025.02.015","url":null,"abstract":"<div><h3>Background</h3><div>The authors explored the relationship between Life’s Essential 8 (LE8) scores and periodontitis among patients with diabetes in the United States.</div></div><div><h3>Methods</h3><div>The authors used data from a large cohort in the United States. A weighted multivariable logistic regression model was used to analyze the association between LE8 score and the prevalence of periodontitis, adjusting for sociodemographic factors, health behaviors, and other relevant factors. Restricted cubic splines were applied to explore nonlinear relationships.</div></div><div><h3>Results</h3><div>A total of 1,164 people participated in this study; 51.8% were male and 48.2% were female. In a multivariable logistic regression model, the LE8 score was inversely associated with periodontitis prevalence (odds ratio, 0.98; 95% CI, 0.97 to 0.99; <em>P</em> = .001), and this association was consistent across low, medium, and high LE8 score groups. Participants in the highest LE8 score group had 64% lower odds of periodontitis prevalence than those in the lowest group (odds ratio, 0.36; 95% CI, 0.13 to 0.99; <em>P</em> = .04). Restricted cubic spline regression analysis indicated no significant nonlinear association between LE8 score and periodontitis.</div></div><div><h3>Conclusions</h3><div>Elevated LE8 scores were significantly associated with lower prevalence odds of periodontitis in participants with diabetes.</div></div><div><h3>Practical Implications</h3><div>The study results indicated an association between cardiovascular health (assessed by the LE8 score) and periodontitis in patients with diabetes, suggesting that both cardiovascular health and periodontal status should be considered in the management of diabetes.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 5","pages":"Pages 374-381.e3"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795868","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}