Journal of the American Dental Association最新文献

{"title":"Authors’ Response","authors":"Shaiba Sandhu DDS, MS, Muhammad Ali Shazib DMD","doi":"10.1016/j.adaj.2026.07.033","DOIUrl":"10.1016/j.adaj.2026.07.033","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1087-1088"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095379","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":"More on Dental-Medical Terminology","authors":"Elizbeth Kapral DDS, MS","doi":"10.1016/j.adaj.2026.07.031","DOIUrl":"10.1016/j.adaj.2026.07.031","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1086-1087"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095382","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 care during pregnancy","authors":"Anita M. Mark","doi":"10.1016/j.adaj.2026.08.003","DOIUrl":"10.1016/j.adaj.2026.08.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Page 1242"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095829","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":"Implementation Science","authors":"Carlos M. Ardila PhD","doi":"10.1016/j.adaj.2026.07.035","DOIUrl":"10.1016/j.adaj.2026.07.035","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1088-1089"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095380","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":"Comprehensive oral health profiling in rheumatoid arthritis","authors":"Sinem Özdemir DDS,&nbsp;Emre Taşlı DDS,&nbsp;Ufuk Durmuş MD,&nbsp;Nimet Ünlü DDS, PhD,&nbsp;E. Elif Mutafcılar Velioğlu DDS,&nbsp;Sema Yılmaz MD,&nbsp;Hatice Türk Dağı MD","doi":"10.1016/j.adaj.2026.03.009","DOIUrl":"10.1016/j.adaj.2026.03.009","url":null,"abstract":"<div><h3>Background</h3><div>Evidence on the relationship between rheumatoid arthritis (RA) and oral health remains inconsistent. In this cross-sectional study, the authors compared oral health–related quality of life (OHRQoL), caries experience, salivary function, periodontal status, and risk of developing caries in adults with RA and systemically healthy control participants.</div></div><div><h3>Methods</h3><div>Sixty-seven adults with RA (confirmed diagnosis for ≥ 2 years) and 64 age- and sex-comparable healthy control participants underwent comprehensive oral examinations including decayed, missing, and filled teeth and decayed, missing, and filled surfaces indexes, initial caries assessment, root caries evaluation, and Community Periodontal Index scoring. Unstimulated and stimulated salivary flow rates, pH, and buffering capacity were measured. Cariogram software, Version 1.3 (Malmö University) was used for caries risk profiling. Participants completed validated OHRQoL questionnaires.</div></div><div><h3>Results</h3><div>Patients with RA had significantly reduced salivary flow (both, <em>P</em> &lt; .001), higher buffering capacity (<em>P</em> = .034), and greater caries experience (decayed, missing, and filled teeth index: <em>P</em> = .035; missing teeth: <em>P</em> = .002). Results of a cariogram revealed lower caries-free probability in patients with RA (33% vs 52%). Periodontal findings were comparable (<em>P</em> = .075). OHRQoL was better in patients with RA (median, 5 vs 7; <em>P</em> = .047).</div></div><div><h3>Conclusions</h3><div>RA is associated with salivary hypofunction and increased risk of developing caries. Although patients with RA reported better OHRQoL, objective clinical assessments revealed elevated risk of developing caries, underscoring the need for comprehensive preventive strategies tailored to this population.</div></div><div><h3>Practical Implications</h3><div>Dental care professionals should implement regular caries risk assessments, salivary function monitoring, high-fluoride regimens, and oral hygiene protocols adapted to functional limitations for patients with RA to prevent progressive caries and tooth loss.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1174-1186.e1"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147948620","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":"Antibiotic stewardship: balancing patient care and public health","authors":"Council on Scientific Affairs","doi":"10.1016/j.adaj.2026.07.013","DOIUrl":"10.1016/j.adaj.2026.07.013","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1236-1240"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697655","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":"Authors’ Response","authors":"Liliane Roskamp PhD,&nbsp;Victor Luiz de Castro Santos MSc,&nbsp;Jaqueline Buzato DDS,&nbsp;Cintia Mussi Milani PhD,&nbsp;Eduarda Gaspari Campos Efeiche MSc,&nbsp;Carolina Aguiar Moreira PhD,&nbsp;Gabrielle Gonçalves dos Santos DDS,&nbsp;Natanael Henrique Ribeiro Mattos PhD,&nbsp;Camila Paiva Perin PhD","doi":"10.1016/j.adaj.2026.07.024","DOIUrl":"10.1016/j.adaj.2026.07.024","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1085-1086"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095377","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":"Postoperative pain after dental procedures","authors":"Muhammad F. Walji MS, PhD,&nbsp;Alfa-Ibrahim Yansane PhD,&nbsp;Sayali Tungare BDS, MPH, PhD,&nbsp;Rahma Mungia BDS, MSc, DDPHRCS BDS,&nbsp;David Holmes BDS, MS,&nbsp;Kim Funkhouser BS,&nbsp;Celeste Machen,&nbsp;Janelle Urata RDH, MS,&nbsp;Christoffer Redlund BA,&nbsp;Gautam Shirodkar BDS, MS,&nbsp;Hans Malmstrom DDS,&nbsp;David H. Yu DDS, MS,&nbsp;Oluwabunmi Tokede BDS, MPH, DMSc,&nbsp;D. Brad Rindal DDS,&nbsp;Gregg H. Gilbert DDS, MBA,&nbsp;Heiko Spallek Dr Med Dent, DMD, MSBA,&nbsp;Joel White DDS, MS,&nbsp;Elsbeth Kalenderian DDS, MPH, PhD","doi":"10.1016/j.adaj.2026.03.006","DOIUrl":"10.1016/j.adaj.2026.03.006","url":null,"abstract":"<div><h3>Background</h3><div>Managing postoperative dental pain is essential, but patient-reported data on pain and medication practices are scarce. The authors examined patient-reported pain, functional interference, and medication use after common dental procedures.</div></div><div><h3>Methods</h3><div>In this prospective observational cohort study, 2,674 adults in a multicenter US practice-based network reported pain intensity and interference via a mobile application. Outcomes were collected on days 0, 1, 3, 5, and 7 to assess trajectories across endodontics, periodontal surgery, oral surgery, and implant dentistry as well as multiple procedures within these 4 categories.</div></div><div><h3>Results</h3><div>Among 2,674 participants (mean age, 49.8 years; 55.6% were female), mean (SD) pain intensity scores (numerical rating scale in which 0 represents no pain and 10 represents worst imaginable pain) decreased from 3.0 (3.5) on day 0 (preoperative), 2.2 (2.4) on day 1, and to 0.9 (1.5) on day 7. Patient-reported opioid use declined from 6.6% on day 1 to 1.8% on day 7. After adjusting for various factors, undergoing multiple procedures at 1 visit yielded the highest odds of moderate pain, with an adjusted odds ratio (aOR) of 4.2 (95% CI, 2.1 to 8.5; <em>P</em> &lt; .01). Surgical periodontal procedures had the next highest odds of moderate pain with an aOR of 3.9 (95% CI, 1.9 to 8.2; <em>P</em> &lt; .01). Multiple procedures were also associated with severe difficulty falling asleep (aOR, 4.6; 95% CI, 1.7 to 11.9; <em>P</em> &lt; .01).</div></div><div><h3>Conclusions</h3><div>Postoperative pain and functional interference vary significantly according to procedure. Surgical tooth extractions and multiple procedures confer the highest risk of experiencing moderate through severe pain, which patients primarily managed with nonopioid analgesics.</div></div><div><h3>Practical Implications</h3><div>These study findings can guide patient counseling on pain trajectories and help develop procedure-specific, nonopioid pain management protocols to improve care and promote opioid stewardship.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1162-1173.e6"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147959641","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":"Pedunculated nodule on the hard palate","authors":"Bruna do Amaral Ferreira Souza DDS,&nbsp;Victor de Mello Palma DDS, PhD,&nbsp;Deisi Romitti Maglia DDS, MSc,&nbsp;Erick Souza Pedraça DDS, MSc,&nbsp;Igor Cavalcante Guedes DDS, MSc,&nbsp;Rita de Kássia Souza DDS, MSc,&nbsp;Pantelis Varvaki Rados DDS, PhD,&nbsp;Fernanda Visioli DDS, PhD","doi":"10.1016/j.adaj.2025.08.006","DOIUrl":"10.1016/j.adaj.2025.08.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1224-1229"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","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":"Prevention, planetary health, and sustainable dentistry","authors":"Nancy Hsu Hu DDS","doi":"10.1016/j.adaj.2025.12.018","DOIUrl":"10.1016/j.adaj.2025.12.018","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 10","pages":"Pages 1081-1083"},"PeriodicalIF":4.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290422","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}