Journal of the American Dental Association最新文献

{"title":"Endodontic access with different computer navigation systems in calcified root canals.","authors":"Carmen García Franco, Elena Riad Deglow, Javier Montero, Francesc Abella Sans, Venkateshbabu Nagendrababu, Paul M H Dummer, Ana Belén Lobo Galindo, Álvaro Zubizarreta-Macho","doi":"10.1016/j.adaj.2024.09.011","DOIUrl":"10.1016/j.adaj.2024.09.011","url":null,"abstract":"<p><strong>Background: </strong>A range of computer-aided navigation techniques to aid endodontic access cavity preparation have been developed. The aim of this study was to analyze the accuracy of access cavities prepared with the aid of computer-aided static navigation (SN), computer-aided dynamic navigation (DN), and navigation based on augmented reality (AR) compared with a conventional freehand (FH) method in extracted mandibular teeth with calcified root canal systems.</p><p><strong>Methods: </strong>Forty single-rooted mandibular teeth were divided into 4 groups, and preoperative cone-beam computed tomographic scans and digital impressions through an intraoral scan were obtained. Access cavities were then prepared using SN (n = 10), DN (n = 10), AR (n = 10), or FH (n = 10), and postoperative cone-beam computed tomographic scans of each tooth were obtained to evaluate deviation of the access cavities between the virtually planned preoperative preparations and the actual postoperative preparations. Analysis of variance followed by Tukey post hoc tests were used to identify significant differences in deviation, with P values below .05 being considered significant.</p><p><strong>Results: </strong>Significant deviations of the access cavities were found coronally between SN and DN (P < .001), SN and AR (P < .001), DN and FH (P = .015), and AR and FH (P = .003) and apically between SN and AR (P = .003) and AR and FH (P = .006). There were significant differences at angular level between SN and DN (P < .001), SN and AR (P < .001), and SN and FH (P = .013).</p><p><strong>Conclusions: </strong>AR was associated with significantly smaller differences in dentin removal and cavity alignment than the SN, DN, and FH methods.</p><p><strong>Practical implications: </strong>Endodontic access cavity preparations using AR technology were more accurate than preparations using other techniques and have the potential to be adopted in clinical practice when canal systems are obliterated.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":"1043-1052"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623052","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":"Effectiveness of synchronous teledentistry consultations in facilitating treatment compliance of rural pediatric patients.","authors":"Bhoomi Shah, Sean W McLaren, Changyong Feng, Gene E Watson, Ronald J Billings, Dorota T Kopycka-Kedzierawski","doi":"10.1016/j.adaj.2024.09.015","DOIUrl":"10.1016/j.adaj.2024.09.015","url":null,"abstract":"<p><strong>Background: </strong>Limited access to pediatric oral health care in rural US areas is a substantial dental public health problem. In 2010, the Eastman Institute for Oral Health at the University of Rochester, initiated a synchronous teledentistry program to enhance oral health screenings, treatment planning, and treatment completion for rural pediatric patients who reside in the Western region of New York.</p><p><strong>Methods: </strong>Data from dental records of all pediatric patients who were participants in the teledentistry program from its inception on April 13, 2010 through December 31, 2022, were reviewed. Multiple logistic regression models were used to study the association between treatment compliance rate and age, sex, treatment modality, and impact of the COVID-19 pandemic.</p><p><strong>Results: </strong>Data from the dental records of 1,168 children were reviewed. Nine hundred fifty-four children (81.6%) completed the recommended treatment within 6 months of synchronous teledentistry consultation. Treatment completion rates varied significantly according to treatment modality. In-office consultation had the highest rate (96.8%), followed by oral sedation (89.7%) and operating room treatment (89.5%). Nitrous oxide (66.7%) had the lowest rate (P < .0001). Children recommended for nitrous oxide anxiolysis had the lowest odds of completing treatment (odds ratio, 0.25; 95% CI, 0.18 to 0.36; P < .0001) compared with other treatment modalities. Being older decreased the likelihood of completing treatment (odds ratio, 0.92; 95% CI, 0.85 to 0.99; P = .02). The COVID-19 pandemic did not significantly affect compliance rates.</p><p><strong>Conclusions: </strong>Synchronous teledentistry consultations with rural pediatric patients and their guardians or caregivers can effectively facilitate treatment completion for children with complex treatment needs in underserved areas.</p><p><strong>Practical implications: </strong>Synchronous teledentistry is a practical adjunct tool to be considered in dental offices.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":"1053-1059"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583493","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":"Endodontic and periapical status of patients with osteoporosis: A cross-sectional study with age- and sex-matched controls.","authors":"Selin Goker Kamalı, Dilek Turkaydın","doi":"10.1016/j.adaj.2024.09.010","DOIUrl":"10.1016/j.adaj.2024.09.010","url":null,"abstract":"<p><strong>Background: </strong>The aim of the authors was to evaluate the periapical and endodontic conditions of patients with osteoporosis and compare them with those of age- and sex-matched controls. The association between bisphosphonate (BiP) use and periapical and endodontic status in patients with osteoporosis was also investigated.</p><p><strong>Methods: </strong>Panoramic radiographs of 711 patients with osteoporosis and 711 age- and sex-matched healthy patients were examined. The presence and number of root canal-filled teeth (RCFT), inadequate RCFT (iRCFT), and teeth with apical periodontitis (AP) were evaluated. BiP treatment history of patients with osteoporosis was also recorded.</p><p><strong>Results: </strong>No significant difference was observed between the osteoporosis group and control group in terms of endodontic and periapical conditions. Results of bivariate logistic regression analysis showed a positive association between the number of teeth with AP and the number of iRCFT with AP and osteoporosis, and a negative association between the number of RCFT with AP and osteoporosis. Among the patients with osteoporosis, 37.5% used BiPs, specifically alendronate, ibandronate, zoledronate, and risedronate (34.3%, 24.9%, 10.6%, 7.2%, respectively). In addition, the results showed a negative association between BiP use and RCFT.</p><p><strong>Conclusions: </strong>As the number of teeth with AP and number of iRCFT with AP increased, patients were more likely to be in the osteoporosis group. These findings imply that periapical lesions may enlarge and become more detectable in patients with osteoporosis with lower bone density, and enhanced inflammatory response.</p><p><strong>Practical implications: </strong>Dentists can collaborate with health care professionals to manage the overall health of patients with osteoporosis to reduce the impact of osteoporosis on oral health and effectively treat dental problems, such as AP.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":"1022-1030"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583527","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":"Meredith A Bailey","doi":"10.1016/j.adaj.2024.11.008","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.11.008","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770003","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":"Consent for Artificial Intelligence in Dentistry.","authors":"Jelena Roganović","doi":"10.1016/j.adaj.2024.08.019","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.08.019","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770005","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 unusual oral manifestation of chronic lymphocytic leukemia: A case report and review of the literature.","authors":"Michele Lodolo, Richard Jordan, Alessandro Villa","doi":"10.1016/j.adaj.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.10.009","url":null,"abstract":"<p><strong>Background: </strong>Chronic lymphocytic leukemia (CLL) is the most prevalent type of leukemia in adults, characterized by the accumulation of mature-appearing, immunologically dysfunctional B lymphocytes in the blood, bone marrow, and secondary lymphoid organs. Oral manifestations of CLL are infrequent and less documented. The authors present a case of CLL in remission with multiple lesions of the palatal mucosa and a literature review of all reported cases of oral manifestations of CLL.</p><p><strong>Case description: </strong>A 75-year-old woman with hereditary hemochromatosis, hypogammaglobulinemia, and CLL in remission on ibrutinib sought treatment for multiple, asymptomatic, erythematous papules of the palatal mucosa incidentally noticed by her general dentist. A complete blood count revealed mild absolute lymphocytosis. Extraoral examination was unremarkable. A biopsy of 1 of the palatal mucosa lesions was obtained. Histopathologic examination revealed a focus of B-cell CLL, supported by immunohistochemistry showing the cells positive for cluster of differentiation 5, cluster of differentation 43, PAX-5, BCL-2, and LEF-1. The patient's hematologist-oncologist ruled out ibrutinib resistance due to Bruton tyrosine kinase (BTK) or PLCG2 mutations. Ibrutinib treatment was continued, and at the 1-year follow-up, only erythema of the palatal mucosa was observed.</p><p><strong>Practical implications: </strong>Oral health care providers should include CLL in the differential diagnosis for multiple erythematous papules of the palatal mucosa, particularly in the presence of absolute lymphocytosis. Early recognition of oral manifestations associated with CLL can prompt a timely referral.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729155","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":"We are in the midst of a major generational transition in dentistry.","authors":"Marko Vujicic, Brittany Flynn, Bradley Munson","doi":"10.1016/j.adaj.2024.10.011","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.10.011","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710534","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":"Frequent recreational cannabis use and its association with caries and severe tooth loss: Findings from the National Health and Nutrition Examination Survey, 2015-2018.","authors":"Ellyce Clonan, Parth Shah, Megan Cloidt, Nadia Laniado","doi":"10.1016/j.adaj.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.10.005","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to examine the association of frequent recreational cannabis (FRC) use with untreated coronal caries, untreated root surface caries, and severe tooth loss.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data obtained from 5,656 people, aged 18 through 59 years, who participated in the National Health and Nutrition Examination Survey from 2015 through 2018. FRC use was defined as self-reported use of marijuana or hashish at least once per month for the past 12 months. Log-binomial and logistic regression analyses were conducted before and after controlling for sociodemographic and behavioral factors to examine the association between FRC use and untreated coronal caries, root surface caries, and severe tooth loss.</p><p><strong>Results: </strong>Compared with non-FRC users, people reporting FRC use had 17% higher probabilities of having untreated coronal caries (95% CI, 1.02 to 1.35), 55% higher odds of having untreated root surface caries (95% CI, 1.21 to 1.99), and 41% higher odds of having severe tooth loss (95% CI, 1.00 to 1.99) after controlling for age, sex, race or ethnicity, nativity, education, family income to poverty ratio, and alcohol consumption.</p><p><strong>Conclusions: </strong>This study suggests that FRC use is associated with increased coronal caries, root surface caries, and severe tooth loss in the US adult population. Further longitudinal studies are warranted to assess the impact of varying frequencies, quantities, and forms of cannabis use.</p><p><strong>Practical implications: </strong>Dental care professionals should be aware that FRC use may be associated with caries and tooth loss.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710527","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":"Prognostic factors for autotransplanted third molars with completely formed roots: A retrospective cohort study.","authors":"Jiajia Xia, Ziyu Ge, Yanzhen Zhang, Jue Shi, Zhijian Xie","doi":"10.1016/j.adaj.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.10.004","url":null,"abstract":"<p><strong>Background: </strong>The autotransplant of third molars to replace missing teeth is gaining attention. This study aimed to analyze factors influencing the success, survival, and inflammatory root resorption (IRR) of autotransplanted third molars with completely formed roots.</p><p><strong>Methods: </strong>A total of 160 patients who underwent autotransplant of third molars with completely formed roots were evaluated retrospectively, involving 168 teeth. Preoperative, intraoperative, and postoperative variables were assessed to identify prognostic factors for success, survival, and IRR.</p><p><strong>Results: </strong>The average (SD) follow-up was 5.21 (1.99) years. The success, survival, and IRR rates were 75.0%, 91.1%, and 17.3%, respectively. Cox proportional hazards regression analysis revealed that both apical resection and retrofilling (ARR) (P < .001) and donor tooth replicas (P < .001 for success and IRR; P = .013 for survival) were associated significantly with success, survival, and IRR. Furthermore, root canal treatment timing and patient age significantly affected success and survival, respectively (P = .006 and P = .036). The use of donor tooth replicas significantly reduced both the surgical time (P < .001) and extraoral time of the donor tooth (P < .001), whereas ARR increased the extraoral time of the donor tooth (P = .002). The use of a single root donor tooth was associated with a reduced surgical time (P = .003).</p><p><strong>Conclusions: </strong>Using donor tooth replicas and avoiding ARR contributed to increased success and survival rates and prevented IRR.</p><p><strong>Practical implications: </strong>Third molars with completely formed roots are suitable donors for replacing missing teeth, provided that appropriate preoperative, intraoperative, and postoperative indications are considered.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710531","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 antibiotic use in British Columbia from 1996 through 2023: Are we backsliding?","authors":"Säde Stenlund, Jeremy Huynh, Clifford Pau, Erica Chuang, Hannah Lishman, David M Patrick","doi":"10.1016/j.adaj.2024.10.001","DOIUrl":"10.1016/j.adaj.2024.10.001","url":null,"abstract":"<p><strong>Background: </strong>Dentists in the United States and Canada have higher rates of prescribing broad-spectrum spectrum antibiotics than dentists in some other Western countries. The authors provide an overview of dental antibiotic prescribing trends from British Columbia, Canada.</p><p><strong>Methods: </strong>The data include all prescriptions filed from pharmacies in British Columbia from 1996 through 2023. Dental antibiotic prescribing trends were explored visually and stratified according to patient-related characteristics, type of health service area, type of antibiotic, duration of therapy, and dentist's experience. Interrupted time series regression analysis was conducted to investigate the impact of the COVID-19 pandemic on dental antibiotic prescribing.</p><p><strong>Results: </strong>Dentistry accounted for an increasing proportion of overall antibiotic consumption in British Columbia. Dental prescriptions increased to a peak rate during the COVID-19 pandemic and remained elevated into 2023. The median duration of prescription converged toward a 7-day supply during the study period.</p><p><strong>Conclusions: </strong>The authors documented how a decreasing trend in dental antibiotic prescribing prepandemic has been interrupted by means of continuously high rates after that event.</p><p><strong>Practical implications: </strong>Renewed efforts to ensure appropriateness of dental antibiotic prescribing are needed.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648242","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}