Journal of the American Dental Association最新文献

{"title":"An indurated mass of the lateral tongue.","authors":"John M Le, Sarah Fitzpatrick, Jessica Li, Anthony M Bunnell","doi":"10.1016/j.adaj.2025.08.009","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.08.009","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149554","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":"Variability of Medicaid reimbursement policies for silver diamine fluoride.","authors":"Katelyn Whitlatch, Carson Richardson, Juan Peng, Callihan Clayton, Beau Meyer","doi":"10.1016/j.adaj.2025.07.020","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.020","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086427","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":"Adolescent tobacco and nicotine prevention: Opportunities missed in the dental office.","authors":"Tracey E Barnett, Aro Choi, Stacey B Griner, Rahma Mungia, David Gimeno Ruiz de Porras, Scott L Tomar","doi":"10.1016/j.adaj.2025.08.002","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.08.002","url":null,"abstract":"<p><strong>Background: </strong>Despite declining rates of adolescent cigarette smoking, emerging products continue to pose a threat to youth. Oral health care professionals, who often see adolescents more frequently than other clinicians, are uniquely positioned to intervene.</p><p><strong>Methods: </strong>Data (N = 3,898 survey responses) were analyzed from the 2023 Florida Youth Tobacco Survey, a statewide, school-based assessment of tobacco behaviors. Additional analyses focused on high school students who reported a dental visit in the previous 12 months (n = 2,835). The Rao-Scott χ² test was used to examine whether the proportion of students who visited a dentist's office in the past 12 months differed by demographic characteristics. Logistic regression models were used to evaluate associations between demographic factors, electronic cigarette (e-cigarette) use, and reported discussion about the dangers of tobacco in dental settings.</p><p><strong>Results: </strong>Although more than 70% of high school students visited a dental office within the past year, only 13.1% reported being told about tobacco dangers by dental personnel. No significant (P > .05) associations by demographics were found for tobacco-related discussions. However, Hispanic students had lower odds than non-Hispanic White students of reporting receiving e-cigarette discussion, even after adjustment for e-cigarette use.</p><p><strong>Conclusions: </strong>Adolescents do not report having discussions at the dental office about tobacco product use. These findings reveal a missed opportunity for oral health care providers to engage in prevention and early intervention for adolescents, a population at high risk of initial tobacco exposure.</p><p><strong>Practical implications: </strong>Continuing dental education along with guidelines emphasizing prevention-focused discussions could substantially increase youth awareness of tobacco's harms and reduce future tobacco-related morbidity.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086384","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":"Yellow submucosal nodule in the anterior buccal vestibule.","authors":"Talita de Carvalho Kimura, Rayana Longo Bighetti-Trevisan, José Divaldo Prado, Pablo Agustin Vargas","doi":"10.1016/j.adaj.2025.07.022","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.022","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086463","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":"Introducing the American Dental Association Dental Experience and Research Exchange: An American Dental Association Clinical Data Warehouse for data-driven excellence in dentistry.","authors":"Neel Shimpi, Mark Jurkovich, Lauren Kirk, Anwar Merchant, Abhishek Sharma","doi":"10.1016/j.adaj.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.008","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081012","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":"Fissure on the dorsal tongue of an older adult.","authors":"Joab Cabral Ramos, Lara Maria Alencar Ramos Innocentini, Ana Luiza Oliveira Corrêa Roza, Pablo Agustin Vargas, Isabel Schausltz Pereira Faustino","doi":"10.1016/j.adaj.2025.08.004","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.08.004","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080884","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":"Perception and intention of dentists toward clinical volunteering for continuing education credits for license renewal.","authors":"Grace F Gomez, Kristin A Williams, Catherine Demko, Sena Narendran","doi":"10.1016/j.adaj.2025.07.018","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.018","url":null,"abstract":"<p><strong>Background: </strong>Certain state dental boards permit dentists to apply continuing education (CE) credits from clinical volunteerism toward license renewal. The authors assessed Ohio dentists' perceptions about, and intention toward, clinical volunteerism and their awareness of such CE credit benefits.</p><p><strong>Methods: </strong>An internet-based self-administered questionnaire about demographic, professional, and practice characteristics; perception about clinical volunteerism; and awareness of CE credit benefits was emailed to 6,281 dentists. Ten Likert scale items measured respondents' behavioral, normative, and control belief agreement levels about clinical volunteerism. Data analyses included descriptives, Spearman rank correlation, median test, computation of odds ratio (95% CI), and logistic regression.</p><p><strong>Results: </strong>Survey response rate was 6.5%; 59.1% of respondents were male, 80.3% were White, and 56% had more than 25 years of clinical practice. Some respondents (27.8%) accepted public health insurance in their practices, and only 35.7% were aware of the CE credit benefits for clinical volunteerism. Among the respondents, 81.5% believed that volunteering oral health care services was important, 78.3% were willing to help underserved communities, and 68.5% had provided nearly 40 hours of pro bono oral health care in the previous 2 years. The following were the significant predictors of respondents' intention to volunteer, confirmed by the 95% CI for the adjusted odds ratios: younger age (95% CI, 1.22 to 3.74), race and ethnicity (95% CI, 1.19 to 5.85), provision of pro bono oral health care (95% CI, 1.89 to 5.57), and more than 25 years in practice (95% CI, 1.81 to 5.58).</p><p><strong>Conclusions: </strong>The authors identified a need to publicize the CE credit benefits from clinical volunteerism toward license renewal.</p><p><strong>Practical implications: </strong>Dentists' positive perceptions of clinical volunteerism and intention to volunteer could help improve oral health care access to underserved populations.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040620","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":"Multilocular radiolucency in the mandibular ramus.","authors":"Niranzena Panneer Selvam, Abrar A Alamoudi, Ali Z Syed","doi":"10.1016/j.adaj.2025.07.015","DOIUrl":"10.1016/j.adaj.2025.07.015","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040529","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":"Enhancing dental education through virtual reality and haptic technologies.","authors":"Reinhard Chun Wang Chau, Sila Nur Usta, Mihaela Pantea, Nicola Shanks, Simona-Georgiana Schick, Fabio Andretti, Maria F Sittoni-Pino, Szabolcs Felszeghy, Barry Quinn, Sompop Bencharit","doi":"10.1016/j.adaj.2025.07.019","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.019","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033593","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":"Self-reported pain after buccal infiltration of articaine vs buccal and palatal infiltration of lidocaine for maxillary primary molar extractions: A noninferiority randomized clinical trial.","authors":"Danielle Cristina Alves Rigo, Pablo Silveira Santos, Bárbara Suelen Moccelini, Aurélio de Oliveira Rocha, Julia Maldonado Garcia, Isabela Ramos, Carla Miranda Santana, Mariane Cardoso","doi":"10.1016/j.adaj.2025.07.014","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.014","url":null,"abstract":"<p><strong>Background: </strong>Effective pain control is essential in pediatric dental procedures to ensure cooperation and minimize psychological trauma. Although lidocaine is the reference standard, articaine has been proposed as a less invasive alternative due to its superior diffusion properties.</p><p><strong>Methods: </strong>A randomized, single-blind, noninferiority clinical trial was conducted with 76 children aged 6 through 9 years requiring extraction of maxillary primary molars. Participants were allocated into 2 groups: single buccal infiltration with 4% articaine and conventional buccal and palatal infiltration with 2% lidocaine. The primary outcome was self-reported pain using a visual analog scale (ie, a 10-cm horizontal line where 0 represented no pain and 10 represented the most pain imaginable). Noninferiority was assessed with a predefined margin of 1.5 cm. Negative binomial regression was used to explore predictors of pain.</p><p><strong>Results: </strong>Mean (SD) pain scores were significantly higher in the articaine group (4.18 [3.41] cm) than the lidocaine group (1.68 [2.71] cm; P < .001). The upper limit of the 95% CI (3.90 cm) exceeded the noninferiority margin, precluding confirmation of noninferiority (P = .919). Results of regression analysis showed that articaine was associated with 2.15 times higher pain scores (P = .008) and increased heart rate correlated with increased pain (P = .023).</p><p><strong>Conclusions: </strong>Our findings do not support the use of buccal infiltration with 4% articaine only as a noninferior technique to conventional lidocaine infiltration with palatal injection in pediatric maxillary molar extractions.</p><p><strong>Practical implications: </strong>Buccal infiltration with articaine only may not be sufficient to ensure adequate anesthesia for extraction of maxillary primary molars. This clinical trial was registered at ClinicalTrials.gov. The registration number is NCT05443009.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033539","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}