Journal of the American Dental Association最新文献

{"title":"Orthodontic traction of a deeply impacted mandibular first molar via a ramus miniscrew through lateral-window technique","authors":"Qi Fan DDS,&nbsp;Hong Zhou DDS,&nbsp;Lingling Pu DDS,&nbsp;Shangyou Wen DDS,&nbsp;Jialun Li DDS,&nbsp;Wenli Lai DDS, PhD,&nbsp;Hu Long DDS, PhD","doi":"10.1016/j.adaj.2024.08.007","DOIUrl":"10.1016/j.adaj.2024.08.007","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of mandibular first molar impaction is less than 0.01%, and there are no standard treatment guidelines. Orthodontic traction can be chosen as a treatment plan in some circumstances. One miniscrew in the mandibular ramus can offer sufficient anchorage for the traction of impacted mandibular molars.</div></div><div><h3>Case Description</h3><div>A 10-year-old boy had a completely labially positioned maxillary left canine and a deeply impacted mandibular left first molar associated with a dentigerous cyst. Using 2 palatal miniscrews for distalization, space was created to align the maxillary left canine. In addition, a miniscrew in the mandibular ramus facilitated the traction of the mandibular left first molar. After 3 years and 6 months of orthodontic treatment, the integrity of the dental arch was restored, and occlusal function was reestablished.</div></div><div><h3>Practical Implications</h3><div>A ramus miniscrew is an effective and viable treatment option for the orthodontic traction of deeply impacted mandibular molars.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289908","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 changing face of dentistry","authors":"","doi":"10.1016/j.adaj.2023.12.003","DOIUrl":"10.1016/j.adaj.2023.12.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478735","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 catalyst for change","authors":"Brett Kessler DDS","doi":"10.1016/j.adaj.2024.08.006","DOIUrl":"10.1016/j.adaj.2024.08.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391491","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":"Second molar sealants among US adolescents and their association with select sociodemographic factors and first molar sealants","authors":"Shillpa Naavaal BDS, MS, MPH,&nbsp;Kathleen Tatro DrPH,&nbsp;Christina Scherrer PhD","doi":"10.1016/j.adaj.2024.07.010","DOIUrl":"10.1016/j.adaj.2024.07.010","url":null,"abstract":"<div><h3>Background</h3><div>Caries is an important public health concern. Dental sealants are effective in preventing caries; however, their uptake is suboptimal and little is known about second molar (2M) sealants. The authors examined the prevalence of 2M sealants among US adolescents and investigated the factors associated with their presence.</div></div><div><h3>Methods</h3><div>The authors conducted a cross-sectional analysis of 2011-2016 National Health and Nutrition Examination Survey data on adolescents aged 12 through 19 years with complete sealant data (n = 3,636). Race and ethnicity, income, and first molar (1M) sealant were primary variables of interest. The logistic regression models were used to estimate the factors associated with 2M sealants. All analyses used survey weights and accounted for complex survey design.</div></div><div><h3>Results</h3><div>Only 34.6% of adolescents (95% CI, 31.2% to 38.0%) had 2M sealants. Approximately 89.0% of adolescents (95% CI, 86.1% to 92.0%) with 2M sealants and 19.6% (95% CI, 17.1% to 22.2%) without 2M sealants had 1M sealants. In the adjusted models, race and ethnicity were strongly associated with 2M sealant presence, but the association did not hold when 1M sealant was included in the model. 1M sealants were the most significant factor explaining the presence of 2M sealants (odds ratio, 0.03; 95% CI, 0.02 to 0.04).</div></div><div><h3>Conclusions</h3><div>Two of 3 adolescents lacked 2M sealants, with considerable disparities in their presence. To improve adolescent oral health, clinical and community programs should increase delivery of 2M sealants.</div></div><div><h3>Practical Implications</h3><div>Study findings highlight the need to evaluate adolescent sealant delivery programs to improve the uptake of 2M sealants.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902108","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":"Lip and mucosal lesions.","authors":"Mark G Hochberg, Catherine G Chung, Robert M Hinkle, Susan R Mallery","doi":"10.1016/j.adaj.2024.08.008","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.08.008","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349077","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":"To do good and refrain from harm: Combating racism as an ethical and professional duty.","authors":"Carlos S Smith, Lisa E Simon","doi":"10.1016/j.adaj.2024.08.003","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.08.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289910","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":"Examining the association between untreated caries in children and parent fluoride treatment refusal","authors":"Gulaiim Almatkyzy PhD, MS,&nbsp;Kailey Thomsen DDS,&nbsp;Joshua C. Orack MPH,&nbsp;Jane K. Soper BS,&nbsp;Donald L. Chi DDS, PhD","doi":"10.1016/j.adaj.2024.06.003","DOIUrl":"10.1016/j.adaj.2024.06.003","url":null,"abstract":"<div><h3>Background</h3><p>In this case-control study, the authors examined the relationship between untreated caries in children and parent fluoride treatment refusal<span>. The authors hypothesized that parents of children with a history of untreated caries would be less likely to refuse topical fluoride for their children than parents of children with no history of untreated caries.</span></p></div><div><h3>Methods</h3><p>The study included children (≤ 18 years old) who were patients at a university dental clinic from January 2016 through June 2020. Children whose parents refused fluoride treatment were age-matched with children whose parents did not refuse fluoride treatment (n = 356). The outcome variable was parent topical fluoride refusal for their children (no, yes). The predictor variable was a history of untreated caries (no, yes). Confounding variable–adjusted modified Poisson regression models were used to estimate the prevalence ratio of parent fluoride refusal by means of children’s untreated caries status.</p></div><div><h3>Results</h3><p>Approximately 46.3% of children had a history of untreated caries. The prevalence of parent fluoride refusal for children with a history of untreated caries was significantly lower than that for children with no history of untreated caries (adjusted prevalence ratio, 0.79; 95% CI, 0.64 to 0.98; <em>P</em> = .03).</p></div><div><h3>Conclusions</h3><p>Parents of children with a history of caries are less likely to refuse topical fluoride treatment, which suggests that untreated caries may motivate parents to accept preventive dental treatments like fluoride.</p></div><div><h3>Practical Implications</h3><p>Dental care professionals should assess caries risk and communicate a child’s caries risk before making a recommendation regarding topical fluoride treatment.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633765","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 enigma of sleep","authors":"Davis C. Thomas BDS, DDS, MSD, MSc Med, MSc,&nbsp;Tanvee Somaiya BDS,&nbsp;Miguel Meira E. Cruz DDS, MSc,&nbsp;Priyanka Kodaganallur Pitchumani BDS,&nbsp;Anil Ardeshna DMD, MDS,&nbsp;Anjali Ravi BDS,&nbsp;Shranya Prabhakar BDS","doi":"10.1016/j.adaj.2024.05.007","DOIUrl":"10.1016/j.adaj.2024.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Sleep disturbances have been shown to result in considerable morbidity and mortality. It is important for dental clinicians to understand the neuroscience behind sleep disorders.</p></div><div><h3>Types of Studies Reviewed</h3><p>The authors conducted a search of the literature published from January 1990 through March 2024 of sleep medicine–related articles, with a focus on neuroscience. The authors prioritized articles about the science of sleep as related to dental medicine.</p></div><div><h3>Results</h3><p><span><span>The authors found a proliferation of articles related to sleep neuroscience along with its implications in dental medicine. The authors also found that the intricate neuroscientific principles of sleep medicine are being investigated robustly. The salient features of, and the differences between, central and </span>obstructive sleep apneas have been elucidated. Sleep genes, such as </span><span><span><em>CRY, </em><em>PER1</em><em>, </em></span><em>PER2</em><em>,</em></span> and <em>CLOCK,</em><span> and their relationship to cancer and neurodegeneration are also additions to this rapidly developing science.</span></p></div><div><h3>Conclusions and Practical Implications</h3><p>The dental clinician has the potential to be the first to screen patients for possible sleep disorders and make prompt referrals to the appropriate medical professionals. This can be lifesaving as well as minimize potential future morbidity for the patient.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616696","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 rare development of classical Hodgkin lymphoma in the head and neck region","authors":"Mariana A.S. Pereira,&nbsp;Giulia R. Santos,&nbsp;Juan M.A. Legarrea DDS,&nbsp;Giseli Mitsuy Kayahara BMS, MS, PhD,&nbsp;Felipe P. Fonseca DDS, MS, PhD,&nbsp;José Cândido C. Xavier-Junior MD, PhD,&nbsp;Glauco I. Miyahara DDS, MS, PhD,&nbsp;Daniel G. Bernabé DDS, MS, PhD,&nbsp;Mariana S. Urazaki MD,&nbsp;Gabriel M. Cortopassi MD,&nbsp;Vitor B. Valente DDS, MS, PhD","doi":"10.1016/j.adaj.2024.07.011","DOIUrl":"10.1016/j.adaj.2024.07.011","url":null,"abstract":"<div><h3>Background</h3><p>Classical Hodgkin lymphoma (CHL) is characterized by a proliferation of malignant cells of the lymphoreticular system and often involves lymph nodes, spleen, liver, and bone marrow; it is rare in the head and neck region.</p></div><div><h3>Case Description</h3><p>A 58-year-old man had an enlargement with ulceration in the left palatine tonsil that was causing dysphagia. Microscopic examination revealed an infiltrate of large, atypical lymphoid cells positive for cluster of differentiation 30, cluster of differentiation 15, PAX5, and Epstein-Barr virus. Complementary tests initially ruled out other sites of the disease. The results led to diagnosis of a rare development of CHL in the palatine tonsil, which was staged as IIEB. Before therapy was initiated, nodal lesions developed in the neck and the CHL was restaged as IIB. The patient was treated successfully with a regimen of doxorubicin, bleomycin, vinblastine, and dacarbazine. After a review of the literature, the authors found only 3 cases with the clinical, imaging, and microscopic features of primary CHL of the palatine tonsil.</p></div><div><h3>Practical Implications</h3><p>Despite being a rare event, CHL may first develop in extranodal sites, such as the palatine tonsil. In this context, the role of the dentist is pivotal for early diagnosis of the disease. Investigations into the development of primary tonsillar CHL in the oropharynx are needed because the disease has a different clinical course than nodal lesions.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902106","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":"Restorative and patient factors associated with repeat general anesthesia for dental treatments in young children","authors":"Ehsan N. Azadani DDS, MS,&nbsp;Misa Yoshioka DMD, MS,&nbsp;Jin Peng MD, MS, PhD,&nbsp;Janice Townsend DDS, MS,&nbsp;Kimberly Hammersmith DDS, MPH, MS,&nbsp;Paul Casamassimo DDS, MS","doi":"10.1016/j.adaj.2024.06.014","DOIUrl":"10.1016/j.adaj.2024.06.014","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to assess factors associated with higher odds of undergoing repeat general anesthesia (GA2) for dental treatments.</p></div><div><h3>Methods</h3><p>The authors studied children up to age 48 months of age enrolled in Medicaid who underwent dental treatment under first general anesthesia (GA1). The authors used a case-control design to compare children who had a GA2 within 48 months of GA1 (case patients) with those who did not (control patients).</p></div><div><h3>Results</h3><p>In total, 60 case patients were age and sex matched to 120 control patients. Mean (SD) age at GA1 was 38 (5.2) months for case participants and 40 (4.7) months for control participants (<em>P</em> = .08). Higher caries involvement of maxillary incisors (<em>P</em> = .04), and lower caries involvment of canines (<em>P</em> = .003), first molars (<em>P =</em> .012), and second molars (<em>P</em> &lt; .001) at GA1 was associated with higher odds of occurrence of GA2. There was a significant inverse association between full-coverage restoration on canines (<em>P</em> = .003), first molars (<em>P</em> = .001), and second molars (<em>P</em> = .002) at GA1 and occurrence of GA2. There was a significant direct association between the use of composites or sealants on second molars in GA1 and occurrence of GA2 (<em>P</em> = .02). The number of extractions at GA1 was not associated significantly with the occurrence of GA2.</p></div><div><h3>Conclusions</h3><p>The use of full-coverage restorations on primary molars and canines under general anesthesia (GA) was associated with lower odds of occurrence of GA2. Resin restorations and sealants on primary second molars were associated with higher odds of occurrence repeat GA. The findings support preferential use of full-coverage restorations for young children undergoing dental GA.</p></div><div><h3>Practical Implications</h3><p>Full-coverage restorations should be considered strongly for young children undergoing GA for dental treatments to reduce the risk of requiring GA2.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889594","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}