Journal of the American Dental Association最新文献

{"title":"An unusual gingival lesion.","authors":"Josefina Martínez-Ramírez, Marina Silva, Alan Roger Santos-Silva, Pablo Agustin Vargas, Márcio Ajudarte Lopes","doi":"10.1016/j.adaj.2025.07.016","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.016","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030369","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 blind spot on fluoride: Responsibility vs lottery in dentistry and public health.","authors":"Moshe Porat Wojakowski, Yechiel Michael Barilan","doi":"10.1016/j.adaj.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.07.011","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033586","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)00424-6","DOIUrl":"10.1016/S0002-8177(25)00424-6","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Page A12"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926598","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":"JADA Reviewers","authors":"","doi":"10.1016/S0002-8177(25)00446-5","DOIUrl":"10.1016/S0002-8177(25)00446-5","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages A15-A17"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926593","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 census-matched survey of dental fear and fear-treatment interest in the United States","authors":"Richard E. Heyman PhD,&nbsp;Kelly A. Daly PhD,&nbsp;Salomi Aladia MA,&nbsp;Sarah L. Harris BA,&nbsp;Nicole A. Roitman BA,&nbsp;Annette C. Kim BA,&nbsp;Amy M. Smith Slep PhD","doi":"10.1016/j.adaj.2025.07.004","DOIUrl":"10.1016/j.adaj.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>The authors aimed to measure dental fear prevalence via the first national census-matched US adult sample and, among fearful people, interest in evidence-based digital fear treatment (ie, computerized, mobile application, and telehealth approaches) or reasons for declining.</div></div><div><h3>Methods</h3><div>A cross-sectional census-matched online survey (n = 1,003) was conducted (October 31-November 11, 2024) ensuring representation of US adult demographic characteristics. Dental fear was assessed using the validated Gatchel single-item scale (from 0 [no fear] through 10 [extreme fear]). People with moderate through severe fear were asked about their interest in digital treatment and, if they refused, about their reasons for declining.</div></div><div><h3>Results</h3><div>The prevalence was 72.6% (95% CI, 70.9% to 74.3%), with 45.8% reporting moderate fear and 26.8% reporting severe fear. Among fearful people, 71.2% (95% CI, 69.4% to 73.0%) were interested in digital treatment. Those who declined indicated skepticism about effectiveness (31.8%), satisfaction with their coping strategies (23.4%), and time concerns (22.3%).</div></div><div><h3>Conclusions</h3><div>Dental fear remains widespread in the United States, suggesting little progress in prevalence reduction. The high interest in digital treatment indicates demand for accessible interventions.</div></div><div><h3>Practical Implications</h3><div>Brief digital dental fear treatments offer potential for widespread dissemination. Public health messaging must address skepticism about treatment effectiveness and value among the fearful patients not yet interested (≈ 30%).</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 696-705.e3"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926587","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":"Oral health care use among an insured population after COVID-19","authors":"Joseph Dill DDS, MBA,&nbsp;Margherita Fontana DDS, PhD,&nbsp;Jim Bader DDS, MPH,&nbsp;Jeffrey Chaffin DDS, MPH, MBA, MHA,&nbsp;George Eckert MAS","doi":"10.1016/j.adaj.2025.02.007","DOIUrl":"10.1016/j.adaj.2025.02.007","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 693-695"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676885","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":"Steering clear of nicotine","authors":"Anita M. Mark","doi":"10.1016/j.adaj.2025.07.007","DOIUrl":"10.1016/j.adaj.2025.07.007","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Page 774"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926594","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":"Bactericidal efficacy of electrochemically activated solutions for dental unit waterlines","authors":"Zhe Zhong DDS, PhD,&nbsp;Wu Zhang MD,&nbsp;Erben Bayeta MS,&nbsp;Jessica J. Kim DDS,&nbsp;V. Leroy Leggitt DDS, MS, PhD,&nbsp;Udochukwu E. Oyoyo MPH,&nbsp;Mahdieh Noori BS,&nbsp;Yiming Li DDS, MSD, PhD","doi":"10.1016/j.adaj.2025.06.008","DOIUrl":"10.1016/j.adaj.2025.06.008","url":null,"abstract":"<div><h3>Background</h3><div>Biofilm formed on the interior surfaces of dental unit waterline (DUWL) tubing serves as a reservoir for planktonic microorganisms. The authors aimed to investigate the bactericidal efficacy of neutralized electrochemically activated solution (ECAS) for the water quality of DUWLs.</div></div><div><h3>Methods</h3><div>Twelve dental units were divided into group A (30 waterlines) and group B (6 waterlines) to be treated with the neutralized ECAS (ie, concentrated ECAS solution for shock treatment and diluted ECAS for daily maintenance, generated via the DW-8 countertop device [Dentaqua]) with different regimens. Three dental units (9 waterlines) were selected as a control group without treatment. Water samples were collected and then cultured to determine heterotrophic bacterial counts. Mann-Whitney <em>U</em> test and generalized estimating equations were used to determine the difference between groups. Tubing samples were evaluated by means of scanning electron microscopic analysis to assess the biofilm.</div></div><div><h3>Results</h3><div>The treatment was effective in diminishing the planktonic bacteria to meet the Centers for Disease Control and Prevention standards and inhibiting biofilm regrowth. Compared with the control group, the biofilm in DUWLs was partially removed in group A and group B at the end of treatment.</div></div><div><h3>Conclusions</h3><div>The neutralized ECAS is highly effective in eliminating the planktonic bacteria in DUWLs and is able to partially remove the established biofilm in DUWLs.</div></div><div><h3>Practical Implications</h3><div>The neutralized ECAS is a reasonable selection for biofilm prevention and inhibition in DUWLs.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 718-728.e2"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926589","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 mandibular overdentures supported by 1 or 2 implants","authors":"Gabriela da Silva Lemos DDS,&nbsp;Francisbênia Alves Silvestre DDS, MSc,&nbsp;Nicole Escórcio de Meneses DDS, MSc,&nbsp;Maudiela Isabel Arita Torres DDS, MSc,&nbsp;Isaac Augusto Dantas Nogueira DDS,&nbsp;Marcelo Barbosa Ramos DDS, MSc, PhD,&nbsp;Wagner Araújo de Negreiros DDS, MSc, PhD,&nbsp;Rômulo Rocha Regis DDS, MSc, PhD,&nbsp;Raniel Fernandes Peixoto DDS, MSc, PhD","doi":"10.1016/j.adaj.2025.06.005","DOIUrl":"10.1016/j.adaj.2025.06.005","url":null,"abstract":"<div><h3>Background</h3><div>The authors conducted an umbrella systematic review to evaluate the methodological quality of existing reviews and compare the clinical and patient-centered effectiveness of single implant–retained mandibular overdentures (1i-MOs) with 2 implant–retained mandibular overdentures (2i-MOs).</div></div><div><h3>Types of Studies Reviewed</h3><div>Systematic reviews with and without meta-analyses on 1i-MO and 2i-MO were included on the basis of a comprehensive literature search performed in June 2024 across MEDLINE via PubMed, Scopus, Embase, Web of Science, Cochrane Library, and System for Information on Grey Literature in Europe via OpenGrey databases. Independent reviewers performed study selection, data extraction, and analysis. Primary outcomes were implant loss and prosthesis failure. Secondary outcomes included marginal bone loss, general complications and maintenance needs, quality of life, patient satisfaction, masticatory function, and cost-effectiveness. The Risk of Bias in Systematic Reviews tool was used to assess the risk of bias in the studies.</div></div><div><h3>Results</h3><div>Of the 2,289 initial records, 8 systematic reviews (5 with meta-analyses and 3 without) met the inclusion criteria (κ = 0.90). Some meta-analyses provided strong short-term evidence favoring 1i-MO for implant loss, prosthesis failure, and marginal bone loss. However, long-term effectiveness remains uncertain due to nonsignificant results and wide 95% CIs. Patient-centered outcomes (satisfaction, quality of life, general complications and maintenance needs) were inconclusive, suggesting the need for further research. Risk of bias was low in 62.5% and high in 37.5% of the included reviews.</div></div><div><h3>Conclusions and Practical Implications</h3><div>Although some evidence suggests 1i-MO may reduce implant loss, prosthesis failure, and marginal bone loss in the short term, results of most comparisons showed no clinically meaningful differences or were inconclusive due to nonsignificant results and wide 95% CIs. Given the considerable risk of bias in some studies, further well-designed research is needed to confirm these potential benefits.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 706-717.e1"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926588","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":"Our greatest obligation","authors":"Brett Kessler DDS","doi":"10.1016/j.adaj.2025.07.006","DOIUrl":"10.1016/j.adaj.2025.07.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 9","pages":"Pages 689-692"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926599","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}