{"title":"Treatment Choices","authors":"Todd Connell DDS, MS","doi":"10.1016/j.adaj.2024.12.013","DOIUrl":"10.1016/j.adaj.2024.12.013","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 4","pages":"Page 282"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785767","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}
Nadia Laniado DDS, MPH, MS, Parth Shah DDS, MPH, Megan Cloidt DDS, MPH, Erica Robles MBA, Victor Badner DMD, MPH, Elana Sydney MD
{"title":"Point-of-care glycemia testing in a safety-net dental care setting","authors":"Nadia Laniado DDS, MPH, MS, Parth Shah DDS, MPH, Megan Cloidt DDS, MPH, Erica Robles MBA, Victor Badner DMD, MPH, Elana Sydney MD","doi":"10.1016/j.adaj.2025.01.006","DOIUrl":"10.1016/j.adaj.2025.01.006","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to assess the feasibility of screening at-risk adult dental patients for abnormal blood glucose levels by means of using a chairside finger-stick test that measures glycated hemoglobin (HbA<sub>1c</sub>) levels.</div></div><div><h3>Methods</h3><div>A total of 260 high-risk adult patients, as classified by the American Diabetes Association and Centers for Disease Control and Prevention Prediabetes Risk Test, with no history of diabetes received a chairside HbA<sub>1c</sub> finger-stick test. Descriptive statistics and χ<sup>2</sup> and Fisher exact tests were used to examine associations of HbA<sub>1c</sub> levels with risk scores and study participants’ characteristics.</div></div><div><h3>Results</h3><div>Results of chairside testing indicated that 34.2% had undiagnosed prediabetes and 6.6% had undiagnosed diabetes. Results of the postprocedure questionnaire showed high levels of acceptance and satisfaction with the testing. At 6 months after testing, 64.6% of patients with dysglycemia had consulted their primary care provider for follow-up.</div></div><div><h3>Conclusions</h3><div>Dental care professionals are in a unique position to collaborate with physicians and other health care providers in the identification of undiagnosed prediabetes and diabetes. Targeted chairside diabetes testing in the oral health care setting for high-risk patients is a viable public health primary preventive measure.</div></div><div><h3>Practical Implications</h3><div>Screening is pivotal for the early detection, prevention, and management of diabetes, and the dental care setting, where chairside testing is a viable strategy, may be an important venue in confronting the diabetes epidemic.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 4","pages":"Pages 292-299.e1"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586106","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}
Shaiba Sandhu DDS, MS, Sonya Kalim DMD, MS, Demetria Ileana Strauch Jacks MD, Muhammad Ali Shazib DMD
{"title":"Metastatic neuroendocrine carcinoma of the small intestine presenting as temporomandibular disorder","authors":"Shaiba Sandhu DDS, MS, Sonya Kalim DMD, MS, Demetria Ileana Strauch Jacks MD, Muhammad Ali Shazib DMD","doi":"10.1016/j.adaj.2025.02.008","DOIUrl":"10.1016/j.adaj.2025.02.008","url":null,"abstract":"<div><h3>Background</h3><div>Neuroendocrine carcinomas (NECs) are rare tumors from hormone-secreting neuroendocrine cells, often within the gastrointestinal tract. The authors report what is, to their best knowledge, the first case of a small intestine NEC metastasizing to the temporomandibular joint (TMJ).</div></div><div><h3>Case Description</h3><div>A 60-year-old man came to the oral medicine, oncology, and orofacial pain clinic with a chief concern of left-sided jaw pain. Clinical examination revealed left TMJ arthralgia and deep masseter myalgia, and results of imaging showed both osteoblastic and osteolytic changes in the left TMJ. A comprehensive diagnostic approach, including detailed history, clinical evaluation, and advanced imaging techniques, such as positron emission tomography computed tomography, was used to establish an accurate diagnosis.</div></div><div><h3>Practical Implications</h3><div>This case highlights the importance of considering metastasis in differential diagnosis of TMJ pain in patients with NEC, underscoring collaboration between oncology and orofacial pain specialists for accurate diagnosis and effective management.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 4","pages":"Pages 320-326"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605431","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":"Play it safe: wear a mouthguard","authors":"Anita M. Mark","doi":"10.1016/j.adaj.2025.02.009","DOIUrl":"10.1016/j.adaj.2025.02.009","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 4","pages":"Page 342"},"PeriodicalIF":3.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785217","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}
Joseph Dill, Margherita Fontana, Jim Bader, Jeffrey Chaffin, George Eckert
{"title":"Oral health care use among an insured population after COVID-19: An update.","authors":"Joseph Dill, Margherita Fontana, Jim Bader, Jeffrey Chaffin, George Eckert","doi":"10.1016/j.adaj.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.007","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-21","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}
Corissa P Chang, Nile Hodges, John Lankalis, Daniel Sierra-Vasquez, Brian Ford
{"title":"A pediatric patient with mandibular swelling.","authors":"Corissa P Chang, Nile Hodges, John Lankalis, Daniel Sierra-Vasquez, Brian Ford","doi":"10.1016/j.adaj.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676882","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}
Davis C Thomas, Damian Lee, Steven R Singer, Christian Loo, Priyanka Kodaganallur Pitchumani, Noamaan Ahmed
{"title":"Asymptomatic unilateral radiopacity in a 59-year-old man.","authors":"Davis C Thomas, Damian Lee, Steven R Singer, Christian Loo, Priyanka Kodaganallur Pitchumani, Noamaan Ahmed","doi":"10.1016/j.adaj.2025.02.004","DOIUrl":"10.1016/j.adaj.2025.02.004","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657602","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}
Deepak Pandiar, Reshma Poothakulath Krishnan, NishaJaisree S
{"title":"An ulcerated lesion on the floor of the mouth.","authors":"Deepak Pandiar, Reshma Poothakulath Krishnan, NishaJaisree S","doi":"10.1016/j.adaj.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657601","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":"Innovation in oral health: a mandate for equity.","authors":"Kaz Rafia","doi":"10.1016/j.adaj.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586104","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}
Bingqin Xie MM, Yuying Wu MM, Zilin Liu MPH, Yu Huang MPH, Qun Lu BM, Ayuan Bian BM, Bingxin Han BM, Yansheng Yan BM, Yicheng Lai BM, Baochang He PhD, Yanfen Li PhD, Fuhua Yan PhD, Lingjun Yan PhD, Fa Chen PhD
{"title":"Association of dietary and plasma fatty acids with periodontitis","authors":"Bingqin Xie MM, Yuying Wu MM, Zilin Liu MPH, Yu Huang MPH, Qun Lu BM, Ayuan Bian BM, Bingxin Han BM, Yansheng Yan BM, Yicheng Lai BM, Baochang He PhD, Yanfen Li PhD, Fuhua Yan PhD, Lingjun Yan PhD, Fa Chen PhD","doi":"10.1016/j.adaj.2024.11.010","DOIUrl":"10.1016/j.adaj.2024.11.010","url":null,"abstract":"<div><h3>Background</h3><div>The authors aimed to explore the association of fatty acids with periodontitis and its severity and to assess causality using Mendelian randomization (MR) analyses.</div></div><div><h3>Methods</h3><div>Data for participants with complete data were extracted from the 2009-2014 National Health and Nutrition Examination Survey. Weighted logistic regression was used to explore the relationship between dietary fatty acids and periodontitis and its severity. Univariable and multivariable MR analyses were performed to explore the causal association between plasma fatty acids and periodontitis.</div></div><div><h3>Results</h3><div>Two types of saturated fatty acids (hexadecanoic C16:0, octadecanoic C18:0) and monounsaturated fatty acids (hexadecenoic C16:1, docosenoic C22:1) and 3 types of polyunsaturated fatty acids (eicosatetraenoic C20:4, eicosapentaenoic C20:5, docosahexaenoic C22:6) were positively associated with periodontitis. Conversely, octadecadienoic (C18:2, a type of polyunsaturated fatty acid), total polyunsaturated fatty acids, and omega-6 fatty acids were negatively associated with periodontitis. Similar association patterns were also found between these fatty acids and the severity of periodontitis. Results of MR analyses revealed that no significant association was found between plasma fatty acids and periodontitis.</div></div><div><h3>Conclusions</h3><div>The authors provided evidence of significant associations between certain fatty acids and periodontitis and its severity, highlighting their contributory role, although the evidence does not support a causal role based on the results of MR-based analyses.</div></div><div><h3>Practical Implications</h3><div>The results of this study support a contributory or inhibitory role of fatty acids in the progression of periodontitis, although not as a direct cause, and underscored the importance of maintaining a balanced dietary lipid profile for periodontal health.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 3","pages":"Pages 198-210.e28"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143039558","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}