Journal of the American Dental Association最新文献_第9页

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-09-01 Epub Date: 2026-09-08 DOI: 10.1016/j.adaj.2026.07.005

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Artificial intelligence 人工智能：安全采用的战略重点。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-09-01 Epub Date: 2026-07-29 DOI: 10.1016/j.adaj.2026.06.008

Peter E. Murray PhD, JD, Franklin Garcia-Godoy DDS, MS, PhD

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From the tap to your teeth 从水龙头到牙齿：水氟化。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-09-01 Epub Date: 2026-09-08 DOI: 10.1016/j.adaj.2026.07.003

Anita M. Mark

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Association Directory 协会目录

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-09-01 Epub Date: 2026-09-08 DOI: 10.1016/S0002-8177(26)00486-1

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An indurated mass of the lateral tongue 硬块舌侧的硬块

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-09-01 Epub Date: 2025-09-26 DOI: 10.1016/j.adaj.2025.08.009

John M. Le MD, DDS, Sarah Fitzpatrick DDS, Jessica Li DDS, Anthony M. Bunnell MD, DMD

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Driving emerging technology to clinical impact 推动新兴技术对临床的影响。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-09-01 Epub Date: 2026-06-04 DOI: 10.1016/j.adaj.2026.01.021

W. Benton Swanson DDS, PhD, David T. Wu DMD, DMSc, Mutsumi Yoshida PhD, Jeanne Ambruster BA, Charles S. Sfeir DDS, PhD, William R. Wagner PhD, David J. Mooney PhD, William V. Giannobile DDS, DMSc, David H. Kohn PhD

{"title":"Driving emerging technology to clinical impact","authors":"W. Benton Swanson DDS, PhD, David T. Wu DMD, DMSc, Mutsumi Yoshida PhD, Jeanne Ambruster BA, Charles S. Sfeir DDS, PhD, William R. Wagner PhD, David J. Mooney PhD, William V. Giannobile DDS, DMSc, David H. Kohn PhD","doi":"10.1016/j.adaj.2026.01.021","DOIUrl":"10.1016/j.adaj.2026.01.021","url":null,"abstract":"<div><h3>Background</h3><div>Dental, oral, and craniofacial regenerative medicine has benefitted from fundamental scientific discoveries, yet the resulting technologies and therapies do not always generate the anticipated clinical impact. Despite robust progress and substantial investment in biomaterials and tissue engineering, few breakthroughs have achieved widespread adoption in the clinical arena.</div></div><div><h3>Types of Studies Reviewed</h3><div>The authors analyzed the translational bottlenecks, such as regulatory complexity, gaps in meaningful clinical evidence, and economic and cultural barriers, that have limited the impact of even US Food and Drug Administration–approved technologies.</div></div><div><h3>Results</h3><div>The authors highlight successful strategies from the Translational Resource Center, emphasize the importance of milestone-driven development and early clinical and stakeholder input, and propose a right-to-left translational paradigm that frames clinical adoption as the ultimate goal from project inception.</div></div><div><h3>Conclusions and Practical Implications</h3><div>By means of advocating for clinical evidence and outcomes that resonate with both patients and providers, the authors outlined a new road map for bridging the gap between emerging technologies and clinical impact.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 9","pages":"Pages 957-967"},"PeriodicalIF":4.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148157030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuroscience and neurocircuitry of substance use disorders: Implications for dental clinicians and patients. 物质使用障碍的神经科学和神经回路：对牙科临床医生和患者的影响。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-08-28 DOI: 10.1016/j.adaj.2026.05.016

Davis C Thomas, Tanvee Somaiya, Shranya Prabhakar, Devon Thomas, Anjali Ravi, Anu Priya Guruswamy Pandian

{"title":"Neuroscience and neurocircuitry of substance use disorders: Implications for dental clinicians and patients.","authors":"Davis C Thomas, Tanvee Somaiya, Shranya Prabhakar, Devon Thomas, Anjali Ravi, Anu Priya Guruswamy Pandian","doi":"10.1016/j.adaj.2026.05.016","DOIUrl":"https://doi.org/10.1016/j.adaj.2026.05.016","url":null,"abstract":"<p><strong>Background: </strong>There has been an increase in the global prevalence and incidence of substance use disorders (SUDs). The global negative impact of the same has been substantial. Considerable morbidity and mortality have been associated with SUDs, in addition to its major societal and quality of life impacts. Considering the role dental clinicians play in dental and other orofacial pain management, it is highly desirable that the impact of the use of potentially addicting medications be reviewed by the dental community. To this effect, a clear understanding of the neuroscience of SUDs becomes paramount.</p><p><strong>Types of studies reviewed: </strong>The authors searched 5 major databases, including PubMed, Google Scholar, Web of Science, Embase, and Ovid MEDLINE, for articles pertaining to the neuroscience of SUDs. The authors conducted a search of the literature published from 1990 through March 15, 2026, for SUD-related articles with a focus on neuroscience.</p><p><strong>Results: </strong>The concept of terminology such as substance abuse and drug abuse has changed drastically and evolved into the novel concept of SUDs. Medications such as opioids, if not prescribed judiciously, have an inherent risk of converting a vulnerable patient into a patient with an SUD. The dentist has a crucial role to play in preventing and aiding in the management of SUDs.</p><p><strong>Conclusions and practical implications: </strong>Clinicians in general and dental clinicians can potentially be the first line of defense against a rise in SUDs by virtue of the possibility of screening, reporting, managing care, and promptly referring these patients.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851055","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}

引用次数: 0

Vaso-occlusive crisis in the cervicofacial region in sickle cell anemia. 镰状细胞性贫血患者颈面区血管闭塞危象。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-08-28 DOI: 10.1016/j.adaj.2026.05.024

Brian M Will, Justin J Pratt, Akinrinola Famuyide, Sidney B Eisig

{"title":"Vaso-occlusive crisis in the cervicofacial region in sickle cell anemia.","authors":"Brian M Will, Justin J Pratt, Akinrinola Famuyide, Sidney B Eisig","doi":"10.1016/j.adaj.2026.05.024","DOIUrl":"https://doi.org/10.1016/j.adaj.2026.05.024","url":null,"abstract":"<p><strong>Background: </strong>Sickle cell anemia (SCA) is an autosomal recessive disorder characterized by a point mutation in the β-globin chain of the hemoglobin protein, causing abnormal folding. This can lead to sickling of red blood cells, agglutination, and ultimately vascular obstruction, which rarely occurs in the cervicofacial region.</p><p><strong>Case description: </strong>This report reviews a rare case of vaso-occlusive crisis (VOC) in the cervical vertebrae and mandible, manifesting as severe mandibular pain of unknown origin in a patient with SCA. The patient experienced diffuse body pain, 3 days in duration, and most prominent in the right hemimandible. Symptoms were refractory to hydration and analgesics, requiring intensive care unit admission. Jaw pain persisted, and magnetic resonance imaging of the face was significant for enhancement in the right posterior hemimandible with surrounding soft-tissue inflammatory changes. Differential diagnoses included osteonecrosis, osteomyelitis, odontogenic infection, extramedullary hematopoiesis, and VOC. The patient lacked signs and sequelae of infection or hematopoiesis; therefore, the pain was attributed to bone infarcts secondary to VOC. The patient was placed on a multimodal analgesic regimen with resolution of symptoms and was discharged in stable condition.</p><p><strong>Practical implications: </strong>This case illustrates an unusual manifestation of severe jaw pain of unknown origin that was determined to be caused by VOC of the mandible. This highlights the need for dentists to understand SCA pathophysiology and their integral role in the diagnosis of atypical facial pain in patients with SCA. Dentists may be the first to recognize manifestations of SCA, emphasizing their role in patient education and interdisciplinary care.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851075","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}

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Dentition status, dental care visits, and incremental expenditures in US adults, 2016-2018. 2016-2018年美国成年人的牙齿状况、牙科护理访问和增量支出。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-08-28 DOI: 10.1016/j.adaj.2026.05.025

McKing Amedari, Paul Byers, Ayomide Olatigbe, William L Boteler, Adejare Jay Atanda

{"title":"Dentition status, dental care visits, and incremental expenditures in US adults, 2016-2018.","authors":"McKing Amedari, Paul Byers, Ayomide Olatigbe, William L Boteler, Adejare Jay Atanda","doi":"10.1016/j.adaj.2026.05.025","DOIUrl":"https://doi.org/10.1016/j.adaj.2026.05.025","url":null,"abstract":"<p><strong>Background: </strong>Although edentulism prompts a continued need for professional care, related use and expenditures are not well characterized. The authors evaluated associations between dentition status and dental care visits and incremental expenditures among US adults.</p><p><strong>Methods: </strong>Using 2016-2018 Medical Expenditure Panel Survey data and 2015-2017 National Health Interview Survey results, the authors categorized dental care visits as occurring within 12 months and dentition as edentate or dentate. Using Poisson regression, the authors estimated the association between dentition and visits, controlling for sociodemographic covariates. Using a 2-part model, they determined incremental expenditures adjusted to 2023 health care rates.</p><p><strong>Results: </strong>The sample of 66,639 adults represented 236 million people in the United States, 6.3% of whom were edentate. Lack of dental care visits in the previous 12 months was higher among edentate adults (81.2%) compared with dentate adults (55.2%). After controlling for covariates, edentate adults had significantly lower visit prevalence (20.1%) than dentate adults (44.5%; adjusted prevalence ratio, 0.45; 95% CI, 0.41 to 0.49). The adjusted mean expenditure was $359.70 for dentate adults and $276.00 for edentate adults. Edentate adults incurred $83.70 less per capita in adjusted incremental expenditures (P < .002).</p><p><strong>Conclusions: </strong>Edentulism is associated with significantly fewer visits and lower expenditures despite the need linked to the natural aging of dental tissues.</p><p><strong>Practical implications: </strong>The study results revealed a paradox; people with the highest potential oral health care needs are the least likely to access care. This differential access to oral health care could be due to socially framed circumstances, and integrating oral health care with primary and geriatric care can help address this in the most affected population groups.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851023","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}

引用次数: 0

Longitudinal association between social frailty and poor oral health-related quality of life among middle-aged and older adults: Exploring the mediating role of cognitive function using a nationally representative cohort in the Republic of Korea. 社会脆弱性与中老年口腔健康相关生活质量差之间的纵向关联：利用韩国一项具有全国代表性的队列研究探索认知功能的中介作用。

IF 4.4 2区医学

Journal of the American Dental Association Pub Date : 2026-08-27 DOI: 10.1016/j.adaj.2026.05.026

Seong-Uk Baek, Jin-Ha Yoon

{"title":"Longitudinal association between social frailty and poor oral health-related quality of life among middle-aged and older adults: Exploring the mediating role of cognitive function using a nationally representative cohort in the Republic of Korea.","authors":"Seong-Uk Baek, Jin-Ha Yoon","doi":"10.1016/j.adaj.2026.05.026","DOIUrl":"https://doi.org/10.1016/j.adaj.2026.05.026","url":null,"abstract":"<p><strong>Background: </strong>Although the health implications of social frailty have drawn great interest, research on its relationship with oral health is scarce. The authors examined the relationship between social frailty and oral health-related quality of life (OHRQoL) and the mediating role of cognitive function.</p><p><strong>Methods: </strong>The authors analyzed 5,227 middle-aged and older adults. Social frailty was measured using 5 domains and grouped as non-social frailty, pre-social frailty, and social frailty. Cognitive function and OHRQoL were measured using the Mini-Mental State Examination and the Geriatric Oral Health Assessment Index, respectively. Linear regression was used to analyze the association between social frailty and OHRQoL, and the mediating role of cognitive function was estimated using the mediation analysis, expressed as natural indirect effects.</p><p><strong>Results: </strong>At baseline, 64.7%, 21.8%, and 13.5% of the participants had non-social frailty, pre-social frailty, and social frailty, respectively. Compared with non-social frailty, both pre-social frailty (β = -0.87; 95% CI, -1.54 to -0.32) and social frailty (β = -0.92; 95% CI, -1.66 to -0.03) were associated with poorer subsequent OHRQoL. The natural indirect effects of the mediating role of cognitive function was -0.11 (95% CI, -0.20 to -0.08) for pre-social frailty and -0.22 (95% CI, -0.37 to -0.16) for social frailty, accounting for 13.1% and 23.5% of the total associations, respectively.</p><p><strong>Conclusions: </strong>Social frailty was negatively associated with subsequent OHRQoL among middle-aged and older adults. Poor cognitive function may partially explain this association.</p><p><strong>Practical implications: </strong>Comprehensive interventions aimed at enhancing social engagement and cognitive function may be essential for the improvement of oral health outcomes.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148829814","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}

引用次数: 0