Journal of the American Dental Association最新文献

{"title":"The use of electronic cigarettes and other tobacco products among university students and their potential relationship with oral health","authors":"","doi":"10.1016/j.adaj.2024.04.012","DOIUrl":"10.1016/j.adaj.2024.04.012","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to evaluate oral alterations among university students and explore possible associations with tobacco consumption in its various forms.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted in 2 phases: the first phase involved administering an electronic questionnaire to participants determine the prevalence of tobacco use and the second phase involved a physical examination of the participants. The participants were grouped on the basis of their reported habits and compared using statistical analysis (<em>P</em> &lt; .05).</p></div><div><h3>Results</h3><p>Of the 620 participants, 57.1% reported using tobacco in some form, with 47.4% reporting electronic cigarette (e-cigarette) use. In the clinical phase, comparing the presence of oral changes in tobacco users vs nonusers, e-cigarette users had a higher proportion of white-spot caries lesions (<em>P</em><span> = .041) and gingivitis (</span><em>P</em><span> = .012). When e-cigarette use was combined with other forms of tobacco use, additional oral changes were more prevalent, including coated tongue and nicotinic stomatitis (</span><em>P</em> &lt; .05).</p></div><div><h3>Conclusions</h3><p>The use of alternative forms of tobacco consumption is common among university students, with e-cigarette use being the most prevalent form, and may lead to detrimental effects on the oral cavity, such as caries and gingivitis, particularly when used in conjunction with other tobacco products.</p></div><div><h3>Practical Implications</h3><p>The use of tobacco in alternative forms, such as e-cigarettes, can affect oral health directly or indirectly. Dentists should be familiar with the characteristics of this population and the potential oral repercussions associated with tobacco use to address the impact on health and raise awareness of the associated risks.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327570","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":"Multiple painful oral ulcers of 1-week onset","authors":"","doi":"10.1016/j.adaj.2023.10.008","DOIUrl":"10.1016/j.adaj.2023.10.008","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478031","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 gingival enlargement adjacent to dental implant.","authors":"Sibele Nascimento de Aquino, Josefina Martínez Ramírez, Hélen Kaline Farias Bezerra, Mario Fernando de Góes, Alan Roger Santos-Silva, Pablo Agustin Vargas, Márcio Ajudarte Lopes","doi":"10.1016/j.adaj.2024.06.005","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.06.005","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734471","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":"Gingival nodule at the site of a previous connective tissue graft.","authors":"Carsen R McDaniel, Dawnyetta R Hixson, Thomas M Johnson, Kimberly Ann S Inouye","doi":"10.1016/j.adaj.2024.06.004","DOIUrl":"https://doi.org/10.1016/j.adaj.2024.06.004","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633766","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":"Evaluation of patients labeled with a penicillin allergy to promote antimicrobial stewardship in dental practice","authors":"Peter B. Lockhart DDS,&nbsp;Michael J. Durkin MD, MPH,&nbsp;Kimberly G. Blumenthal MD, MSc,&nbsp;Thomas M. Paumier DDS,&nbsp;Larry M. Baddour MD","doi":"10.1016/j.adaj.2024.03.003","DOIUrl":"10.1016/j.adaj.2024.03.003","url":null,"abstract":"<div><h3>Background</h3><p>Approximately 10% of the US population self-reports a penicillin allergy history or are labeled as penicillin allergic. However, from 90% through 99% of these patients are not allergic on formal evaluation.</p></div><div><h3>Case Description</h3><p>Patients labeled as penicillin allergic receive broader-spectrum and sometimes less-effective antibiotics, thereby contributing to increased treatment failures, antibiotic resistance, and adverse drug reactions. Self-reported penicillin allergy can be eliminated or classified as low-, medium-, or high-risk after a careful review of patient history. This allows these patients to be delabeled; that is, having any reference to their penicillin allergy history or of having an allergy to penicillin eliminated from their health records.</p></div><div><h3>Practical Implications</h3><p>Oral health care professionals are ideally placed to partner in both antibiotic stewardship interventions by means of recognizing pervasive mislabeling and aiding in the process of delabeling.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864347","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":"Implant and implant restoration trends among adults 50 years and older in the United States, National Health and Nutrition Examination Survey 1999-2020","authors":"Darien J. Weatherspoon DDS, MPH,&nbsp;Haiyan Chen MD, PhD,&nbsp;Bruce A. Dye DDS, MPH","doi":"10.1016/j.adaj.2024.03.005","DOIUrl":"10.1016/j.adaj.2024.03.005","url":null,"abstract":"<div><h3>Background</h3><p>Dental implants are an important treatment option in contemporary clinical dentistry. The objective of this study was to determine trends in the prevalence of dental implants and implant-supported restorations in adults 50 years and older across demographic groups over a 20-year period.</p></div><div><h3>Methods</h3><p>The authors used data from the National Health and Nutrition Examination Survey collected during 1999-2004, 2009-2014, and 2015-2020 for analyses. The authors used data from 2011 through 2020 to analyze implant-supported restoration trends. Participants 50 years or older were included in the study analytic sample. The primary outcome was the presence of dental implants and implant-supported restorations. Covariates assessed included dentition status, age, sex, race and ethnicity, education, poverty status, and smoking status. The authors used population estimates, weighted percentages, SEs, and logistic regression models for study analyses.</p></div><div><h3>Results</h3><p>There was a total of 17,114 adults from 1999 through 2020 and 11,292 adults from 2011 through 2020 meeting the inclusion criteria. The prevalence (SE) of at least 1 dental implant increased over time, from 1.3% (0.22%) in 1999-2004 to 8.4% (0.68%) in 2015-2020. In general, those who were non-Hispanic Black, experiencing poverty, and had less than a college education were less likely to have implants than their counterparts.</p></div><div><h3>Conclusions</h3><p>Although the overall prevalence of implants has increased over time, disparities in prevalence were observed among certain demographic groups.</p></div><div><h3>Practical Implications</h3><p>The use of dental implants in clinical dentistry has increased over time. Future research and policy initiatives could help address disparities in implant prevalence.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158410","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(24)00278-2","DOIUrl":"https://doi.org/10.1016/S0002-8177(24)00278-2","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481648","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":"Minimal changes in daily flossing behavior among US adults from 2009 through 2020","authors":"Lang Liang BS,&nbsp;Izzuddin M. Aris PhD","doi":"10.1016/j.adaj.2024.04.001","DOIUrl":"10.1016/j.adaj.2024.04.001","url":null,"abstract":"<div><h3>Background</h3><p>Flossing is considered to be an integral component of oral hygiene. The authors evaluated trends in daily flossing and their associations with sociodemographic variables.</p></div><div><h3>Methods</h3><p>The authors used data from the 2009-2020 National Health and Nutrition Examination Surveys, accounting for survey weights in all analyses. Descriptive statistics were computed for all study variables. Pooled univariable and multivariable logistic regression were performed to evaluate which sociodemographic factors were associated with daily flossing and to assess potential interactions with survey periods. Multivariable logistic regression was performed and stratified according to survey period.</p></div><div><h3>Results</h3><p>This study included 26,624 adults. Although the prevalence of daily flossing increased from 29.4% in 2009 through 2010 to 34.8% in 2017 through 2020, this increase was not significant after multivariable adjustment. Results of the pooled survey logistic regression also showed that participants who were older, female, Hispanic, and had a higher income to poverty ratio had higher odds of daily flossing. The interaction between education and survey period was significantly associated with daily flossing (<em>P</em> = .012). Logistic regression for each survey period corroborated the pooled model results.</p></div><div><h3>Conclusions</h3><p>Approximately 1 in 3 adults in the United States reported flossing daily (32.7%). Although the prevalence of daily flossing increased from 2009 through 2020, this change was not significant after controlling for sociodemographic variables.</p></div><div><h3>Practical Implications</h3><p>The nonsignificant changes in flossing behavior from 2009 through 2020 suggest that messaging to encourage adults to floss daily has had little effect. Although the authors did not elucidate the benefits of flossing, dental providers should continue to consider encouraging patients to floss until new evidence suggests otherwise.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945379","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":"Achieving oral health for all","authors":"David C. Johnsen DDS, MS,&nbsp;J. Tim Wright DDS, MS","doi":"10.1016/j.adaj.2024.05.001","DOIUrl":"10.1016/j.adaj.2024.05.001","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158408","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":"Influence of cavity wall thickness on the color adjustment potential of single-shade resin composites","authors":"Fabrício Luscino Alves de Castro DDS, MSc, PhD,&nbsp;Letícia Brandão Durand DDS, MSc, PhD","doi":"10.1016/j.adaj.2024.03.006","DOIUrl":"10.1016/j.adaj.2024.03.006","url":null,"abstract":"<div><h3>Background</h3><p>The color adjustment potential of resin composites depends on the specific characteristics of the surrounding structures. The authors evaluated the influence of cavity wall thickness on CIEDE2000 color adjustment potential (CAP₀₀) of single-shade composites using the CIEDE2000 color difference (ΔE₀₀) formula.</p></div><div><h3>Methods</h3><p>Two types of specimens were produced: single, using Vittra APS color DA3 (FGM Dental), Vittra APS Unique (VU) (FGM Dental), and Omnichroma (Tokuyama Dental) composites; and dual, using Vittra APS color DA3, but with cavity wall thicknesses of 3, 2, or 1 mm, restored with VU or Omnichroma. CIEL∗a∗b∗ color coordinates were obtained from digital photographs of the specimens at different locations, and ΔE₀₀ and CAP₀₀ were calculated. Statistical analysis included 2-way analysis of variance, Kruskal-Wallis, Holm-Sidak, Student-Newman-Keuls, Wilcoxon signed rank, and paired <em>t</em> tests (α = 5%).</p></div><div><h3>Results</h3><p>Cavity walls 1-mm-thick had higher ΔE₀₀ values and lower CAP₀₀ values, particularly for VU (<em>P</em> &lt; .05). Restorations matched better with the control at the periphery than the central area (<em>P</em> &lt; .001). Overall ΔE₀₀ means exceeded the color perceptibility threshold (ie, 0.8) and the acceptability threshold (ie, 1.8). Color differences (between center of restoration and control composite) were moderately unacceptable for 3-mm and 2-mm thicknesses and extremely unacceptable for 1-mm thickness. Both composites had a ΔE₀₀ color shift predominately determined by means of the lightness difference. Positive CAP₀₀ values were found for VU and Omnichroma.</p></div><div><h3>Conclusions</h3><p>Wall thickness, especially at 1 mm, negatively impacted the color of single- shade composites. This effect was more pronounced for VU, affecting mainly the restoration’s central area.</p></div><div><h3>Practical Implications</h3><p>Color matching ability depends on the structural and material characteristics, and clinicians should be attentive to these factors when using single-shade resin composites.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179861","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}