Donald L. Chi DDS, PhD, Shelley Guinn RDH, BSDH, MPH, Mary Ellen Shands RN, MN, Deeksha Nemawarkar BDS, MPH, Courtney M. Hill MS, Miriam Mayhle BA, Thinh T. Do BS, Sophie Li, Shraddha Panchal BDS, RDA
{"title":"Socioeconomic vulnerability and access to community water fluoridation in Washington","authors":"Donald L. Chi DDS, PhD, Shelley Guinn RDH, BSDH, MPH, Mary Ellen Shands RN, MN, Deeksha Nemawarkar BDS, MPH, Courtney M. Hill MS, Miriam Mayhle BA, Thinh T. Do BS, Sophie Li, Shraddha Panchal BDS, RDA","doi":"10.1016/j.adaj.2024.05.011","DOIUrl":"10.1016/j.adaj.2024.05.011","url":null,"abstract":"<div><h3>Background</h3><p>The aim of the authors was to determine whether socioeconomic vulnerability is associated with community water fluoridation (CWF).</p></div><div><h3>Methods</h3><p>The authors used US Census Bureau data to create 4 county-level vulnerability markers (percentages non-White, Hispanic or Latino, below the federal poverty threshold, education below high school), obtained county-level CWF data from the Washington State Department of Health, and evaluated associations using Spearman rank correlation coefficient and the Kruskal-Wallis rank sum test. The authors then interviewed 122 community members in Washington (December 2022-March 2023) and analyzed the interview data inductively.</p></div><div><h3>Results</h3><p>A higher percentage of non-White people at the county level was associated with a significantly higher level of CWF (Spearman rank correlation coefficient, 0.55; 95% CI, 0.29 to 0.82; <em>P</em> < .001), whereas county-level poverty was associated with significantly lower CWF (Spearman rank correlation coefficient, −0.36; 95% CI, −0.70 to −0.03; <em>P</em> = .02). High school completion was not associated with county-level CWF. Significantly larger proportions of Hispanics and Latinos lived in counties with higher CWF (<em>P</em> < .05). From the interviews, more participants thought tap water was healthy than unhealthy, but 41% had mixed feelings. Similarly, more participants thought CWF was acceptable than unacceptable, with 35% reporting mixed feelings. Negative views about tap water and CWF were more common among non-White participants.</p></div><div><h3>Conclusions</h3><p>People in racially and ethnically diverse communities in Washington appear to have greater access to CWF, whereas those in lower-income communities have poorer access.</p></div><div><h3>Practical Implications</h3><p>CWF is an important population-level strategy to prevent caries. Additional work is needed to improve access to CWF, especially for people from low-income communities.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 747-754.e2"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616695","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":"Peer review","authors":"J. Tim Wright DDS, MS","doi":"10.1016/j.adaj.2024.07.003","DOIUrl":"10.1016/j.adaj.2024.07.003","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 725-726"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875210","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":"ADA Business Program","authors":"","doi":"10.1016/j.adaj.2024.07.004","DOIUrl":"10.1016/j.adaj.2024.07.004","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 799-804"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142128917","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 pigmentation in a 15-year-old female patient","authors":"","doi":"10.1016/j.adaj.2023.10.012","DOIUrl":"10.1016/j.adaj.2023.10.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 788-792"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138560848","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":"Gender vs Sex","authors":"Leap Stewart BS, John K. Brooks DDS","doi":"10.1016/j.adaj.2024.06.013","DOIUrl":"10.1016/j.adaj.2024.06.013","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Page 733"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875209","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}
Andrew Tyus DDS, Karen Foster DDS, Jeffrey Kahl DDS
{"title":"Ethical concerns of social determinants of health and oral health care","authors":"Andrew Tyus DDS, Karen Foster DDS, Jeffrey Kahl DDS","doi":"10.1016/j.adaj.2024.07.006","DOIUrl":"10.1016/j.adaj.2024.07.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 797-798"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889593","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":"Right place, right time","authors":"Linda J. Edgar DDS, MEd","doi":"10.1016/j.adaj.2024.07.008","DOIUrl":"10.1016/j.adaj.2024.07.008","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 727-730"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141902107","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":"Evidence or else","authors":"Nicolás P. Skármeta MSc, DDS","doi":"10.1016/j.adaj.2024.06.012","DOIUrl":"10.1016/j.adaj.2024.06.012","url":null,"abstract":"<div><h3>Background</h3><p>Over the past decade, orthodontics has advanced markedly with digital methods, cutting-edge biomechanics, and 3-dimensional diagnostics. However, the rapid adoption of these innovations without rigorous evaluation of their evidential support has led to new unsubstantiated orthodontic-surgical indications.</p></div><div><h3>Methods</h3><p>This article explores emerging orthodontic practices, focusing on the interpretation of orthodontic principles and the reliance on imaging-based diagnoses.</p></div><div><h3>Results</h3><p>Strict adherence to mechanistic orthodontic principles and reliance on imaging findings can result in overzealous treatment protocols. It also emphasizes the state of knowledge regarding temporomandibular disorders (TMDs) and the lack of consensus and evidence-based guidelines.</p></div><div><h3>Conclusions</h3><p>There is an urgent need for the profession to integrate TMD knowledge, adopt evidence-based practices, and critically evaluate new methods before implementation.</p></div><div><h3>Practical Implications</h3><p>Orthodontists should move away from outdated mechanistic beliefs and integrate clinical knowledge from TMD research into their practices. Increased awareness and potential legal repercussions may drive a necessary reevaluation and stronger adherence to evidence-based methods.</p></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Pages 793-796"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141792726","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)00402-1","DOIUrl":"10.1016/S0002-8177(24)00402-1","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Page A12"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142128924","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":"ADA SmileCon 2024 concurrent meetings","authors":"","doi":"10.1016/j.adaj.2024.07.005","DOIUrl":"10.1016/j.adaj.2024.07.005","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"155 9","pages":"Page 805"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0002817724003738/pdfft?md5=9c37da1338ecbf651d28bcd1f32c8e43&pid=1-s2.0-S0002817724003738-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142128918","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}