Journal of the American Dental Association最新文献

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Outpatient antibiotic prescribing by general dentists in the United States from 2018 through 2022.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-06 DOI: 10.1016/j.adaj.2024.12.003

Cam-Van T Huynh, Katryna A Gouin, Lauri A Hicks, Sarah Kabbani, Michele Neuburger, Emily McDonald

Background: Dentists play a role in combatting antimicrobial resistance. This analysis characterizes antibiotic prescribing changes by dentists after the American Dental Association's dental infection treatment guideline was released in 2019.

Methods: The Xponent (IQVIA) database was used to extract antibiotic prescriptions dispensed from 2018 through 2022. General dentist prescriptions were compared with total outpatient oral antibiotics and summarized by patient and provider characteristics. Census denominators were used to calculate prescribing rates per 1,000 people.

Results: Dentists prescribed 24.65 million antibiotics in 2018 compared with 25.17 million in 2022, resulting in 75.5 prescriptions per 1,000 people for both years. From 2018 through 2022, dentists prescribed 9.8% through 12.1% of all outpatient antibiotics. Females, patients 65 years and older, and patients in the Northeast received the most antibiotic prescriptions.

Conclusions: Prescribing by general dentists remained stable from 2018 through 2022 despite guideline recommendations to limit antibiotic use for dental infections. Variation by patient and provider characteristics may represent unnecessary antibiotic use.

Practical implications: Antibiotic stewardship is needed to optimize prescribing in the dental care setting. The Centers for Disease Control and Prevention's Core Elements of Outpatient Antibiotic Stewardship framework can be adapted for dental stewardship implementation.

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引用次数: 0

Citizen science in dentistry and community oral health: A scoping review.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-06 DOI: 10.1016/j.adaj.2025.02.002

Rosemary S A Shinkai, Isabella de Lima Silva, Ezequiel Ortiz Rosa, Maria Gabriela H Biazevic

Background: The authors aimed to identify, describe, and discuss models and experiences of citizen science in dentistry and community oral health, with a focus on moderate through large involvement of citizens in the research process.

Types of studies reviewed: A search strategy was used in 6 databases and supplemented in gray literature with no restrictions on language or date. Eligible sources of evidence were observational studies, intervention studies, implementation studies, case study reports, and citizen science documents. Publications were assessed for final inclusion according to the eligibility criteria. Data were charted and synthetized qualitatively.

Results: From 1,236 records, 875 titles and abstracts were screened, 36 publications were selected for full-text reading, and 16 studies were included for data charting and analysis. All studies were conducted in North America, Europe, and Oceania. Participants were members of underserved communities, stakeholders (eg, dental care professionals, health care managers, and policy makers), and the general public. Most studies targeted socially disadvantaged local minority groups (eg, indigenous people, immigrants, and low-income families) with several health problems (eg, oral diseases, bad habits, and poor access to oral health care services).

Conclusions and practical implications: Citizen science in dentistry is still evolving, with concepts and methods for projects that require a multisectoral and interdisciplinary approach. The authors shared different possibilities for citizen science to directly address real-world oral health challenges, from local to multinational research problems. Citizen science can positively affect priority areas of prevention and education in oral health care across the life course, particularly for underserved groups.

{"title":"Citizen science in dentistry and community oral health: A scoping review.","authors":"Rosemary S A Shinkai, Isabella de Lima Silva, Ezequiel Ortiz Rosa, Maria Gabriela H Biazevic","doi":"10.1016/j.adaj.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.adaj.2025.02.002","url":null,"abstract":"<p><strong>Background: </strong>The authors aimed to identify, describe, and discuss models and experiences of citizen science in dentistry and community oral health, with a focus on moderate through large involvement of citizens in the research process.</p><p><strong>Types of studies reviewed: </strong>A search strategy was used in 6 databases and supplemented in gray literature with no restrictions on language or date. Eligible sources of evidence were observational studies, intervention studies, implementation studies, case study reports, and citizen science documents. Publications were assessed for final inclusion according to the eligibility criteria. Data were charted and synthetized qualitatively.</p><p><strong>Results: </strong>From 1,236 records, 875 titles and abstracts were screened, 36 publications were selected for full-text reading, and 16 studies were included for data charting and analysis. All studies were conducted in North America, Europe, and Oceania. Participants were members of underserved communities, stakeholders (eg, dental care professionals, health care managers, and policy makers), and the general public. Most studies targeted socially disadvantaged local minority groups (eg, indigenous people, immigrants, and low-income families) with several health problems (eg, oral diseases, bad habits, and poor access to oral health care services).</p><p><strong>Conclusions and practical implications: </strong>Citizen science in dentistry is still evolving, with concepts and methods for projects that require a multisectoral and interdisciplinary approach. The authors shared different possibilities for citizen science to directly address real-world oral health challenges, from local to multinational research problems. Citizen science can positively affect priority areas of prevention and education in oral health care across the life course, particularly for underserved groups.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567485","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

Understanding Multifocal Epithelial Hyperplasia.

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-05 DOI: 10.1016/j.adaj.2025.01.008

Austin J Davies

引用次数: 0

Association of dietary and plasma fatty acids with periodontitis

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2024.11.010

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

Background

The authors aimed to explore the association of fatty acids with periodontitis and its severity and to assess causality using Mendelian randomization (MR) analyses.

Methods

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.

Results

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.

Conclusions

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.

Practical Implications

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.

{"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}

引用次数: 0

Use of oral health services among pregnant women and associations with gestational diabetes and hypertensive disorders of pregnancy

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2024.11.013

Nozomi Sasaki PhD, MPH, Jinman Pang PhD, MS, Simona Surdu MD, PhD, Sage Shirey MA, Theekshana Fernando MBBS, MPH, Jean Moore DrPH

Background

The authors examined whether use of preventive oral health care services or visits to a dentist or dental clinic for problems during pregnancy is associated with gestational diabetes and hypertensive disorders of pregnancy.

Methods

Data from the 2016-2020 Pregnancy Risk Assessment Monitoring System, comprising 206,080 unweighted responses, were analyzed using descriptive statistics and multivariable logistic regression. The regression estimates were adjusted for sociodemographic and lifestyle characteristics, health history, geography, and survey year.

Results

Women who received a diagnosis of gestational diabetes (7.0%) or hypertensive disorders of pregnancy (13.3%) had lower rates of preventive oral health care and visits to a dentist or dental clinic for problems during pregnancy than those who did not have these health outcomes. Women who did not receive preventive oral health care had 1.13-fold greater odds (95% CI, 1.06 to 1.20) of having gestational diabetes and 1.08-fold greater odds (95% CI, 1.03 to 1.13) of having hypertensive disorders of pregnancy than those who did. Lack of needed visits to a dentist or dental clinic during pregnancy was associated with 1.28-fold greater odds (95% CI, 1.13 to 1.44) of having hypertensive disorders of pregnancy than in women without dental problems.

Conclusions

Using oral health care preventive services and visits to a dentist or dental clinic for problems during pregnancy was associated with decreased odds of having gestational diabetes and hypertensive disorders of pregnancy.

Practical Implications

Health care professionals should emphasize the importance of obtaining oral health care services to promote oral and overall health among pregnant women. Dentists need to improve their knowledge and willingness to treat pregnant women, especially those with pregnancy complications.

{"title":"Use of oral health services among pregnant women and associations with gestational diabetes and hypertensive disorders of pregnancy","authors":"Nozomi Sasaki PhD, MPH, Jinman Pang PhD, MS, Simona Surdu MD, PhD, Sage Shirey MA, Theekshana Fernando MBBS, MPH, Jean Moore DrPH","doi":"10.1016/j.adaj.2024.11.013","DOIUrl":"10.1016/j.adaj.2024.11.013","url":null,"abstract":"<div><h3>Background</h3><div>The authors examined whether use of preventive oral health care services or visits to a dentist or dental clinic for problems during pregnancy is associated with gestational diabetes and hypertensive disorders of pregnancy.</div></div><div><h3>Methods</h3><div>Data from the 2016-2020 Pregnancy Risk Assessment Monitoring System, comprising 206,080 unweighted responses, were analyzed using descriptive statistics and multivariable logistic regression. The regression estimates were adjusted for sociodemographic and lifestyle characteristics, health history, geography, and survey year.</div></div><div><h3>Results</h3><div>Women who received a diagnosis of gestational diabetes (7.0%) or hypertensive disorders of pregnancy (13.3%) had lower rates of preventive oral health care and visits to a dentist or dental clinic for problems during pregnancy than those who did not have these health outcomes. Women who did not receive preventive oral health care had 1.13-fold greater odds (95% CI, 1.06 to 1.20) of having gestational diabetes and 1.08-fold greater odds (95% CI, 1.03 to 1.13) of having hypertensive disorders of pregnancy than those who did. Lack of needed visits to a dentist or dental clinic during pregnancy was associated with 1.28-fold greater odds (95% CI, 1.13 to 1.44) of having hypertensive disorders of pregnancy than in women without dental problems.</div></div><div><h3>Conclusions</h3><div>Using oral health care preventive services and visits to a dentist or dental clinic for problems during pregnancy was associated with decreased odds of having gestational diabetes and hypertensive disorders of pregnancy.</div></div><div><h3>Practical Implications</h3><div>Health care professionals should emphasize the importance of obtaining oral health care services to promote oral and overall health among pregnant women. Dentists need to improve their knowledge and willingness to treat pregnant women, especially those with pregnancy complications.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 3","pages":"Pages 185-197.e2"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075005","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

Soreness and “flaking off” in right maxillary mucosa after eating chicken-fried steak 吃了炸鸡排后，右上颌粘膜疼痛并 "剥落"。

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2024.05.009

Yi-Shing Lisa Cheng DDS, MS, PhD, Chia-Ming Lee BDS, MS

引用次数: 0

Dentistry has been put on notice

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2025.01.001

Stephen K. Harrel DDS, Charles M. Cobb DDS, PhD

引用次数: 0

Video Quality

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2024.11.016

Carlos M. Ardila PhD, Pradeep K. Yadalam PhD

引用次数: 0

Patient self-reported perception and knowledge of periodontal disease

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2024.12.011

Jordan Pierce DDS, MS, Carlos Garaicoa-Pazmino DDS, MS, Tabitha K. Peter BA, Emilio Couso-Queiruga DDS, MS, Michael Schmerman DDS, MS, Aniruddh Narvekar BDS, MS, Fernando Suárez-López del Amo DDS, MS

Background

Limited information is available about patient knowledge and perceptions of periodontal diseases. In this observational, survey-based study, the authors investigated patients’ understanding of periodontal diseases and their experience after periodontal therapy using self-reported oral health–related quality of life.

Methods

Patients receiving oral health care at the College of Dentistry, University of Oklahoma, were recruited and surveyed about topics related to general knowledge, etiopathogenesis, treatment outcomes, level of treatment satisfaction, and oral health–related quality of life in the context of periodontal diseases. The collected data were analyzed using descriptive and bivariate statistical methods.

Results

A total of 190 surveys were collected. The results showed that 19.6% of patients did not know whether they had received a diagnosis of periodontitis and 13.7% were unaware whether they had undergone any treatment for it. Patients who reported having periodontitis had a better understanding of what a periodontal pocket was than healthy patients (79% vs 48%) and agreed smoking tobacco products could worsen the condition (92% vs 69%). Patients who had received a diagnosis of periodontal disease were more concerned about their teeth (eg, esthetics, tooth loss, function, and discomfort) than healthy patients (84.3% vs 58.9%). Lastly, a strong association was found between patients’ total knowledge scores and positive attitude toward their dental health and periodontal therapy.

Conclusions

Patients generally have a limited understanding of their periodontitis diagnosis and treatment. However, those requiring advanced treatment had a better understanding of their condition compared with patients not treated for periodontitis.

Practical implications

Clinicians will dedicate more time to patient education about periodontal diseases.

{"title":"Patient self-reported perception and knowledge of periodontal disease","authors":"Jordan Pierce DDS, MS, Carlos Garaicoa-Pazmino DDS, MS, Tabitha K. Peter BA, Emilio Couso-Queiruga DDS, MS, Michael Schmerman DDS, MS, Aniruddh Narvekar BDS, MS, Fernando Suárez-López del Amo DDS, MS","doi":"10.1016/j.adaj.2024.12.011","DOIUrl":"10.1016/j.adaj.2024.12.011","url":null,"abstract":"<div><h3>Background</h3><div>Limited information is available about patient knowledge and perceptions of periodontal diseases. In this observational, survey-based study, the authors investigated patients’ understanding of periodontal diseases and their experience after periodontal therapy using self-reported oral health–related quality of life.</div></div><div><h3>Methods</h3><div>Patients receiving oral health care at the College of Dentistry, University of Oklahoma, were recruited and surveyed about topics related to general knowledge, etiopathogenesis, treatment outcomes, level of treatment satisfaction, and oral health–related quality of life in the context of periodontal diseases. The collected data were analyzed using descriptive and bivariate statistical methods.</div></div><div><h3>Results</h3><div>A total of 190 surveys were collected. The results showed that 19.6% of patients did not know whether they had received a diagnosis of periodontitis and 13.7% were unaware whether they had undergone any treatment for it. Patients who reported having periodontitis had a better understanding of what a periodontal pocket was than healthy patients (79% vs 48%) and agreed smoking tobacco products could worsen the condition (92% vs 69%). Patients who had received a diagnosis of periodontal disease were more concerned about their teeth (eg, esthetics, tooth loss, function, and discomfort) than healthy patients (84.3% vs 58.9%). Lastly, a strong association was found between patients’ total knowledge scores and positive attitude toward their dental health and periodontal therapy.</div></div><div><h3>Conclusions</h3><div>Patients generally have a limited understanding of their periodontitis diagnosis and treatment. However, those requiring advanced treatment had a better understanding of their condition compared with patients not treated for periodontitis.</div></div><div><h3>Practical implications</h3><div>Clinicians will dedicate more time to patient education about periodontal diseases.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"156 3","pages":"Pages 239-250.e4"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382712","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

Addressing challenges of prenatal oral health care

IF 3.1 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of the American Dental Association

Pub Date : 2025-03-01 DOI: 10.1016/j.adaj.2024.12.012

Stefanie L. Russell DDS, MPH, PhD, Shulamite S. Huang PhD, Chloe Bird PhD, Richard E. Heyman PhD, Mary Kang DDS, Chengwu Yang MD, MS, PhD

引用次数: 0

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