Journal of the American Dental Association最新文献

英文中文

To do good and refrain from harm: Combating racism as an ethical and professional duty. 行善不害人：打击种族主义是一项道德和职业责任。

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

Journal of the American Dental Association

Pub Date : 2024-09-12 DOI: 10.1016/j.adaj.2024.08.003

Carlos S Smith, Lisa E Simon

引用次数: 0

Examining the association between untreated caries in children and parent fluoride treatment refusal 研究儿童龋齿未得到治疗与家长拒绝氟化物治疗之间的关系。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.06.003

Gulaiim Almatkyzy PhD, MS, Kailey Thomsen DDS, Joshua C. Orack MPH, Jane K. Soper BS, Donald L. Chi DDS, PhD

Background

In this case-control study, the authors examined the relationship between untreated caries in children and parent fluoride treatment refusal. The authors hypothesized that parents of children with a history of untreated caries would be less likely to refuse topical fluoride for their children than parents of children with no history of untreated caries.

Methods

The study included children (≤ 18 years old) who were patients at a university dental clinic from January 2016 through June 2020. Children whose parents refused fluoride treatment were age-matched with children whose parents did not refuse fluoride treatment (n = 356). The outcome variable was parent topical fluoride refusal for their children (no, yes). The predictor variable was a history of untreated caries (no, yes). Confounding variable–adjusted modified Poisson regression models were used to estimate the prevalence ratio of parent fluoride refusal by means of children’s untreated caries status.

Results

Approximately 46.3% of children had a history of untreated caries. The prevalence of parent fluoride refusal for children with a history of untreated caries was significantly lower than that for children with no history of untreated caries (adjusted prevalence ratio, 0.79; 95% CI, 0.64 to 0.98; P = .03).

Conclusions

Parents of children with a history of caries are less likely to refuse topical fluoride treatment, which suggests that untreated caries may motivate parents to accept preventive dental treatments like fluoride.

Practical Implications

Dental care professionals should assess caries risk and communicate a child’s caries risk before making a recommendation regarding topical fluoride treatment.

研究背景在这项病例对照研究中，作者探讨了儿童龋齿未治疗与家长拒绝氟化物治疗之间的关系。作者假设，与无龋病史的儿童家长相比，有龋病史的儿童家长拒绝为其子女使用局部氟化物的可能性较小：研究对象包括2016年1月至2020年6月在一所大学牙科诊所就诊的儿童（≤18岁）。父母拒绝氟化物治疗的儿童与父母未拒绝氟化物治疗的儿童（n = 356）进行年龄匹配。结果变量为父母拒绝为子女进行局部涂氟治疗（否、是）。预测变量为未治疗龋齿史（否，是）。使用混杂变量调整后的修正泊松回归模型，通过儿童未经治疗的龋齿状况来估算家长拒绝使用氟化物的流行率：结果：约 46.3% 的儿童有未经治疗的龋齿史。有未治疗龋齿史的儿童家长拒绝使用氟化物的比例明显低于无未治疗龋齿史的儿童（调整后比例为 0.79；95% CI 为 0.63 至 0.98；P = .03）：结论：有龋病史儿童的家长不太可能拒绝局部涂氟治疗，这表明未经治疗的龋病可能会促使家长接受涂氟等预防性牙科治疗：实际意义：牙科保健专业人员在建议进行局部氟化物治疗之前，应评估龋齿风险并告知儿童龋齿风险。

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引用次数: 0

The enigma of sleep 睡眠之谜：睡眠神经科学对牙科医生和患者的影响。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.05.007

Davis C. Thomas BDS, DDS, MSD, MSc Med, MSc, Tanvee Somaiya BDS, Miguel Meira E. Cruz DDS, MSc, Priyanka Kodaganallur Pitchumani BDS, Anil Ardeshna DMD, MDS, Anjali Ravi BDS, Shranya Prabhakar BDS

Background

Sleep disturbances have been shown to result in considerable morbidity and mortality. It is important for dental clinicians to understand the neuroscience behind sleep disorders.

Types of Studies Reviewed

The authors conducted a search of the literature published from January 1990 through March 2024 of sleep medicine–related articles, with a focus on neuroscience. The authors prioritized articles about the science of sleep as related to dental medicine.

Results

The authors found a proliferation of articles related to sleep neuroscience along with its implications in dental medicine. The authors also found that the intricate neuroscientific principles of sleep medicine are being investigated robustly. The salient features of, and the differences between, central and obstructive sleep apneas have been elucidated. Sleep genes, such as CRY, PER1, PER2, and CLOCK, and their relationship to cancer and neurodegeneration are also additions to this rapidly developing science.

Conclusions and Practical Implications

The dental clinician has the potential to be the first to screen patients for possible sleep disorders and make prompt referrals to the appropriate medical professionals. This can be lifesaving as well as minimize potential future morbidity for the patient.

背景：睡眠障碍已被证明会导致相当高的发病率和死亡率。对于牙科临床医生来说，了解睡眠障碍背后的神经科学非常重要：作者检索了 1990 年 1 月至 2024 年 3 月期间发表的与睡眠医学相关的文献，重点关注神经科学。作者优先检索了与牙科医学相关的睡眠科学文章：结果：作者发现，与睡眠神经科学及其对牙科医学的影响相关的文章大量涌现。作者还发现，人们正在对睡眠医学中错综复杂的神经科学原理进行深入研究。中枢性睡眠呼吸暂停和阻塞性睡眠呼吸暂停的显著特征和区别已被阐明。睡眠基因（如 CRY、PER1、PER2 和 CLOCK）及其与癌症和神经变性的关系也是这一快速发展的科学的新增内容：牙科临床医生有可能成为第一个筛查出可能患有睡眠障碍的病人，并及时转诊给适当的医疗专业人员。这不仅能挽救患者的生命，还能最大限度地降低患者未来的潜在发病率。

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引用次数: 0

A rare development of classical Hodgkin lymphoma in the head and neck region 头颈部罕见的典型霍奇金淋巴瘤：病例报告和文献综述。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.07.011

Mariana A.S. Pereira, Giulia R. Santos, Juan M.A. Legarrea DDS, Giseli Mitsuy Kayahara BMS, MS, PhD, Felipe P. Fonseca DDS, MS, PhD, José Cândido C. Xavier-Junior MD, PhD, Glauco I. Miyahara DDS, MS, PhD, Daniel G. Bernabé DDS, MS, PhD, Mariana S. Urazaki MD, Gabriel M. Cortopassi MD, Vitor B. Valente DDS, MS, PhD

Background

Classical Hodgkin lymphoma (CHL) is characterized by a proliferation of malignant cells of the lymphoreticular system and often involves lymph nodes, spleen, liver, and bone marrow; it is rare in the head and neck region.

Case Description

A 58-year-old man had an enlargement with ulceration in the left palatine tonsil that was causing dysphagia. Microscopic examination revealed an infiltrate of large, atypical lymphoid cells positive for cluster of differentiation 30, cluster of differentiation 15, PAX5, and Epstein-Barr virus. Complementary tests initially ruled out other sites of the disease. The results led to diagnosis of a rare development of CHL in the palatine tonsil, which was staged as IIEB. Before therapy was initiated, nodal lesions developed in the neck and the CHL was restaged as IIB. The patient was treated successfully with a regimen of doxorubicin, bleomycin, vinblastine, and dacarbazine. After a review of the literature, the authors found only 3 cases with the clinical, imaging, and microscopic features of primary CHL of the palatine tonsil.

Practical Implications

Despite being a rare event, CHL may first develop in extranodal sites, such as the palatine tonsil. In this context, the role of the dentist is pivotal for early diagnosis of the disease. Investigations into the development of primary tonsillar CHL in the oropharynx are needed because the disease has a different clinical course than nodal lesions.

背景：典型霍奇金淋巴瘤（CHL）的特点是淋巴系统恶性细胞增生，常累及淋巴结、脾脏、肝脏和骨髓；头颈部罕见：一名 58 岁的男性左侧腭扁桃体肿大并伴有溃疡，导致吞咽困难。显微镜检查发现大量非典型淋巴细胞浸润，分化群 30、分化群 15、PAX5 和 Epstein-Barr 病毒均呈阳性。辅助检查初步排除了其他发病部位。结果诊断为罕见的腭扁桃体 CHL，分期为 IIEB。在开始治疗之前，颈部出现了结节性病变，CHL 被重新分期为 IIB。患者接受了多柔比星、博来霉素、长春新碱和达卡巴嗪的治疗，并取得了成功。在查阅文献后，作者发现只有 3 例病例具有腭扁桃体原发性 CHL 的临床、影像和显微特征：实际意义：尽管CHL很少见，但它可能首先发生在结节外部位，如腭扁桃体。在这种情况下，牙医的作用对于疾病的早期诊断至关重要。口咽部原发性扁桃体CHL的临床病程与结节性病变不同，因此需要对口咽部原发性扁桃体CHL的发展进行调查。

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引用次数: 0

Restorative and patient factors associated with repeat general anesthesia for dental treatments in young children 与幼儿牙科治疗中重复全身麻醉相关的修复和患者因素：病例对照研究。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.06.014

Ehsan N. Azadani DDS, MS, Misa Yoshioka DMD, MS, Jin Peng MD, MS, PhD, Janice Townsend DDS, MS, Kimberly Hammersmith DDS, MPH, MS, Paul Casamassimo DDS, MS

Background

The aim of this study was to assess factors associated with higher odds of undergoing repeat general anesthesia (GA2) for dental treatments.

Methods

The authors studied children up to age 48 months of age enrolled in Medicaid who underwent dental treatment under first general anesthesia (GA1). The authors used a case-control design to compare children who had a GA2 within 48 months of GA1 (case patients) with those who did not (control patients).

Results

In total, 60 case patients were age and sex matched to 120 control patients. Mean (SD) age at GA1 was 38 (5.2) months for case participants and 40 (4.7) months for control participants (P = .08). Higher caries involvement of maxillary incisors (P = .04), and lower caries involvment of canines (P = .003), first molars (P = .012), and second molars (P < .001) at GA1 was associated with higher odds of occurrence of GA2. There was a significant inverse association between full-coverage restoration on canines (P = .003), first molars (P = .001), and second molars (P = .002) at GA1 and occurrence of GA2. There was a significant direct association between the use of composites or sealants on second molars in GA1 and occurrence of GA2 (P = .02). The number of extractions at GA1 was not associated significantly with the occurrence of GA2.

Conclusions

The use of full-coverage restorations on primary molars and canines under general anesthesia (GA) was associated with lower odds of occurrence of GA2. Resin restorations and sealants on primary second molars were associated with higher odds of occurrence repeat GA. The findings support preferential use of full-coverage restorations for young children undergoing dental GA.

Practical Implications

Full-coverage restorations should be considered strongly for young children undergoing GA for dental treatments to reduce the risk of requiring GA2.

研究背景本研究旨在评估牙科治疗中重复全身麻醉（GA2）几率较高的相关因素：作者对首次接受全身麻醉（GA1）进行牙科治疗的 48 个月以下参加医疗补助计划的儿童进行了研究。作者采用病例对照设计，比较了在第一次全身麻醉（GA1）后 48 个月内进行过 GA2 的儿童（病例患者）和没有进行过 GA2 的儿童（对照患者）：共有 60 名病例患者与 120 名对照组患者进行了年龄和性别配对。病例患者GA1时的平均（标清）年龄为38（5.2）个月，对照组患者为40（4.7）个月（P = .08）。在 GA1 时，上颌切牙龋损程度较高（P = .04），犬齿龋损程度较低（P = .003），第一磨牙龋损程度较高（P = .012），第二磨牙龋损程度较低（P < .001），这与发生 GA2 的几率较高有关。在 GA1 时对犬齿（P = .003）、第一磨牙（P = .001）和第二磨牙（P = .002）进行全覆盖修复与 GA2 发生率之间存在明显的反向关系。在 GA1 中，第二磨牙使用复合树脂或封闭剂与 GA2 的发生有明显的直接关系（P = .02）。GA1的拔牙次数与GA2的发生无明显关系：结论：在全身麻醉（GA）下对初级磨牙和犬齿进行全覆盖修复与发生 GA2 的几率较低有关。在初级第二磨牙上进行树脂修复和封闭与发生重复 GA 的几率较高有关。研究结果支持对接受牙科全身麻醉的幼儿优先使用全覆盖修复体：实际意义：接受牙科GA治疗的幼儿应优先考虑使用全覆盖修复体，以降低需要GA的风险2。

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引用次数: 0

Value-based care and the sustainable dental practice 基于价值的护理和可持续的牙科实践。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2023.09.015

引用次数: 0

Artificial intelligence applications in dentistry 人工智能在牙科中的应用：以该领域的计算研究趋势为重点的文献计量学综述。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.05.013

Fernanda Pretto Zatt DDS, MS, Aurélio de Oliveira Rocha DDS, MS, Lucas Menezes dos Anjos DDS, MS, Ricardo Armini Caldas DDS, MS, PhD, Mariane Cardoso DDS, MS, PhD, Gustavo Davi Rabelo DDS, MS, PhD

Background

The aim of this study was to understand the trends regarding the use of artificial intelligence in dentistry through a bibliometric review.

Types of Studies Reviewed

The authors performed a literature search on Web of Science. They collected the following data: articles—number and density of citations, year, key words, language, document type, study design, and theme (main objective, diagnostic method, and specialties); journals—impact factor; authors—country, continent, and institution. The authors used Visualization of Similarities Viewer software (Leiden University) to analyze the data and Spearman test for correlation analysis.

Results

After selection, 1,478 articles were included. The number of citations ranged from 0 through 327. The articles were published from 1984 through 2024. Most articles were characterized as proof of concept (979). Definition and classification of structures and diseases was the most common theme (550 articles). There was an emphasis on radiology (333 articles) and radiographic-based diagnostic methods (715 articles). China was the country with the most articles (251), and Asia was the continent with the most articles (871). The Charité–University of Medicine Berlin was the institution with the most articles (42), and the author with the most articles was Schwendicke (53).

Practical Implications

Artificial intelligence is an important clinical tool to facilitate diagnosis and provide automation in various processes.

背景：本研究旨在通过文献计量学综述了解人工智能在牙科中的应用趋势：作者在科学网上进行了文献检索。他们收集了以下数据：文章--引用次数和密度、年份、关键词、语言、文档类型、研究设计和主题（主要目标、诊断方法和专科）；期刊--影响因子；作者--国家、洲和机构。作者使用 Visualization of Similarities Viewer 软件（莱顿大学）分析数据，并使用斯皮尔曼检验进行相关性分析：经过筛选，共收录了 1,478 篇文章。引用次数从 0 到 327 不等。文章发表于 1984 年至 2024 年。大多数文章被定性为概念证明（979 篇）。结构和疾病的定义与分类是最常见的主题（550 篇）。重点是放射学（333 篇）和基于放射学的诊断方法（715 篇）。中国是发表文章最多的国家（251 篇），亚洲是发表文章最多的大陆（871 篇）。发表文章最多的机构是柏林夏里特大学（Charité-University of Medicine Berlin）（42篇），发表文章最多的作者是施文迪克（Schwendicke，53篇）：实践意义：人工智能是一种重要的临床工具，可促进诊断并实现各种流程的自动化。

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引用次数: 0

Authors’ Response 作者回复。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.07.009

Riki Gottlieb DMD, MS, Al M. Best PhD

引用次数: 0

2024 JADA Reviewers List 2024 年 JADA 评审员名单

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/S0002-8177(24)00426-4

引用次数: 0

Socioeconomic vulnerability and access to community water fluoridation in Washington 华盛顿州的社会经济脆弱性与社区氟化水的获取。

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

Journal of the American Dental Association

Pub Date : 2024-09-01 DOI: 10.1016/j.adaj.2024.05.011

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

Background

The aim of the authors was to determine whether socioeconomic vulnerability is associated with community water fluoridation (CWF).

Methods

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.

Results

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; P < .001), whereas county-level poverty was associated with significantly lower CWF (Spearman rank correlation coefficient, −0.36; 95% CI, −0.70 to −0.03; P = .02). High school completion was not associated with county-level CWF. Significantly larger proportions of Hispanics and Latinos lived in counties with higher CWF (P < .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.

Conclusions

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.

Practical Implications

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.

背景作者的目的是确定社会经济脆弱性是否与社区水氟化（CWF）有关：作者使用美国人口普查局的数据创建了 4 个县级脆弱性标记（非白人、西班牙裔或拉丁裔、低于联邦贫困线、高中以下教育程度），从华盛顿州卫生部获得了县级 CWF 数据，并使用 Spearman 等级相关系数和 Kruskal-Wallis 秩和检验评估了相关性。作者随后采访了华盛顿州的 122 名社区成员（2022 年 12 月至 2023 年 3 月），并对采访数据进行了归纳分析：县级非白人比例越高，CWF 水平越高（Spearman 等级相关系数，0.55；95% CI，0.29 至 0.82；P < .001），而县级贫困与 CWF 水平显著降低相关（Spearman 等级相关系数，-0.36；95% CI，-0.70 至 -0.03；P = .02）。高中毕业与县级 CWF 无关。居住在 CWF 较高的县的西班牙裔和拉丁裔比例明显更高（P < .05）。从访谈结果来看，认为自来水健康的参与者多于认为自来水不健康的，但也有 41% 的人持不同看法。同样，认为化石燃料可接受的人多于不可接受的人，35% 的人表示喜忧参半。非白人参与者对自来水和化石燃料的负面看法更为普遍：华盛顿州种族和民族多元化社区的居民似乎更容易获得化石燃料，而低收入社区的居民则更难获得化石燃料：实际意义：社区儿童福利是一项重要的人群防龋策略。还需要做更多的工作来改善获得 CWF 的机会，尤其是低收入社区的人们。

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引用次数: 0

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