Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.02.012
Corissa P. Chang DDS, MD, Nile Hodges DMD, John Lankalis DDS, MD, Daniel Sierra-Vasquez DMD, MD, Brian Ford DMD, MD
{"title":"A pediatric patient with mandibular swelling","authors":"Corissa P. Chang DDS, MD, Nile Hodges DMD, John Lankalis DDS, MD, Daniel Sierra-Vasquez DMD, MD, Brian Ford DMD, MD","doi":"10.1016/j.adaj.2025.02.012","DOIUrl":"10.1016/j.adaj.2025.02.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 96-102"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676882","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.10.010
Michael Simmons DMD, MScMed, MPH, MSc , Rose Sheats DMD, MPH , Miguel Meira e Cruz DDS, PhD, MSc
Background
Dentistry has an increasingly important role in the management of sleep health and sleep disorders. The authors’ goal was to synthesize the 2024 American Academy of Dental Sleep Medicine consensus report clarifying the evidence supporting new or emerging dental interventions for sleep health and disorders. The authors identified consensus report strengths and limitations and outlined priorities for future research. The intent was to provide a broader understanding of potential emerging dental preventive, curative, and management approaches for sleep health and disorders, especially for dentists with less exposure to sleep medicine.
Types of Studies Reviewed
The analysis included the American Academy of Dental Sleep Medicine consensus panel report and peer-reviewed studies cited within it, supplemented with PubMed-identified literature on dental interventions for obstructive sleep apnea (OSA) and snoring without OSA.
Results
No emerging dental therapy met the criteria for a first-line monotherapy for OSA or snoring to substitute for mandibular advancement devices. Evidence suggests some therapies may serve adjunctive or individualized roles when established treatments are ineffective or declined. Major limitations in evidence include lack of pediatric subgroup stratification, reliance on apnea-hypopnea index, oxygen desaturation, and subjective snoring as primary outcomes of success, and variability found in study design and sample diversity.
Conclusions and Practical Implications
Dentists can contribute to multidisciplinary sleep care through established therapies, selective use of emerging interventions, and early recognition of airway growth issues. Adoption of new therapies should follow expert consensus and robust evidence until stronger data are available.
{"title":"Emerging dental therapies for sleep disorders","authors":"Michael Simmons DMD, MScMed, MPH, MSc , Rose Sheats DMD, MPH , Miguel Meira e Cruz DDS, PhD, MSc","doi":"10.1016/j.adaj.2025.10.010","DOIUrl":"10.1016/j.adaj.2025.10.010","url":null,"abstract":"<div><h3>Background</h3><div>Dentistry has an increasingly important role in the management of sleep health and sleep disorders. The authors’ goal was to synthesize the 2024 American Academy of Dental Sleep Medicine consensus report clarifying the evidence supporting new or emerging dental interventions for sleep health and disorders. The authors identified consensus report strengths and limitations and outlined priorities for future research. The intent was to provide a broader understanding of potential emerging dental preventive, curative, and management approaches for sleep health and disorders, especially for dentists with less exposure to sleep medicine.</div></div><div><h3>Types of Studies Reviewed</h3><div>The analysis included the American Academy of Dental Sleep Medicine consensus panel report and peer-reviewed studies cited within it, supplemented with PubMed-identified literature on dental interventions for obstructive sleep apnea (OSA) and snoring without OSA.</div></div><div><h3>Results</h3><div>No emerging dental therapy met the criteria for a first-line monotherapy for OSA or snoring to substitute for mandibular advancement devices. Evidence suggests some therapies may serve adjunctive or individualized roles when established treatments are ineffective or declined. Major limitations in evidence include lack of pediatric subgroup stratification, reliance on apnea-hypopnea index, oxygen desaturation, and subjective snoring as primary outcomes of success, and variability found in study design and sample diversity.</div></div><div><h3>Conclusions and Practical Implications</h3><div>Dentists can contribute to multidisciplinary sleep care through established therapies, selective use of emerging interventions, and early recognition of airway growth issues. Adoption of new therapies should follow expert consensus and robust evidence until stronger data are available.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 10-19"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897907","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.09.001
Wei Lyu PhD, George L. Wehby PhD
Background
The COVID-19 pandemic adversely affected children’s access to and use of oral health care services and their oral health status. The authors compared these outcomes after the pandemic through 2023 with prepandemic levels.
Methods
Data from the annual National Survey of Children’s Health from 2019 through 2023 were analyzed. The authors used a multivariable regression model to compare children’s unmet oral health care needs, oral health care use (ie, any visits, any preventive visits, and specific preventive dental services), and parent or caregiver ratings of the child’s oral health each year from 2020 through 2023 with 2019. Additional analyses were stratified according to sociodemographic characteristics and state-level dentist supply.
Results
In the total sample, all outcomes had rebounded to prepandemic levels by 2023, or earlier in some cases, except for poor oral health ratings, which were still higher in 2023 than the prepandemic level by 0.3 percentage points (pp) (95% CI, 0.06 to 0.5 pp). Moreover, states with low dentist supply had lower dental examination and sealant rates in 2023 than 2019 by 2.5 pp (95% CI, –4.7 to –0.3 pp) and 1.9 pp (95% CI, –3.5 to –0.3 pp), respectively. Hispanic and publicly insured children also had lagging sealant rates in 2023 compared with prepandemic levels.
Conclusions
Oral health care access and usage rebounded to prepandemic levels by 2023 for most children. However, poor oral health rates were still higher in 2023. In addition, dental examination and sealant rates remained lower in states with low dentist supply.
Practical Implications
More efforts are needed to address persistent oral health issues for children most vulnerable to poor oral health and those related to low dentist supply.
{"title":"Children’s oral health care use and oral health in the United States after the COVID-19 pandemic","authors":"Wei Lyu PhD, George L. Wehby PhD","doi":"10.1016/j.adaj.2025.09.001","DOIUrl":"10.1016/j.adaj.2025.09.001","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic adversely affected children’s access to and use of oral health care services and their oral health status. The authors compared these outcomes after the pandemic through 2023 with prepandemic levels.</div></div><div><h3>Methods</h3><div>Data from the annual National Survey of Children’s Health from 2019 through 2023 were analyzed. The authors used a multivariable regression model to compare children’s unmet oral health care needs, oral health care use (ie, any visits, any preventive visits, and specific preventive dental services), and parent or caregiver ratings of the child’s oral health each year from 2020 through 2023 with 2019. Additional analyses were stratified according to sociodemographic characteristics and state-level dentist supply.</div></div><div><h3>Results</h3><div>In the total sample, all outcomes had rebounded to prepandemic levels by 2023, or earlier in some cases, except for poor oral health ratings, which were still higher in 2023 than the prepandemic level by 0.3 percentage points (pp) (95% CI, 0.06 to 0.5 pp). Moreover, states with low dentist supply had lower dental examination and sealant rates in 2023 than 2019 by 2.5 pp (95% CI, –4.7 to –0.3 pp) and 1.9 pp (95% CI, –3.5 to –0.3 pp), respectively. Hispanic and publicly insured children also had lagging sealant rates in 2023 compared with prepandemic levels.</div></div><div><h3>Conclusions</h3><div>Oral health care access and usage rebounded to prepandemic levels by 2023 for most children. However, poor oral health rates were still higher in 2023. In addition, dental examination and sealant rates remained lower in states with low dentist supply.</div></div><div><h3>Practical Implications</h3><div>More efforts are needed to address persistent oral health issues for children most vulnerable to poor oral health and those related to low dentist supply.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 47-56.e14"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286220","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.10.009
Donald J. DeNucci DDS, MS
{"title":"Age-Related Dentist Suicide","authors":"Donald J. DeNucci DDS, MS","doi":"10.1016/j.adaj.2025.10.009","DOIUrl":"10.1016/j.adaj.2025.10.009","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Page 6"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482423","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.09.003
Zach Sherman MS, Shashank Karki MS, Tegwyn Brickhouse DDS, PhD, Marko Vujicic PhD, Kamyar Nasseh PhD, Changzhen Wang PhD, Hyun Kim PhD, Junghwan Kim PhD, MUP, Mengxi Zhang PhD, MPH
Background
The authors aimed to investigate whether driving and public transit access to dental clinics differ for all dental clinics vs those participating in Medicaid, and whether sociodemographic factors are associated with driving and public transit accessibility in Virginia.
Methods
Six regions in Virginia were selected for this study on the basis of the availability of transportation data. A modified two-step floating catchment area method considering vehicle ownership was applied to measure geospatial accessibility scores for the overall dental clinics and those participating in Medicaid. Inequality in accessibility among census block groups was analyzed using Gini coefficients. Spatial error models were used to estimate associations between sociodemographic variables and accessibility scores.
Results
Public transit accessibility to oral health care services is lower than driving, regardless of Medicaid acceptance. Driving also provides more equitable access than public transit. Spatial error models revealed region-specific associations.
Conclusions
Access to oral health care services is more challenging using public transportation than driving, especially in smaller regions of and among Medicaid beneficiaries in Virginia. The exploration of the associated factors emphasizes the need for tailored interventions according to region.
Practical Implications
To improve access to oral health care in Virginia, efforts should focus on encouraging dentists to accept Medicaid, establishing new dental clinics near public transportation hubs and major roads, using ride-sharing support, and advocating for the development of robust public transportation systems.
{"title":"Geospatial access to oral health care in Virginia","authors":"Zach Sherman MS, Shashank Karki MS, Tegwyn Brickhouse DDS, PhD, Marko Vujicic PhD, Kamyar Nasseh PhD, Changzhen Wang PhD, Hyun Kim PhD, Junghwan Kim PhD, MUP, Mengxi Zhang PhD, MPH","doi":"10.1016/j.adaj.2025.09.003","DOIUrl":"10.1016/j.adaj.2025.09.003","url":null,"abstract":"<div><h3>Background</h3><div>The authors aimed to investigate whether driving and public transit access to dental clinics differ for all dental clinics vs those participating in Medicaid, and whether sociodemographic factors are associated with driving and public transit accessibility in Virginia.</div></div><div><h3>Methods</h3><div>Six regions in Virginia were selected for this study on the basis of the availability of transportation data. A modified two-step floating catchment area method considering vehicle ownership was applied to measure geospatial accessibility scores for the overall dental clinics and those participating in Medicaid. Inequality in accessibility among census block groups was analyzed using Gini coefficients. Spatial error models were used to estimate associations between sociodemographic variables and accessibility scores.</div></div><div><h3>Results</h3><div>Public transit accessibility to oral health care services is lower than driving, regardless of Medicaid acceptance. Driving also provides more equitable access than public transit. Spatial error models revealed region-specific associations.</div></div><div><h3>Conclusions</h3><div>Access to oral health care services is more challenging using public transportation than driving, especially in smaller regions of and among Medicaid beneficiaries in Virginia. The exploration of the associated factors emphasizes the need for tailored interventions according to region.</div></div><div><h3>Practical Implications</h3><div>To improve access to oral health care in Virginia, efforts should focus on encouraging dentists to accept Medicaid, establishing new dental clinics near public transportation hubs and major roads, using ride-sharing support, and advocating for the development of robust public transportation systems.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 36-46.e6"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346011","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":"An ulcerated lesion on the floor of the mouth","authors":"Deepak Pandiar MDS, FHNP, PhD, Reshma Poothakulath Krishnan MDS, NishaJaisree S BDS","doi":"10.1016/j.adaj.2025.02.006","DOIUrl":"10.1016/j.adaj.2025.02.006","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 103-108"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657601","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.10.012
Richard E. Heyman PhD, Kelly A. Daly PhD
{"title":"Authors’ Response","authors":"Richard E. Heyman PhD, Kelly A. Daly PhD","doi":"10.1016/j.adaj.2025.10.012","DOIUrl":"10.1016/j.adaj.2025.10.012","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 7-8"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482411","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.10.017
Maryam Emami DDS, Mohammadjavad Shirani DDS, MSc
{"title":"Authors’ Response","authors":"Maryam Emami DDS, Mohammadjavad Shirani DDS, MSc","doi":"10.1016/j.adaj.2025.10.017","DOIUrl":"10.1016/j.adaj.2025.10.017","url":null,"abstract":"","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Page 9"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145564353","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}
Pub Date : 2026-01-01DOI: 10.1016/j.adaj.2025.10.013
Erika Benavides DDS, PhD , Joseph R. Krecioch MA, MSc , Trishul Allareddy BDS, MS, MBA , Allison Buchanan DMD, MS , Martha Ann Keels DDS, PhD , Ana Karina Mascarenhas BDS, MPH, DrPH , Mai-Ly Duong DMD, MPH, MAEd , Kelly K. O’Brien MLIS , Kathleen M. Ziegler PharmD , Ruth D. Lipman PhD , Roger T. Connolly MA , Lucia Cevidanes DDS, MS, PhD , Kitrina Cordell DDS, MS , Satheesh Elangovan BDS, DSc, DMSc , Ashraf F. Fouad DDS, MS , Carlos González-Cabezas DDS, MSD, PhD , Sarandeep Singh Huja DDS, PhD , Deepak Kademani DMD, MD, FACS , Asma Khan BDS, PhD , Anchal Malik BDS, MHA , Juan Yepes MD, DDS, DrPH, MS
Background
As an update to the 2012 American Dental Association and US Food and Drug Administration “Dental Radiographic Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure,” this resource provides decision-making guidance on the use of various imaging modalities for general and pediatric dental care practitioners.
Types of Studies Reviewed
The American Dental Association Council on Scientific Affairs convened an expert panel of 6 members along with an expert consultant group of 18 members to develop evidence-based guidance on dental imaging. A systematic review of the literature was conducted to identify relevant systematic reviews and organizational guidelines addressing 9 clinical questions. The recommendations presented were developed by means of a non-Delphi process (ie, reaching consensus through a structured process).
Results
Due to limitations in the available evidence, consensus recommendations rather than formal guidelines were developed. A thorough evaluation of the patient history and clinical findings should precede radiographic examinations. Previously obtained images should be reviewed, and all imaging modalities, especially cone-beam computed tomography, should be used judiciously to minimize cumulative radiation exposure to the patient.
Conclusions and Practical Implications
Clinicians should base imaging decisions on the patient’s medical and dental histories, clinical examination findings, disease risk assessment, and the presence of specific clinical conditions. When used appropriately, radiographic imaging contributes to dental treatment decisions and results in optimal patient care.
{"title":"American Dental Association and American Academy of Oral and Maxillofacial Radiology patient selection for dental radiography and cone-beam computed tomography","authors":"Erika Benavides DDS, PhD , Joseph R. Krecioch MA, MSc , Trishul Allareddy BDS, MS, MBA , Allison Buchanan DMD, MS , Martha Ann Keels DDS, PhD , Ana Karina Mascarenhas BDS, MPH, DrPH , Mai-Ly Duong DMD, MPH, MAEd , Kelly K. O’Brien MLIS , Kathleen M. Ziegler PharmD , Ruth D. Lipman PhD , Roger T. Connolly MA , Lucia Cevidanes DDS, MS, PhD , Kitrina Cordell DDS, MS , Satheesh Elangovan BDS, DSc, DMSc , Ashraf F. Fouad DDS, MS , Carlos González-Cabezas DDS, MSD, PhD , Sarandeep Singh Huja DDS, PhD , Deepak Kademani DMD, MD, FACS , Asma Khan BDS, PhD , Anchal Malik BDS, MHA , Juan Yepes MD, DDS, DrPH, MS","doi":"10.1016/j.adaj.2025.10.013","DOIUrl":"10.1016/j.adaj.2025.10.013","url":null,"abstract":"<div><h3>Background</h3><div>As an update to the 2012 American Dental Association and US Food and Drug Administration “Dental Radiographic Examinations: Recommendations for Patient Selection and Limiting Radiation Exposure,” this resource provides decision-making guidance on the use of various imaging modalities for general and pediatric dental care practitioners.</div></div><div><h3>Types of Studies Reviewed</h3><div>The American Dental Association Council on Scientific Affairs convened an expert panel of 6 members along with an expert consultant group of 18 members to develop evidence-based guidance on dental imaging. A systematic review of the literature was conducted to identify relevant systematic reviews and organizational guidelines addressing 9 clinical questions. The recommendations presented were developed by means of a non-Delphi process (ie, reaching consensus through a structured process).</div></div><div><h3>Results</h3><div>Due to limitations in the available evidence, consensus recommendations rather than formal guidelines were developed. A thorough evaluation of the patient history and clinical findings should precede radiographic examinations. Previously obtained images should be reviewed, and all imaging modalities, especially cone-beam computed tomography, should be used judiciously to minimize cumulative radiation exposure to the patient.</div></div><div><h3>Conclusions and Practical Implications</h3><div>Clinicians should base imaging decisions on the patient’s medical and dental histories, clinical examination findings, disease risk assessment, and the presence of specific clinical conditions. When used appropriately, radiographic imaging contributes to dental treatment decisions and results in optimal patient care.</div></div>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":"157 1","pages":"Pages 20-35.e5"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897908","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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