Journal of the American Dental Association最新文献

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Endodontic and periapical status of patients with osteoporosis: A cross-sectional study with age- and sex-matched controls. 骨质疏松症患者的牙髓和根尖周状况：与年龄和性别匹配对照组的横断面研究。

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

Journal of the American Dental Association

Pub Date : 2024-12-01 Epub Date: 2024-11-04 DOI: 10.1016/j.adaj.2024.09.010

Selin Goker Kamalı, Dilek Turkaydın

Background: The aim of the authors was to evaluate the periapical and endodontic conditions of patients with osteoporosis and compare them with those of age- and sex-matched controls. The association between bisphosphonate (BiP) use and periapical and endodontic status in patients with osteoporosis was also investigated.

Methods: Panoramic radiographs of 711 patients with osteoporosis and 711 age- and sex-matched healthy patients were examined. The presence and number of root canal-filled teeth (RCFT), inadequate RCFT (iRCFT), and teeth with apical periodontitis (AP) were evaluated. BiP treatment history of patients with osteoporosis was also recorded.

Results: No significant difference was observed between the osteoporosis group and control group in terms of endodontic and periapical conditions. Results of bivariate logistic regression analysis showed a positive association between the number of teeth with AP and the number of iRCFT with AP and osteoporosis, and a negative association between the number of RCFT with AP and osteoporosis. Among the patients with osteoporosis, 37.5% used BiPs, specifically alendronate, ibandronate, zoledronate, and risedronate (34.3%, 24.9%, 10.6%, 7.2%, respectively). In addition, the results showed a negative association between BiP use and RCFT.

Conclusions: As the number of teeth with AP and number of iRCFT with AP increased, patients were more likely to be in the osteoporosis group. These findings imply that periapical lesions may enlarge and become more detectable in patients with osteoporosis with lower bone density, and enhanced inflammatory response.

Practical implications: Dentists can collaborate with health care professionals to manage the overall health of patients with osteoporosis to reduce the impact of osteoporosis on oral health and effectively treat dental problems, such as AP.

背景：作者的目的是评估骨质疏松症患者的根尖周和牙髓状况，并与年龄和性别匹配的对照组进行比较。同时还研究了骨质疏松症患者使用双磷酸盐（BiP）与根尖周和牙髓状况之间的关联：方法：研究人员检查了 711 名骨质疏松症患者和 711 名年龄与性别匹配的健康患者的全景 X 光片。评估了根管充填牙（RCFT）、根管充填不足牙（iRCFT）和根尖牙周炎牙（AP）的存在和数量。此外，还记录了骨质疏松症患者的 BiP 治疗史：结果：骨质疏松症组与对照组在牙髓病和根尖周炎方面无明显差异。双变量逻辑回归分析结果显示，有 AP 的牙齿数量、有 AP 的 iRCFT 数量与骨质疏松症呈正相关，而有 AP 的 RCFT 数量与骨质疏松症呈负相关。在骨质疏松症患者中，37.5% 的患者使用生物制剂，特别是阿仑膦酸钠、伊班膦酸钠、唑来膦酸钠和利塞膦酸钠（分别为 34.3%、24.9%、10.6% 和 7.2%）。此外，研究结果表明，BiP的使用与RCFT呈负相关：结论：随着有 AP 的牙齿数量和有 AP 的 iRCFT 数量的增加，患者更有可能属于骨质疏松症组。这些研究结果表明，骨质疏松症患者的骨密度较低，炎症反应增强，根尖周病变可能会扩大并更容易被发现：实际意义：牙科医生可与医护人员合作，对骨质疏松症患者的整体健康进行管理，以减少骨质疏松症对口腔健康的影响，并有效治疗根尖周炎等牙科问题。

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引用次数: 0

Establishing clarity on the American Heart Association guidelines: The critical timing of prophylactic antibiotic use in dentistry. 明确美国心脏协会的指导方针：牙科预防性使用抗生素的关键时机。

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

Journal of the American Dental Association

Pub Date : 2024-11-18 DOI: 10.1016/j.adaj.2024.10.006

Camila Tussie, Betty Ben Dor, Nalton F Ferraro

引用次数: 0

Artificial intelligence in demineralized lesion detection: Evaluating clinical benefits and economic disadvantages of artificial intelligence-based models. 人工智能在脱矿病变检测中的应用：评估基于人工智能模型的临床优势和经济劣势。

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

Journal of the American Dental Association

Pub Date : 2024-11-14 DOI: 10.1016/j.adaj.2024.10.007

Giusy Rita Maria La Rosa

引用次数: 0

Maxillary radiolucency in a 54-year-old man. 一名 54 岁男子的上颌骨放射性肿胀。

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

Journal of the American Dental Association

Pub Date : 2024-11-08 DOI: 10.1016/j.adaj.2024.09.013

Monica B Kowalski, Leib Y Wiener, Daria Vasilyeva

引用次数: 0

Fluid-filled blisters with background white striations. 充满液体的水泡，背景有白色条纹。

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

Journal of the American Dental Association

Pub Date : 2024-11-06 DOI: 10.1016/j.adaj.2024.08.011

Shravan Thiagarajan, Naftali Price, Najwa Yousef, Yishai Brown, Brandon Le, Christine Livesay, Timothy Meiller, Ahmed Sultan, Dana R Weikel

引用次数: 0

White plaques of the oral mucosa 口腔黏膜白色斑块。

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

Journal of the American Dental Association

Pub Date : 2024-11-01 DOI: 10.1016/j.adaj.2023.12.006

Malak Al-Hadlaq BDS, Sook-Bin Woo DMD, MMSc

引用次数: 0

Beating antimicrobial resistance takes all of us 战胜抗菌药耐药性需要我们所有人的共同努力。

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

Journal of the American Dental Association

Pub Date : 2024-11-01 DOI: 10.1016/j.adaj.2024.09.002

Erinne Kennedy DMD, MPH, MMSc

引用次数: 0

Prior incarceration length and edentulism among formerly incarcerated older adults in the United States 美国曾被监禁的老年人之前的监禁时间和牙齿缺失情况。

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

Journal of the American Dental Association

Pub Date : 2024-11-01 DOI: 10.1016/j.adaj.2024.08.016

Alexander Testa PhD, Rahma Mungia BDS, MSc, DDPHRCS, Ana C. Neumann DDS, MPH, PhD, Rafael Samper-Ternent MD, PhD, Luis Mijares MS, Vahed Maroufy PhD, Kyle T. Ganson PhD, Jason M. Nagata MSc, MD, Dylan B. Jackson PhD

Background

This study investigated the association between prior incarceration length and edentulism among US adults 55 years and older. Analyses explored indirect factors such as wealth, smoking status, mental health, and chronic health conditions that may explain this relationship. In addition, the study analyzed how associations between incarceration and edentulism vary by race and ethnicity.

Methods

The authors used data from the 2012-2014 Health and Retirement Study (unweighted N = 11,630; weighted N = 72,872,877) to assess the relationship between incarceration duration and edentulism through multivariable logistic regression. The Karlson-Holm-Breen method evaluated indirect effects, and multiplicative interaction terms examined variations by race and ethnicity.

Results

Net of control variables analyses showed a positive association between having been incarcerated for more than 1 month and higher odds of edentulism. However, this association was rendered statistically nonsignificant after accounting for wealth, current smoking status, mental health, and chronic disease. Collectively, wealth and smoking explained approximately 60% of the association between prior incarceration length and edentulism. Racial moderation models indicated that longer incarceration times increased edentulism likelihood in non-Hispanic Whites specifically.

Conclusions

To the authors’ knowledge, this is the first study on the association between prior incarceration length and edentulism among older adults. Study findings indicated the relationship between incarceration and edentulism was explained by higher wealth and current smoking status.

Practical Implications

These findings highlight the need for adequate access to oral health care services for formerly incarcerated older adults to improve oral health and enhance their overall health and quality of life

背景：本研究调查了美国 55 岁及以上成年人之前的监禁时间与镶牙之间的关系。分析探讨了可能解释这种关系的间接因素，如财富、吸烟状况、心理健康和慢性健康状况。此外，该研究还分析了不同种族和族裔的人在监禁和牙齿缺损之间的关系：作者使用了 2012-2014 年健康与退休研究（Health and Retirement Study）的数据（未加权 N = 11,630; 加权 N = 72,872,877 ），通过多变量逻辑回归评估了监禁时间与拔牙之间的关系。Karlson-Holm-Breen 方法评估了间接效应，乘法交互项则考察了种族和族裔的差异：对控制变量的净分析表明，监禁时间超过 1 个月与较高的牙齿缺损几率之间存在正相关。然而，在考虑了财富、当前吸烟状况、心理健康和慢性疾病等因素后，这种关联在统计学上并不显著。总的来说，财富和吸烟可以解释之前的监禁时间与拔牙之间大约 60% 的关联。种族调节模型表明，监禁时间越长，非西班牙裔白人患牙齿脱落症的可能性就越大：据作者所知，这是第一项关于老年人之前的监禁时间与拔牙之间关系的研究。研究结果表明，较高的财富水平和目前的吸烟状况可以解释监禁与拔牙之间的关系：这些研究结果突出表明，有必要为曾被监禁的老年人提供充分的口腔保健服务，以改善他们的口腔健康，提高他们的整体健康水平和生活质量。

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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 : 2024-11-01 DOI: 10.1016/j.adaj.2024.08.018

Stuart L. Segelnick DDS, MS, Mea A. Weinberg MS, RPh, DMD

引用次数: 0

Mental health screenings in dental settings 牙科环境中的心理健康筛查：国家牙科实践研究网络的研究可行性和成果。

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

Journal of the American Dental Association

Pub Date : 2024-11-01 DOI: 10.1016/j.adaj.2024.09.001

Todd B. Smith PhD, MSHA, MBA, RN, M. Blake Berryhill PhD, LMFT, Nathan Culmer PhD, Mary Ann McBurnie PhD, Dorota Kopycka-Kedzierawski DDS, MPH, Gregg H. Gilbert DDS, MBA, Danyelle Barton BA, BS, Celeste Machen

Background

With the rising importance of mental health screenings in nontraditional settings, dental offices offer an important opportunity to provide these services. This feasibility study examined mental health screenings and referral to treatment procedures in dental practices.

Methods

A total of 17 dentists, dental hygienists, and dental office staff members (dental office personnel [DOP]) from 5 dental practices enrolled 36 patients in the study. Patients completed 4 validated mental health screening instruments. In addition to training in study procedures, DOP also were trained on how to review patient screening measures and provide appropriate mental health follow-up (ie, provide a list of area mental health resources) when necessary.

Results

Twenty-two patients (61.1%) met the study threshold for follow-up on any mental health screening form. DOP provided appropriate follow-up for all 22 patients, which included providing a list of area mental health resources. DOP reported that the mental health screening procedures did not disrupt the workflow in 93% of patient encounters.

Conclusions

Overall, DOP reported minimal disruption in their workflow. The findings suggest the viability of incorporating regular mental health screenings as part of the regular dental patient workflow. This study also highlights the potential for the scalability and impact of screening procedures in dental practices.

Practical Implications

This feasibility study highlights the potential of dental offices becoming an avenue for screening patient mental health concerns and providing area resources, thus enhancing comprehensive patient care and overall patient well-being.

背景：随着心理健康筛查在非传统环境中的重要性不断提高，牙科诊所为提供这些服务提供了一个重要的机会。这项可行性研究考察了牙科诊所的心理健康筛查和转诊治疗程序：共有来自 5 家牙科诊所的 17 名牙医、牙科保健师和牙科诊所工作人员（牙科诊所工作人员 [DOP]）招募了 36 名患者参与研究。患者填写了 4 份经过验证的心理健康筛查工具。除了研究程序方面的培训外，牙科诊所工作人员还接受了如何审查患者筛查措施以及在必要时提供适当的心理健康随访（即提供地区心理健康资源清单）方面的培训：有 22 名患者（61.1%）的任何心理健康筛查表都达到了随访的研究阈值。值班医生为所有 22 名患者提供了适当的随访，其中包括提供一份地区心理健康资源清单。据值班医生报告，在 93% 的患者就诊过程中，心理健康筛查程序并未干扰工作流程：总的来说，值班医生报告说，他们的工作流程受到的干扰很小。研究结果表明，将定期心理健康筛查作为常规牙科患者工作流程的一部分是可行的。这项研究还强调了筛查程序在牙科实践中的可扩展性和影响力：这项可行性研究强调了牙科诊所成为筛查患者心理健康问题和提供区域资源的渠道的潜力，从而加强对患者的全面护理和患者的整体健康。

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