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JADA December 2017No evidence-based
guidelines exist for preventive dental care before radiation therapy (RT) in
patients with head and neck cancer (HNC). An ongoing multicenter, prospective
cohort study, Clinical Registry of Dental Outcomes in Head and Neck Cancer
Patients (OraRad), is addressing this knowledge gap. The authors evaluated the
level of dental disease before RT in the OraRad cohort, factors associated with
dental disease, and dental treatment recommendations made before RT. As part of
OraRad, the authors assessed caries, periodontal disease, dental
recommendations, and dental interventions performed before RT.
Key Words: Radiation therapy; dentistry; caries; periodontal diseases; head
and neck neoplasms.
JADA December 2017The authors updated a
previously published systematic review to assess the effects of low-level laser
therapy (LLLT) on reducing complications after the removal of impacted
mandibular third molars. The authors searched for randomized clinical trials in
which the investigators evaluated the efficacy of LLLT compared with that of
placebo or no treatment. Two reviewers independently screened studies, extracted
data, and assessed risk of bias. The authors used random effects model
meta-analysis and the Grading of Recommendations Assessment, Development and
Evaluation approach to rate the certainty of evidence.
Key Words : Impacted mandibular third molar; systematic review; postsurgical
complications; pain; swelling; trismus.
JADA December 2017A lesion on an
occlusal tooth surface with no cavitation and no radiographic radiolucency but
in which caries is suspected owing to surface roughness, opacities, or staining
can be defined as a suspicious occlusal carious lesion (SOCL). The authors’
objective was to quantify the characteristics of SOCLs and their relationship to
lesion depth and activity after these lesions were opened surgically.
Ninety-three dentists participated in the study. When a consenting patient had
an SOCL, information was recorded about the tooth, lesion, treatment provided,
and, if the SOCL was opened surgically, its lesion depth. The Rao-Scott
cluster-adjusted c2 test was used to evaluate associations between lesion depth
and color, roughness, patient risk, and luster.
Key Words: Evidence-based dentistry; carious lesions;
JADA December 2016The authors of this study evaluated the effects of
lasers on the outcome of direct pulp capping by means of a meta-analysis. The
authors completed a literature search on PubMed, Cochrane Library, Embase, and
China National Knowledge Infrastructure, as well as a manual search of the
reference lists of all identified articles since the introduction of lasers in
endodontics in 1971 through May 30, 2016. The authors systematically evaluated
the studies that met the inclusion criteria and performed a meta-analysis.
JADA December 2016The authors studied the effects of nonnutritive sucking
behavior (NNSB) on malocclusions through a systematic review of association
(etiology). The authors performed a 3-step search strategy, including electronic
searches. Studies of healthy participants with a history of active or previous
NNSB, for whom specific malocclusion outcomes had been assessed, were eligible
for inclusion. The authors considered before-and-after studies, prospective and
retrospective (longitudinal) studies, case-control studies, and analytical
cross-sectional studies. They excluded reviews, text and opinion-based articles,
conference abstracts, case reports, case-series, and descriptive cross-sectional
studies. The authors, using standardized instruments, independently assessed
methodological quality and extracted data from the included studies. In
situations for which there were sufficient studies, the authors conducted
meta-analyses using the random-effects model, supplemented with the
fixed-effects model in situations for which statistical heterogeneity was less
than 50%, which the authors assessed using the I2 statistic.
JADA December 2018
Background: The prescribing practices
of dental professionals may play an important role in the opioid epidemic. The
authors performed a scoping review of the current
original research literature on dental professionals’ prescribing practices for
opioid analgesics published from 2000 through 2017.
Key Words: Dental professionals’
opioid prescription practice; opioids; dental
Background: The effect of Early Head
Start (EHS) on receipt of
preventive oral health services (POHS) from both oral and
medical health care providers is not known.
Key Words: Early intervention
(education); preventive health services; preventive dentistry; oral health care
for children; health
services research; health care disparities;
Background: Obesity is a risk factor
for several chronic diseases, and scientific evidence suggests an association
between obesity and oral diseases. In this study, the authors estimated the
prevalence of risk factors for
caries, dental erosion, and periodontal disease in a group
of obese patients referred for bariatric surgery.
Caries; obesity; oral health; dental
JADA November 2018
The authors conducted a systematic
review and meta-analysis to determine whether arthrocentesis or arthroscopy combined
with platelet-rich plasma (PRP) or platelet-rich growth.
Temporomandibular joint disorders; osteoarthritis; platelet-rich
plasma; arthrocentesis; arthroscopy; systematic review;