Dentists and other professionals are mandated to report suspected child abuse. Learn how to recognize signs of child abuse and neglect as well as potential indicators of sex trafficking of minors. This session will provide an overview of the child welfare system, child abuse reporting laws, risk factors and research on human trafficking of minors, and the role dentists and other professionals play in the protection of children.

Learning Objectives:

• Recognize the role of the child welfare system in protecting children
• Summarize child abuse reporting laws
• Identify indicators of child maltreatment
• Give examples of human trafficking of minors
• Recognize dentists and other professionals’ role in protecting children

JADA May 2019

Methods: The Massachusetts Dental Society (MDS) and the Partners Institutional Review Board approved this study, and we conducted it in collaboration with the Harvard School of Dental Medicine, Boston, Massachusetts. Involved faculty hold positions at Harvard School of Dental Medicine, Tufts University School of Dental Medicine, and Massachusetts General Hospital. Participants gave their consent to participate in the study by completing and returning the survey.

Key Words: Opioids; prescription drug monitoring program; Schedule II substances; substance misuse; substance abuse.

JADA May 2019

Background: The authors conducted a laboratory study to determine the carious lesion remineralization and fluoridation potential of fluoride (F)- and calcium-containing toothpastes.

Key Words: Carious lesion; remineralization; fluoride; calcium; laboratory testing; dentifrices; toothpastes.

JADA May 2019

Background: Few studies consider simultaneously the oral health implications of nontraditional tobacco products and tobacco-use patterns. The authors aimed to evaluate self-reported gingival disease among cigarette smokers and users of other types of tobacco products.

Key Words: Alternative tobacco products; polytobacco use; periodontal health; gingivitis.

This eLearning course is a recording from 2018 Children's Airway Health - A Practical Conference

Learning Objectives:

1. Discuss the clinician’s role in inquiriying about snoring during routine health maintenance visits
2. Learn about polysomnography and alternative tests for determining OSA
3. Discuss treatment options for different patients with OSA and patient referrals

Can a dental instrument be sterile but dirty? When it comes to reprocessing of dental instruments, how clean is clean enough? Does the cleanliness of an instrument affect its ability to be sterilized? What is a single-use instrument? What does the Food and Drug Administration consider to be a validated cleaning process? This course will examine these other issues concerning the cleanliness of dental instruments, including American Dental Association laboratory research on cleanliness.

After this course, you will be able to:

• Recognize the difference between clean and sterile

• Describe how instrument cleanliness affects its ability to be sterilized

• Determine how clean is clean enough for dental instruments

JADA June 2018
The authors assessed the trends of annual dental visits in dentate adults with diabetes or prediabetes or no diabetes, and assessed whether the racial and ethnic disparities in dental visits changed from 2004 through 2014. Data for this analysis came from the Behavioral Risk Factor Surveillance System, a US health survey that looks at behavioral risk factors that was developed by the Centers for Disease Control and Prevention in cooperation with state health departments. Respondents indicated whether they had a dental visit in the past 12 months. Weighted proportions were calculated for annual dental visits in adults by diabetes status, and trends were assessed by racial and ethnic groups.

Key Words: Dental visits; diabetes; racial disparity.

JADA July 2018
This report presents weighted average estimates of the prevalence of periodontitis in the adult US population during the 6 years 2009-2014 and highlights key findings of a national periodontitis surveillance project. Estimates were derived for dentate adults 30 years or older from the civilian noninstitutionalized population whose periodontitis status was assessed by means of a full-mouth periodontal examination at 6 sites per tooth on all nonethird molar teeth. Results are reported according to a standard format by applying the Centers for Disease Control and Prevention/American Academy of Periodontology periodontitis case definitions for surveillance, as well as various thresholds of clinical attachment loss and periodontal probing depth.

Key Words: Adults; epidemiology; NHANES; periodontal diseases; periodontitis; population surveillance; United States.

JADA July 2018
The effects of methamphetamine (MA) on caries have been well documented. Little, however, is known about its effects on the periodontium. The authors conducted this study to determine the prevalence and severity of periodontal disease in an urban population of HIV-positive MA users. This cross-sectional survey was conducted in one of the most populous urban areas of Los Angeles County, California, beset with high rates of MA use. Participants were recruited by a combination of street outreach methods, referral from drug treatment centers, and word of mouth. Participants were eligible if they were older than 18 years, spoke English or Spanish, used MA in the past 30 days, were willing to undergo a dental examination and psychosocial assessments, and were willing to provide a urine sample. Periodontal assessments were completed for 541 participants by 3 trained and calibrated dentists.

Key Words: Attachment loss; pocket depth; HIV; methamphetamine use; periodontal disease; epidemiology.

JADA August 2018
In this systematic review, the authors aim to assess the effect of silver diamine fluoride (SDF) in preventing and arresting caries in exposed root surfaces of adults. Two reviewers independently searched for controlled clinical trials with at least 12 months of follow-up, without language or date of publication restraints, in 8 electronic databases, 5 registries of ongoing trials, and reference lists of narrative reviews.

Key Words: Root caries; preventive dentistry; cariostatic agents; fluoride; dental health care for aged; systematic review.

JADA August 2018
Clear aligners have become increasingly popular because of their esthetics and comfort. The authors’ aim in this systematic review was to compare periodontal health in patients undergoing orthodontic treatment with clear aligners with that of those undergoing orthodontic treatment with fixed appliances. The authors systematically searched the PubMed, Web of Science, Cochrane Library, and Embase databases to collect related studies. After extracting data and assessing quality, the authors performed a meta-analysis and trial sequential analysis. The authors used the Grading of Recommendations Assessment, Development and Evaluation system to assess the quality of the evidence.

Key Words: Gingivitis; orthodontic appliances; literature review.

JADA August 2018
The aim of this study was to assess whether scores assigned to the eyes, nose, mouth, and chin regions work as predictors of full smiling face scores. In this cross-sectional study, the authors used the facial photographs of 86 smiling men. Photographs yielded 5 components: 1 of the face itself and 4 subcomponents (eyes, nose, mouth, and chin region). Raters assigned the photographs beauty scores that the authors measured morphometrically. The authors analyzed the predictive ability of the subcomponents against that of the full face.

Key Words: Face; facial esthetics; facial beauty; beauty; smile esthetics; smiles; predictors.

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