Journal of the American Dental Association (1939) (J AM DENT ASSOC)

Publications in this journal

• Article: Detecting viruses by using salivary diagnostics

  Paul Corstjens, William R. Abrams, Daniel Malamud
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  ABSTRACT: BACKGROUND: Diagnostics that involve the use of oral fluids have become increasingly available commercially in recent years and are of particular interest because of their relative ease of use, low cost and noninvasive collection of oral fluid for testing. TYPES OF STUDIES REVIEWED: The authors discuss the use of salivary diagnostics for virus detection with an emphasis on rapid detection of infection by using point-of-care devices. In particular, they review salivary diagnostics for human immunodeficiency virus, hepatitis C virus and human papillomavirus. Oral mucosal transudate contains secretory immunoglobulin (Ig) A, as well as IgM and IgG, which makes it a good source for immunodiagnosticbased devices. CLINICAL IMPLICATIONS: Because patients often visit a dentist more regularly than they do a physician, there is increased discussion in the dental community regarding the need for practitioners to be aware of salivary diagnostics and to be willing and able to administer these tests to their patients.
  Journal of the American Dental Association (1939) 11/2012; 143.
• Article: El consumo de refresco de cola como factor de riesgo para desarrollar caries dental a partir de la alteración del pH y la capacidad buffer salival

  María Teresa de Jesús Zaragoza –Meneses, Gabriela Martínez Lucía, Laura Adriana Ángel López, Fernando David Cabrera Enríquez, Manuel Hernández Hernández, Pamela Corina Herrera Guadarrama, Mónica Ariana Lugo Rodríguez
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  ABSTRACT: Autores:María Teresa de Jesús Zaragoza –Meneses; Gabriela Martínez Lucía; Laura Adriana Ángel López; Fernando David Cabrera Enríquez; Manuel Hernández Hernández; Pamela Corina Herrera Guadarrama; Mónica Ariana Lugo Rodríguez Introducción: La actividad buffer y pH salival son mecanismos de defensa que permiten mantener un pH neutro en cavidad bucal. La ingesta de refresco de cola, por su formulación, puede ser un factor modificador local del pH y la capacidad amortiguadora salival. Objetivo. Determinar si el consumo de refresco de cola modifica el pH salival y la capacidad buffer. Material y Método. Se colectaron 121 muestras de saliva antes de ingerir refresco de cola y 15 / 60 minutos después de su ingesta, midiendo pH y capacidad amortiguadora por muestra y así comparar variaciones existentes. Resultados. No se observó variación en pH salival en las 121 muestras, hubo capacidad amortiguadora salival baja en 42.88% de la muestra basal, el 57.12 restante fue entre normal y buena; 15 minutos después de ingerir refresco de cola 100% de las salivas tuvieron una capacidad amortiguadora baja, a los de 60 minutos sólo 47.61% fue normal y el resto baja. Conclusiones. El refresco de cola es actualmente la bebida gaseosa mayoritariamente consumida a nivel mundial, forma parte de la dieta cotidiana, afecta a la capacidad amortiguadora salival, disminuyéndola considerablemente y resultado en un factor de riesgo para padecer caries dental, puesto que las condiciones bucales son más aptas para desarrollar caries. JADA MEX 2012-2013;4 (12-2): 48-51
  Journal of the American Dental Association (1939) 02/2012; 5(4):48-51.
• Source

  Available from: ada.org

  Article: Biology of esthetics.

  Thomas D Dumont
  Journal of the American Dental Association (1939) 03/2009; 140(2):146-7; author reply 148.
• Article: Atrial fibrillation: pathogenesis, medical-surgical management and dental implications.

  Arthur H Friedlander, Thomas T Yoshikawa, Donald S Chang, Zenaida Feliciano, Crispian Scully
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  ABSTRACT: Atrial fibrillation (AF) is a cardiac rhythm disturbance arising from disorganized electrical activity in the atria, and it is accompanied by an irregular and often rapid ventricular response. It is the most common clinically significant dysrhythmia in the general and older population. The authors conducted a MEDLINE search using the key terms "atrial fibrillation," "epidemiology," "pathophysiology," "treatment" and "dentistry." They selected contemporaneous articles published in peer-reviewed journals and gave preference to articles reporting randomized controlled trials. The anticoagulant warfarin frequently is prescribed to prevent stroke caused by cardiogenic thromboemboli arising from stagnant blood in poorly contracting atria. Most dental procedures and a limited number of surgical procedures can be performed without altering warfarin dosage if the international normalized ratio value is within the therapeutic range of 2.0 to 3.0. Certain analgesic agents, antibiotic agents, antifungal agents and sedative hypnotics, however, should not be prescribed without consultation with the patient's physician because these medications may alter the patient's risk of hemorrhage and stroke. AF affects nearly 2.5 million Americans, most of who are older than 60 years. Consultation with the patient's physician to discuss the planned dental treatment often is appropriate, especially for people who frequently have comorbid diseases such as coronary artery disease, congestive heart failure, diabetes and thyrotoxicosis, which are treated with multiple drug regimens.
  Journal of the American Dental Association (1939) 03/2009; 140(2):167-77; quiz 248.
• Article: Potential mechanisms underpinning the nutritional modulation of periodontal inflammation.

  Iain L C Chapple
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  ABSTRACT: Periodontitis results from an inappropriate host response to pathogenic biofilms. Because traditional management approaches have failed to reduce disease prevalence, the research focus has shifted toward managing host-mediated inflammation. In this article, the author reviews the role of nutrition in the development and resolution of inflammation. The author reviewed the biomedical literature to elucidate mechanisms by which dietary factors affect inflammatory processes and to establish what evidence exists for macronutritional and micronutritional modulation of inflammation at a cellular and molecular level. Hyperinflammation characterizes the periodontitis phenotype, and oxidative stress is a key orchestration point for the diverse signaling pathways, which control inflammation. Oxidative stress is modulated by diet, as well as by infection. Recent research has demonstrated that subtle shifts in nutritional status are associated independently with the prevalence of periodontitis. Moreover, the results of contemporary animal and human studies have demonstrated the role of specific micronutrients in the modulation of the host's inflammatory response by reducing inflammatory biomarkers and bone loss. The scientific community is starting to realize the health benefits of diets containing foods naturally rich in antioxidants and omega-3 polyunsaturated fatty acids, as well as the dangers of diets that are high in refined carbohydrates. Nutritional intervention studies in patients with inflammatory periodontitis are needed to evaluate the effect of nutritional approaches to periodontal management.
  Journal of the American Dental Association (1939) 03/2009; 140(2):178-84.
• Article: Restorative dentistry for times of economic distress.

  Gordon J Christensen
  Journal of the American Dental Association (1939) 03/2009; 140(2):239-42.
• Source

  Available from: ada.org

  Article: Gingival retraction.

  Harvey Jay Mahler
  Journal of the American Dental Association (1939) 03/2009; 140(2):143; author reply 143-4.
• Article: A home away from home: the patient-centered health home.

  Michael Glick
  Journal of the American Dental Association (1939) 03/2009; 140(2):140-2.
• Source

  Available from: ada.org

  Article: Quitting tobacco use.

  Nevin Zablotsky
  Journal of the American Dental Association (1939) 03/2009; 140(2):145.
• Source

  Available from: ada.org

  Article: Rating smiles.

  Peter Chiaravalli
  Journal of the American Dental Association (1939) 03/2009; 140(2):147; author reply 148.
• Article: Evaluation of two nitrous oxide scavenging systems using infrared thermography to visualize and control emissions.

  April M Rademaker, James D McGlothlin, John E Moenning, Michael Bagnoli, Gary Carlson, Carl Griffin
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  ABSTRACT: The authors conducted a study to determine the effectiveness of two waste anesthetic gas-scavenging systems. They also evaluated one of the systems to determine the effect of work practices in controlling waste nitrous oxide (N2O). The authors collected a minimum of 13 data sets in each phase of the study that included infrared thermography, digital videography and real-time air analysis for ambient concentrations of waste N2O. Surgeon 1, who had experience using both systems, used the Safe Sedate Dental Mask (Airgas, Radnor, Pa.) system (system I) in phase I and the Porter Nitrous Oxide Sedation System (Porter Instruments, Hatfield, Pa.) (system II) in phase II. Surgeon 2, who did not have experience using system I, used it in phase III. To evaluate each system's effectiveness, the authors collected N2O air concentration data from phases I and II and compared the data with the National Institute for Occupational Safety and Health Recommended Exposure Limit (NIOSH REL). They also compared phases I and III to determine the effect of work practices on the systems' effectiveness. Surgeon 1 controlled occupational exposure to N2O significantly better using system I than using system II. Mean N2O air concentration levels during phases I and II were 61.6 parts per million (ppm) and 225.6 ppm, respectively. Surgeon 2 did not achieve results comparable to those of surgeon 1 in phase I using system I. Infrared thermography and air concentration data suggested that key work practices and patient and surgical variables accounted for the different results obtained in phases I and III. Although neither system was able to control occupational exposure of N2O oxide below the NIOSH REL, system I met the American Conference of Governmental Industrial Hygienists threshold limit value of less than 50 ppm during an eight-hour day and performed significantly better than did system II. System I achieved maximal efficiency when combined with consistent best work practices.
  Journal of the American Dental Association (1939) 03/2009; 140(2):190-9; quiz 248-9.
• Article: Asymptomatic pebbly lesions.

  Mark J Kutcher, Ricardo Padilla, John B Ludlow
  Journal of the American Dental Association (1939) 03/2009; 140(2):185-8.
• Source

  Available from: ada.org

  Article: Full-face images.

  Joseph R Greenberg
  Journal of the American Dental Association (1939) 03/2009; 140(2):147; author reply 148.
• Article: Providing dental care to pregnant patients: a survey of Oregon general dentists.

  Colleen E Huebner, Peter Milgrom, Douglas Conrad, Rosanna Shuk Yin Lee
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  ABSTRACT: A growing number of studies and reports indicate preventive, routine and emergency dental procedures can be provided safely to pregnant patients to alleviate dental problems and promote oral health of mothers and children. In 2006 and 2007, the authors conducted a survey of 1,604 general dentists in Oregon. The survey asked dentists about their attitudes, beliefs and practices regarding dental care for pregnant patients. The authors compared the responses with 2006 guidelines from a New York State Department of Health expert panel. The response rate was 55.2 percent. Most respondents (91.7 percent) agreed that dental treatment should be part of prenatal care. Two-thirds of respondents (67.7 percent) were interested in receiving continuing dental education (CDE) regarding the care of pregnant patients. Comparisons of self-reported knowledge and practice with the aforementioned guidelines revealed several points of difference; the greatest regarded obtaining full-mouth radiographs, providing nitrous oxide, administering long-acting anesthetic injections and use of over-the-counter pain medications. Dentists need pregnancy-specific education to provide up-to-date preventive and curative care to pregnant patients. The results of the study identified specific skills and misinformation that could be addressed through CDE. Comprehensive dental care provided during pregnancy is needed to ensure the oral health of all women at risk of experiencing pregnancy-specific problems, as well as the prevention of early childhood caries.
  Journal of the American Dental Association (1939) 03/2009; 140(2):211-22.
• Source

  Available from: ada.org

  Article: Inspired.

  Earl Lord
  Journal of the American Dental Association (1939) 03/2009; 140(2):143.
• Source

  Available from: ada.org

  Article: 'Periodontal maintenance'.

  Rodney B Wentworth
  Journal of the American Dental Association (1939) 03/2009; 140(2):145-6; author reply 146.
• Article: A second opinion.

  Larry Z Lockerman
  Journal of the American Dental Association (1939) 03/2009; 140(2):144; author reply 144-5.
• Article: Understanding the practice management component of dental implants.

  Roger P Levin
  Journal of the American Dental Association (1939) 03/2009; 140(2):243-4.