American Dental Association

美国牙科协会
  • 文章类型: Journal Article
    背景:考虑到缩小牙科奖学金性别差距的证据,这项研究评估了女性作为作者的参与,审稿人,以及2000年至2022年的《美国牙科协会杂志》(JADA)编辑委员会成员。
    方法:研究作者从PubMed下载作者姓名,并从JADA页面检索审稿人和编辑委员会成员的姓名。作者使用Gender-API软件根据名字确定性别。他们使用逻辑回归来测试趋势。
    结果:从2000年1月到2022年12月,有2,935篇全长文章,2,775名审稿人,4主编,和85名编辑委员会成员。女性作者的百分比每年增加1.2%(95%CI,1.03%至1.33%),2022年达到47%。第一作者每年增长2.1%(95%CI,1.84%至2.39%),自2016年以来一直超过50%。在有多个作者的文章中,有适度的增加;第二作者每年增加0.7%(95%CI,0.36%至1.09%),最后作者增加0.7%(95%CI,0.03%至1.00%)。女性审稿人每年增长0.8%(95%CI,0.68%至0.97%),但编委会中的女性比例没有显著增加,2022年为41%.
    结论:预计到2024年,50%的JADA作者将是女性。然而,妇女在编辑委员会中的代表性仍然不足。需要全面努力培养榜样,为女性提供指导机会,并支持妇女在牙科研究和出版物方面的专业进步。
    结论:基于性别的差异影响女性在牙科教育和临床实践中的工作。担任编辑委员会成员,审阅者,或作者可以影响学术推广和正在进行的科学研究的类型,并间接影响女性的健康结果。
    BACKGROUND: Considering evidence of closing the gender gap in dental scholarship, this study assessed women\'s participation as authors, reviewers, and members of the editorial board for The Journal of the American Dental Association (JADA) from 2000 through 2022.
    METHODS: The study authors downloaded author names from PubMed and retrieved names of reviewers and editorial board members from JADA\'s pages. The authors used Gender-API software to determine gender on the basis of first names. They used logistic regression to test for trends.
    RESULTS: From January 2000 through December 2022, there were 2,935 full-length articles, 2,775 reviewers, 4 editors in chief, and 85 editorial board members. The percentage of women authors increased by 1.2% annually (95% CI, 1.03% to 1.33%), reaching 47% in 2022. First authorship increased by 2.1% annually (95% CI, 1.84% to 2.39%) and has been at more than 50% since 2016. In articles with multiple authors, there was a modest increase; second authorship increased 0.7% annually (95% CI, 0.36% to 1.09%) and last authorship by 0.7% (95% CI, 0.03% to 1.00%). Women reviewers increased 0.8% annually (95% CI, 0.68% to 0.97%), but the percentage of women on the editorial board did not increase significantly and was 41% in 2022.
    CONCLUSIONS: It was anticipated that 50% of JADA authors would be women by 2024. However, women are still underrepresented on the editorial board. A comprehensive effort is needed to foster role models, provide mentorship opportunities for women, and support women\'s professional advancement in dental research and publications.
    CONCLUSIONS: Gender-based disparities affect women in dental education and clinical practice. Serving as an editorial board member, reviewer, or author can affect academic promotion and the type of scientific investigation being conducted and indirectly affects women\'s health outcomes.
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  • 文章类型: Journal Article
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  • 文章类型: Practice Guideline
    背景:由美国牙科协会科学与研究所召集的小组,匹兹堡大学,和宾夕法尼亚大学进行了系统评价和荟萃分析,并制定了循证建议,用于简单和手术拔牙后急性牙痛的药物管理和临时管理(即,无法立即获得最终的牙科治疗)与青少年牙髓和根尖疾病有关的牙痛,成年人,和老年人。
    方法:小组进行了4次系统评价,以确定阿片类和非阿片类镇痛药的效果,局部麻醉药,皮质类固醇,和局部麻醉药治疗急性牙痛。面板使用了“建议分级”,评估,开发和评估方法,以评估证据的确定性和建议的等级,评估,制定和评估决策证据框架,以制定建议。
    结果:专家组使用现有的最佳证据制定了建议和良好实践声明。与阿片类药物相比,使用非阿片类药物存在有利的净平衡。特别是,与阿片类药物相比,非甾体类抗炎药单独使用或联合使用对乙酰氨基酚可能能更好地缓解疼痛,安全性更好.
    结论:非阿片类药物是治疗拔牙后急性牙痛和临时治疗牙痛的一线疗法。当一线治疗不足以减轻疼痛或存在非甾体类抗炎药禁忌症时,应保留阿片类药物的使用。临床医生应避免常规使用阿片类药物的处方,并且在向青少年和年轻人处方阿片类药物时应格外谨慎。
    A panel convened by the American Dental Association Science and Research Institute, the University of Pittsburgh, and the University of Pennsylvania conducted systematic reviews and meta-analyses and formulated evidence-based recommendations for the pharmacologic management of acute dental pain after simple and surgical tooth extraction(s) and for the temporary management (ie, definitive dental treatment not immediately available) of toothache associated with pulp and periapical diseases in adolescents, adults, and older adults.
    The panel conducted 4 systematic reviews to determine the effect of opioid and nonopioid analgesics, local anesthetics, corticosteroids, and topical anesthetics on acute dental pain. The panel used the Grading of Recommendations, Assessment, Development and Evaluation approach to assess the certainty of the evidence and the Grading of Recommendations, Assessment, Development and Evaluation Evidence-to-Decision Framework to formulate recommendations.
    The panel formulated recommendations and good practice statements using the best available evidence. There is a beneficial net balance favoring the use of nonopioid medications compared with opioid medications. In particular, nonsteroidal anti-inflammatory drugs alone or in combination with acetaminophen likely provide superior pain relief with a more favorable safety profile than opioids.
    Nonopioid medications are first-line therapy for managing acute dental pain after tooth extraction(s) and the temporary management of toothache. The use of opioids should be reserved for clinical situations when the first-line therapy is insufficient to reduce pain or there is contraindication of nonsteroidal anti-inflammatory drugs. Clinicians should avoid the routine use of just-in-case prescribing of opioids and should exert extreme caution when prescribing opioids to adolescents and young adults.
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  • 文章类型: Journal Article
    1800年代中后期,有组织的牙科领导和有远见的思想的温床来自俄亥俄州,美国牙科协会的许多主席都来自该州。他们在领导这个组织进入20世纪方面非常有影响力。乔治·瓦特博士是最有活力和最全面的人之一……这篇论文将突出他的一位同龄人的生活。
    A hot bed of organized dental leadership and visionary thinking in the mid-to-late 1800s came from Ohio, as many presidents of the American Dental Association were from that state. They were quite influential in leading this organization into the 20th century. One of the most dynamic and well-rounded individuals was Dr. George Watt…this paper will highlight his life as viewed by one of his peers.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    背景:远程工作技术的兴起影响了各个行业,包括牙科。虽然有些牙医已经使用了一段时间,许多人发现了结合这项技术来补充他们现有的病人护理能力的好处。
    方法:为了评估临床医生在实践中如何使用远程医疗,2023年2月27日,美国牙科协会临床评估人员(ACE)小组制定了一项电子调查.调查链接保持开放2周。非受访者在1周后收到提醒。
    结果:在244名受访者中(24%的回应率),30%的人在他们的实践中使用远程医学,超过一半的人使用同步(53%)或异步远程医疗(63%)。纳入远程医疗的最常见原因是患者的便利性增加(53%),COVID-19(50%),并增加了提供商的可及性(39%)。Teledentic可以帮助为所有年龄段的患者(最低代表年龄组[0-5岁]有42%的牙医治疗他们)和距离,63%的远程医疗患者距离不到20英里。大多数用户在过去3年内采用了远程技术,每月使用时间不到5小时。引用的好处包括减少患者的亲自就诊次数(63%)和增加的访问和护理质量(57%)。在非用户中,60%的人认为没有必要。39%的人担心报销。
    结论:自COVID-19大流行以来,远程医学已经越来越受欢迎,但可能没有得到充分利用,尽管它有可能使比许多人认为的更广泛的患者和应用受益。
    结论:关于远程医疗的能力和益处的教育可能有助于增加采用和改善患者护理。
    The rise of teleworking technologies has affected various industries, including dentistry. Although some dentists have used it for some time, many are discovering the benefits of incorporating this technology to complement their existing patient care capabilities.
    To assess how clinicians are using teledentistry in their practices, an electronic survey was developed and deployed to the American Dental Association Clinical Evaluators (ACE) Panel on February 27, 2023. The survey link remained open for 2 weeks. Nonrespondents received reminders after 1 week.
    Of the 244 respondents (24% response rate), 30% use teledentistry in their practices, with more than one-half of those using synchronous (53%) or asynchronous teledentistry (63%). The most common reasons for incorporating teledentistry were increased convenience for patients (53%), COVID-19 (50%), and increased accessibility to providers (39%). Teledentistry can help serve patients of all ages (the lowest represented age group [0-5 years] had 42% of dentists treating them) and distances, with 63% of teledentistry patients fewer than 20 miles away. Most users adopted teledentistry within the past 3 years and use it fewer than 5 hours per month. Benefits cited include a reduced number of in-person patient visits (63%) and increased access and quality of care (57%). Among nonusers, 60% felt there was no need, and 39% had concerns with reimbursement.
    Teledentistry has gained popularity in since the onset of the COVID-19 pandemic but may be underused, despite its potential to benefit a wider range of patients and applications than many believe.
    Education on the capabilities and benefits of teledentistry may help increase adoption and improve patient care.
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  • 文章类型: Systematic Review
    背景:由美国牙科协会科学事务委员会召集的指南小组,美国牙科协会科学与研究所,匹兹堡大学牙科医学院,和宾夕法尼亚大学综合全球口腔健康中心进行了系统评价和荟萃分析,并为1次或更多次简单和手术拔牙后急性牙痛的药理学管理以及牙痛的临时管理制定了循证建议(即,当无法立即获得明确的牙科治疗时)与牙髓和分叉或儿童根尖疾病(<12岁)有关。
    方法:作者进行了系统评价,以确定镇痛药和皮质类固醇在治疗急性牙痛中的作用。他们使用了建议评估等级,开发和评估方法,以评估证据的确定性和建议的等级评估,制定和评估决策框架的证据,以制定建议。
    结果:小组在不同条件下提出了7项建议和5项良好实践声明。与不提供镇痛治疗相比,存在有利于单独使用非甾体抗炎药或与对乙酰氨基酚组合使用的小的有益净平衡。没有关于糖皮质激素对儿童手术拔牙后急性疼痛的影响的可用证据。
    结论:非阿片类药物,特别是非甾体抗炎药,如布洛芬和萘普生单独或与对乙酰氨基酚联合使用,建议用于治疗1次或多次拔牙后的急性牙痛(即,简单和手术)和儿童牙痛的临时管理(有条件推荐,非常低的确定性)。根据美国食品和药物管理局,儿童使用可待因和曲马多治疗急性疼痛是禁忌的。
    A guideline panel convened by the American Dental Association Council on Scientific Affairs, American Dental Association Science and Research Institute, University of Pittsburgh School of Dental Medicine, and Center for Integrative Global Oral Health at the University of Pennsylvania conducted a systematic review and meta-analyses and formulated evidence-based recommendations for the pharmacologic management of acute dental pain after 1 or more simple and surgical tooth extractions and the temporary management of toothache (that is, when definitive dental treatment not immediately available) associated with pulp and furcation or periapical diseases in children (< 12 years).
    The authors conducted a systematic review to determine the effect of analgesics and corticosteroids in managing acute dental pain. They used the Grading of Recommendations Assessment, Development and Evaluation approach to assess the certainty of the evidence and the Grading of Recommendations Assessment, Development and Evaluation Evidence to Decision framework to formulate recommendations.
    The panel formulated 7 recommendations and 5 good practice statements across conditions. There is a small beneficial net balance favoring the use of nonsteroidal anti-inflammatory drugs alone or in combination with acetaminophen compared with not providing analgesic therapy. There is no available evidence regarding the effect of corticosteroids on acute pain after surgical tooth extractions in children.
    Nonopioid medications, specifically nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen alone or in combination with acetaminophen, are recommended for managing acute dental pain after 1 or more tooth extractions (that is, simple and surgical) and the temporary management of toothache in children (conditional recommendation, very low certainty). According to the US Food and Drug Administration, the use of codeine and tramadol in children for managing acute pain is contraindicated.
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  • 文章类型: Journal Article
    根管系统的三维闭塞对于成功的根管治疗是强制性的。使用具有最佳性质的填充材料可以使得根管能够被很好地密封并且因此获得期望的闭塞。
    使用磷酸钙粉末和苯乙烯-丁二烯乳液聚合物开发新的可注射糊状牙髓填充材料。
    粉末相包含等摩尔比的磷酸四钙,无水磷酸二钙,氧化铋,和氯化钙.液相包含在蒸馏水中的苯乙烯-丁二烯橡胶乳液。将粉末和液体混合以获得糊状物稠度。对糊状物进行各种测试,包括流动,设置时间,尺寸变化,溶解度,和射线不透性,以表明其作为根管填充材料的适用性。所有这些测试都是根据美国国家标准协会-美国牙科协会对牙髓密封材料进行的。通过这些测试后,对该糊状物进行可注射性测试。
    材料在储存30天后显示出可接受的流动性,凝固时间为19.1±1.3分钟,收缩率为0.61±0.16%。我们发现最高的溶解度在24小时(6.62±0.58%),然后溶解度在3天内下降到1.09±0.08%。该材料比在铝楔上的3mm台阶更不透射线。此外,该材料显示出良好的可注射性,为93.67±1.80%。
    苯乙烯-丁二烯乳液中的磷酸钙粉末满足了具有有希望的性能的根管填充材料的基本要求。
    UNASSIGNED: Three-dimensional obturation of the root canal system is mandatory for a successful root canal treatment. Using a filling material with optimal properties may enable the root canal to be sealed well and therefore obtain the desired obturation.
    UNASSIGNED: To develop a new injectable paste endodontic filling material using calcium phosphate powder and a styrene-butadiene emulsion polymer.
    UNASSIGNED: The powder phase comprised an equivalent molar ratio of tetracalcium phosphate, anhydrous dicalcium phosphate, bismuth oxide, and calcium chloride. The liquid phase comprised a styrene-butadiene rubber emulsion in distilled water. The powder and the liquid were mixed to achieve a paste consistency. The paste was subjected to various tests including flow, setting time, dimensional change, solubility, and radiopacity to indicate its suitability as a root canal filling material. All these tests were conducted according to the American National Standards Institute-American Dental Association for endodontic sealing materials. After passing these tests, the paste was submitted to an injectability test.
    UNASSIGNED: The material showed acceptable flowability with 19.1 ± 1.3 min setting time and 0.61 ± 0.16% shrinkage after 30 days of storage. We found the highest solubility at 24 h (6.62 ± 0.58%), then the solubility decreased to 1.09 ± 0.08% within 3 days. The material was more radiopaque than a 3 mm step on an aluminum wedge. Furthermore, the material showed good injectability of 93.67 ± 1.80%.
    UNASSIGNED: The calcium phosphate powder in styrene-butadiene emulsion met basic requirements for a root canal filling material with promising properties.
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