JADA

Penicillin allergy reassessment for treatment improvement

Dental appointments offer an opportunity to evaluate a documented penicillin (PCN) allergy and determine whether the patient might be a candidate for medical reassessment of their allergy. The authors gathered feedback on the Penicillin Allergy Reassessment for Treatment Improvement (PARTI) tool, designed to enhance dentist-patient communications regarding PCN allergies.

Embracing the need for a Whole Health Home

More than a half-century ago, the American Academy of Pediatrics recognized the value of creating a “medical home.”1 This concept emphasizes the coordination of care across various disciplines. At first, the focus was on coordinating care for people with “special health care needs.” Over time, this concept has evolved into a broader vision of a …

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Factors associated with oral hygiene compliance in patients treated with radiation therapy for head and neck cancer

Patients who are oral hygiene noncompliant (OHNC) are more likely to lose teeth after radiation therapy (RT) for head and neck cancer (HNC), which increases the risk of developing osteoradionecrosis. A previous study revealed that patients who were OHNC at baseline (BL) who became oral hygiene compliant during follow-up had the best tooth-failure outcomes. The …

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Necrotic palatal collapse in a 72-year-old woman with uncontrolled diabetes

A 72-year-old woman came to the emergency unit with a palatal collapse. The patient was a former smoker and had underlying conditions including hypertension, heart disease, and fibromyalgia. Furthermore, she reported untreated type 2 diabetes, resulting in a glycated hemoglobin level of 10.5%.

White plaques of the oral mucosa

A 71-year-old woman reported a 1-year history of “sores and white patches on the tongue and inner cheeks with a fuzzy sensation of the mouth” and muted taste. She was examined by multiple providers, including her primary care provider and an oral and maxillofacial surgeon. She was prescribed magic mouthwash (containing lidocaine, diphenhydramine, and aluminum …

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Sleep bruxism

The concept of sleep bruxism (SB) has evolved exponentially over the past several decades. Many theories and hypotheses have been proposed as to the definition, pathophysiology, and management of SB, from the early 1960s through the present. The role of peripheral factors, such as dental occlusion, in the pathogenesis of SB has been discarded.

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