CLINICAL KEY

1. Front Cover

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages OFC-OFC
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2. Editorial Board

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages A8-A11
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3. Table of Contents

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages A2-A2, A4-A4, A6-A6
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4. Association Directory

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages A12-A12
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5. Understanding Multifocal Epithelial Hyperplasia

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 281-281 | Davies, Austin J., DDS, MS
   JADA welcomes letters from readers on articles that have been published in an issue of JADA within the previous 2 months. Accepted letters will be forwarded to the article’s authors for comment. By sending a letter to the editor, the letter writer...

6. Make America Healthy Again

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 265-267 | Kessler, Brett H., DDS; Rosato, Richard J., DMD
   The US health care system is in a period of significant reform that is likely to reverberate decades into the future. As Make America Healthy Again (MAHA), the Trump Administration health care platform, starts taking shape, it is important to refl...

7. A survey of general dentists on the involvement of endodontists in restorative procedures

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 284-291 | Deese, Gabriella Blazquez, DMD; Spoto, Michelle T., DMD, PhD; Zhu, Qiang, DDS, PhD;...
   AbstractBackgroundThe authors investigated, via a web-based survey, the perceptions of general dentists in the United States regarding endodontists restoring endodontically treated teeth (ETT). MethodsA 15-question survey was distributed to Americ...

8. Metastatic neuroendocrine carcinoma of the small intestine presenting as temporomandibular disorder

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 320-326 | Sandhu, Shaiba, DDS, MS; Kalim, Sonya, DMD, MS; Jacks, Demetria Ileana Strauch, MD;...
   AbstractBackgroundNeuroendocrine carcinomas (NECs) are rare tumors from hormone-secreting neuroendocrine cells, often within the gastrointestinal tract. The authors report what is, to their best knowledge, the first case of a small intestine NEC m...

9. Approach to patients with body dysmorphic disorder in dentistry

   The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 300-308 | Borges, Célia, DDS; Lurdes Pereira, Maria, DDS, PhD; Caldas, Inês, DDS, PhD;...
   AbstractBackgroundBody dysmorphic disorder (BDD), characterized by an obsessive focus on perceived flaws in appearance and affects approximately 0.7% through 2.4% of the general population, with dental-related concerns accounting for 20% of cases....

10. Authors’ Response

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 282-283 | Fan, Qi; Long, Hu, DDS, PhD
    We thank Dr. Connell for his insightful comments on our case report. We would like to clarify and discuss some of the details. Dr. Connell suggested extraction of the ectopic first molar followed by observation would be the most sensible choice, w...

11. The 2024 International Society of Oral Oncology-Multinational Association of Supportive Care in Cancer-American Society of Clinical Oncology guidelines for the prevention and management of osteoradionecrosis of the jaw

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 268-276 | Smith, Derek K., DDS, PhD, MPH; Villa, Alessandro, DDS, MPH, PhD; Koyfman, Shlomo A., MD;...
    Osteoradionecrosis (ORN) of the jaw is one of the most serious long-term sequela of primary or adjuvant radiation therapy among head and neck cancer survivors. ORN is a pathologic area of bone within the radiation treatment field that is character...

12. Play it safe: wear a mouthguard

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 342-342 | Mark, Anita M.
    Athletes who don’t wear a mouthguard when playing on team sports, like soccer, football, and basketball, are twice as likely to suffer a mouth or face injury than those who wear one. But injuries do not only occur in team sports. Many individual s...

13. Citizen science in dentistry and community oral health

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 309-319.e5 | Shinkai, Rosemary S.A., DDS, MSc, PhD; de Lima Silva, Isabella, DDS; Ortiz Rosa, Ezequiel, DDS, MSc, PhD;...
    AbstractBackgroundThe authors aimed to identify, describe, and discuss models and experiences of citizen science in dentistry and community oral health, with a focus on moderate through large involvement of citizens in the research process. Types...

14. Treatment Choices

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 282-282 | Connell, Todd, DDS, MS
    JADA welcomes letters from readers on articles that have been published in an issue of JADA within the previous 2 months. Accepted letters will be forwarded to the article’s authors for comment. By sending a letter to the editor, the letter writer...

15. Point-of-care glycemia testing in a safety-net dental care setting

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 292-299.e1 | Laniado, Nadia, DDS, MPH, MS; Shah, Parth, DDS, MPH; Cloidt, Megan, DDS, MPH;...
    AbstractBackgroundThe aim of this study was to assess the feasibility of screening at-risk adult dental patients for abnormal blood glucose levels by means of using a chairside finger-stick test that measures glycated hemoglobin (HbA 1c) levels. M...

16. Ethical guidance for dentists about offering nonfluoridated toothpaste to patients who request it

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 338-339 | Ambrosino, Brandon, PhD
    A woman brings her 10-year-old daughter to her general dentist for her first visit because the daughter is experiencing severe oral pain. Before the dental hygienist begins the daughter’s prophylaxis, the mother explains she does not want any fluo...

17. Gingival nodule at the site of a previous connective tissue graft

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 327-331 | McDaniel, Carsen R., DDS, MS; Hixson, Dawnyetta R., MD, DMD, MS; Johnson, Thomas M., DMD, MS;...
    Axial ( A) and sagittal ( B) frames from cone-beam computed tomography volume, showing the absence of hyperdensities within the nodule. Osseous cupping (arrows) is visible between the roots of teeth nos. 24 and 25. Clinical appearance after comple...

18. A gingival enlargement adjacent to dental implant

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 332-337 | Aquino, Sibele Nascimento de, DDS, MSc, PhD; Martínez Ramírez, Josefina, DDS, PhD; Farias Bezerra, Hélen Kaline, DDS, MSc;...
    Cone-beam computed tomographic findings. Right sagittal view showing extraosseous hyperdense foci along buccal cortical plate in the region of the lateral incisor implant ( A) and left sagittal view showing the same aspect ( B). Microscopic featur...

19. Factors affecting wages of dentists in the United States

    The Journal of the American Dental Association (JADA), Volume 156, Issue 4, 2025 Apr, Pages 277-280 | Park, Dennis, DDS; Gong, Siew-Ging, BDS, MS, MA, PhD, MBA
    Mean annual wages of dentists and dental provider types. PROVIDER TYPE ANNUAL WAGES, MEAN $ EMPLOYMENT, NO. General Dentists 191,750 121,640 Oral and Maxillofacial Surgeons 334,310 4,160 Orthodontists 243,620 6,400 Prosthodontists 240,750 570 All...