Advancing Health Policy and Outcomes for People With Intellectual or Developmental Disabilities: A Community-Led Agenda.

Importance: At least 10 million people in the United States have an intellectual and/or developmental disability (IDD). People with IDD experience considerably higher rates of poor overall health, chronic conditions including diabetes, mental health challenges, maternal mortality, and preventable deaths. This Special Communication proposes national goals based on a community-led consensus model that advances priority health outcomes for people with IDD and their caregivers/partners and identifies critical policy opportunities and challenges in achieving these goals.

Implementation and mixed-methods evaluation of "Walk with a Doc" program at Stony Brook.

Context: Walking groups run by trained individuals, lasting under an hour in a natural environment, may be a cost-effective way by which to encourage sustainable changes in physical activity as well as foster companionship and a shared experience of wellness among participants. Walk with a Doc (WWaD) is a national program that provides a platform for medical professionals, including physicians and medical students, to deliver a short talk on a health topic prior to walking side by side with patients and community members.

Objectives: To evaluate the WWaD Chapter at Stony Brook following implementation, a questionnaire was designed utilizing a mixed-methods approach (i.

Is Head and Neck Free Flap Reconstruction Feasible in Jehovah's Witness Patients?

Background: Jehovah's Witnesses (JW) population are members of a religious group that refuses blood transfusion. This presents a dilemma for surgical teams when performing major surgical procedures on these patients.

Purpose: This study aimed to assess the safety and feasibility of undergoing microvascular free flaps for maxillofacial reconstruction in JW patients and whether the type of underlying pathology impacts outcomes.

Effect of incisal preparation design on the fracture strength of monolithic zirconia-reinforced lithium silicate laminate veneers.

Purpose: This study aimed to assess the fracture resistance of monolithic zirconia-reinforced lithium silicate laminate veneers (LVs) fabricated on various incisal preparation designs.

Materials And Methods: Sixty maxillary central incisors with various preparation designs were 3D-printed, 15 each, including preparation for: (1) LV with feathered-edge design; (2) LV with butt-joint design; (3) LV with palatal chamfer; and (4) full-coverage crown. Restorations were then designed and manufactured from zirconia-reinforced lithium silicate (ZLS) following the contour of a pre-operation scan.

Efficacy of a Novel Pleiotropic MMP-Inhibitor, CMC2.24, in a Long-Term Diabetes Rat Model with Severe Hyperglycemia-Induced Oral Bone Loss.

Purpose: CMC2.24, a novel 4-(phenylaminocarbonyl)-chemically-modified-curcumin, is a pleiotropic MMP-Inhibitor of various inflammatory/collagenolytic diseases including periodontitis. This compound has demonstrated efficacy in host modulation therapy along with improved resolution of inflammation in various study models.

BigMouth: development and maintenance of a successful dental data repository.

Few clinical datasets exist in dentistry to conduct secondary research. Hence, a novel dental data repository called BigMouth was developed, which has grown to include 11 academic institutions contributing Electronic Health Record data on over 4.5 million patients.

Factors affecting dental students' postgraduate plans: A multi-site study.

Purpose: This multi-site study examined dental students' postgraduate plans and factors affecting them, perceptions of pathways with the best future, and whether those postgraduate plans changed during dental school.

Methods: An online survey was made available to all four dental classes (2018, 2019, 2020, and 2021) and advanced standing/international dental students at eight US dental schools. The survey questionnaire consisted of two parts: (1) 14 questions pertaining to demographic information and (2) 11 questions pertaining to career path choices and possible influencing factors.

Fracture Strength of Interim CAD/CAM and Conventional Partial Fixed Dental Prostheses.

Purpose:  To compare the fracture strength of three-unit provisional partial fixed dental prostheses (FDPs) fabricated by an indirect-direct technique from poly(methylmethacrylate) (PMMA) through digital and conventional workflows, and FDPs fabricated by a direct technique using Bisacryl (BisA) and externally reinforced BisA.

Materials And Methods:  Forty partially edentulous typodonts with a missing mandibular left first molar and standard preparations on mandibular left second premolar and molar were used to fabricate three-unit provisional FDPs. Two materials and two techniques were used to fabricate a total of forty provisional FDPs: (1) BisA; (2) BisA reinforced with glass fiber strips [BisA-GFR]; (3) conventionally fabricated PMMA shell relined with PMMA [C-PMMA]; (4) CAD/CAM fabricated PMMA shell relined with PMMA [CAD/CAM-PMMA].

Audience and Presenter Comparison of Live Web-Based Lectures and Traditional Classroom Lectures During the COVID-19 Pandemic.

Purpose: The purpose of the study was to assess participants' and presenters' perceptions of a live web-based lecture series in comparison to traditional in-person lectures.

Materials And Methods: A virtual lecture series was organized by the---from March 25th until June 3rd of 2020. Twenty-five postgraduate prosthodontics programs and 81 presenters participated.

AAID White Paper: Management of the Dental Implant Patient During the COVID-19 Pandemic and Beyond.

The scientific community's understanding of how the SARS-CoV-2 virus is transmitted and how to best mitigate its spread is improving daily. To help protect patients from acquiring COVID-19 from a dental office nosocomial infection, many state or local governments have classified dental treatments as "nonessential" and have paused routine dental care. Dentists have been instructed to perform only procedures designated as emergencies.

Adolescent and Young Adult Oral Maxillofacial Tumors: A Single-Institution Case Series and Literature Review.

Adolescent and young adult (AYA) oral maxillofacial tumors are rare and account for ∼12% of all AYA cancers. Due to the low incidence of these malignancies, diagnostic considerations, therapeutic approaches, and factors affecting prognosis have been difficult to characterize. Given the anatomic structures located within the head and neck, patients are at risk for treatment-related morbidity that may adversely impact their quality of life.

Restoring unfavorably positioned implants in anterior maxilla: case report.

This article describes a clinical case involving a unique solution to restoring implants placed in an unfavorable, labial location in the anterior maxilla. Background information is provided with regard to avoiding compromised situations from the outset, as well as a discussion of issues of restorability, with an emphasis on dental implants. Different treatment options are explored.

Student and program director perceptions of oral and maxillofacial surgery as career for women.

This article investigates reasons for the relatively low number of women entering oral and maxillofacial surgery training. An anonymous online survey was developed to assess the perceptions of senior women dental students and oral and maxillofacial surgery (OMS) program directors about oral surgery as a career choice for women. It was found that female dental students perceive bias against women in oral surgery, but that most program directors report a favorable view of women.

Cavernous hemangioma of the palate. A review of etiology, pathogenesis and treatment options.

Cavernous hemangiomas of the palate are a rare but not infrequent sighting in the oral and maxillofacial region. The etiology and pathogenesis of these lesions are not definitively understood and are currently being explored. Treatment options usually include, but are not limited to, surgical excision of the lesion.

Maxillary and mandibular overlay removable partial dentures for restoration of worn teeth. A three-year follow-up.

This clinical report describes the fabrication and a three-year follow-up of maxillary and mandibular cast overlay removable partial dentures for the restoration of severely worn dentition with accompanying loss of vertical dimension of occlusion. The frameworks supported porcelain veneers for esthetics, and metal occlusal surfaces for strength and durability.

Computerized tomography-based imaging and surgical guidance in oral implantology.

Computerized tomography (CT)-based imaging and surgical guidance carry both radiographic information such as height, density, and width of bone and clinical information such as axis of orientation for a successful prosthodontic result, thus determining the trajectory, depth, and distribution of the implants. The objective of this report is to review the associated literature and recent developments in CT-image-based information and surgical guidance systems. This report attempts to provide an argument for the development of evidence-based research on the utility of such systems and their effect on outcome in oral implantology.

Bisphosphonate-associated osteonecrosis of the jaws: a review of current knowledge.

Background: Increasing numbers of dental patients are taking bisphosphonate medications for a variety of indications. These drugs may be associated with poor healing, spontaneous intraoral ulceration and bone necrosis in the oral and maxillofacial region.

Case Description: The authors describe a case of osteonecroSis of the jaws in a patient receiving long-term bisphosphonate therapy for cancer.