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I thank Dr. Ruff for his comments on my June JADA Commentary. We are in agreement that safety needs to become part of, rather than parallel to, our care of patients in a culture that sees safety as important as technical and compassionate excellence. How we get there and when is our challenge. We first have to accept that we can always do better, then move past blame, share successes, and teach safety as an integral part of our profession, along with techniques, science, and ethics.
In the September JADA Clinical Scan titled “Very Low Certainty Evidence Suggests No Important Benefits From Using Oral Splints for Pain in Patients With Specific Temporomandibular Disorders” (Brignardello-Petersen R, JADA. 2020;151[9]:e76), Dr. Brignardello-Peterson reviews an article by Riley and colleagues.1 She concludes that “the evidence suggests that there are no important benefits from using oral splints (OS) in patients with TMD with an indication for OS therapy, but the uncertainty around this evidence is large.” I must object that the conclusion is akin to letting politicians count their own votes.
We read the April JADA article by Yarows and colleagues (Yarows SA, Vornovitsky O, Eber RM, Bisognano JD, Basile J. Canceling Dental Procedures Due to Elevated Blood Pressure: Is It Appropriate? JADA. 2020;151[4]:239-244), advocating against routine cancellation of dental procedures due to elevated blood pressure (BP), especially using a cutoff of 180/110 millimeters of mercury or higher, with interest. We applaud the authors for their timely publication.
Mildly symptomatic adults with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection who report an altered sense of smell or taste may experience symptom resolution or improvement within several weeks after onset, according to a study published online July 2 in JAMA Otolaryngology-Head & Neck Surgery.
In the August JADA letter titled “Osteoporosis Screening,” (Patel J. JADA. 2020;151(8):554-555) there should be no academic degree following Mr. Patel’s name. In addition, he should be referred to as Mr. Patel in the author’s response (L.K. McCauley. JADA. 2020;151(8):555. JADA regrets these errors.
The excellent Commentary in June JADA (Casamassimo PS. Safety in Dental Care: Where Is Our Surveillance Imperative? JADA. 2020;151[6]:381-383.) recalled the following quote “No money no mission.” The quote by Sr. Generose Gervais, a former longtime administrator at the Mayo Clinic Hospital, is widely used but often attenuated. Sr. Gervais stated, “I’m often quoted as saying, ‘No money, no mission.’ That’s true but remember the rest of it: ‘No mission, no need for the money.’ ”1 “The Mayo Clinic is an exemplary health care organization—care, people, facilities—with a unified guiding principle (“The needs of the patients come first”) and mission.
We greatly appreciate Drs. Subramanian and Quek’s kind comments regarding our article. We also greatly appreciate their important clinical outcome experience confirming the lack of correlation of the patient’s dental blood pressure measurement to their clinical outcome. We do feel that proper measurement of blood pressure in multiple clinical settings is important for the detection of new hypertension and reinforcing the importance of proper blood pressure control to patients. We also applaud the dental profession in helping patients in this effort.
Radiation protection is not only a matter for science. It is a problem of philosophy, and morality, and the utmost wisdom.Lauriston S. Taylor, founder of the National Council on Radiation Protection and Measurements1Diagnostic imaging is an essential part of clinical dental practice. Every practitioner wants to use radiation in a safe and effective manner. The National Council on Radiation Protection and Measurements (NCRP), a congressionally chartered nongovernmental agency, has taken the lead in establishing recommendations for radiation protection and safety in the United States, ranging from nuclear power plants to medical imaging, including dental diagnostic imaging.
Nonsurgical caries management, particularly silver diamine fluoride (SDF) and Hall-style crowns, present alternative options for populations that have barriers to traditional treatment. The authors aimed to assess changes in the teaching and utilization of these modalities in pediatric dental residency programs.
Although sealants are an established and recommended caries-preventive treatment, many children still fail to receive them. In addition, research has shown that existing measures underestimate care by overlooking the sealable potential of teeth before evaluating care. To address this, the authors designed and evaluated 3 novel dental electronic health record–based clinical quality measures that evaluate sealant care only after assessing the sealable potential of teeth.
Pinto KP, Ferreira CM, Maia LC, Sassone LM, Fidalgo TKS, Silva EJNL. Does tobacco smoking predispose to apical periodontitis and endodontic treatment need? A systematic review and meta-analysis [published online ahead of print April 28, 2020]. Int Endod J. https://doi.org/10.1111/iej.13316.
Maracci LM, Stasiak G, de Oliveira Chami V, et al. Treatment of myofascial pain with a rapid laser therapy protocol compared to occlusal splint: a double-blind, randomized clinical trial [published online ahead of print June 3, 2020]. Cranio. https://doi.org/10.1080/08869634.2020.1773661.

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