Rheumatoid arthritis linked to dental disorders

An interesting article titled “Increased dental visits in patients with rheumatoid arthritis: a secondary cohort analysis of population based claims data,” appears in BMC Oral Health written by Ching-Ya Juan, Chia-Wen Hsu, and Ming-Chi Lu (published December 15, 2022). The article sought to eplore the use of dental care in patients with rheumatoid arthritis (RA) and explore the incidence of dental disorders in patients with and without RA. Rheumatoid arthritis is an autoimmune disease that characterized by persistent joint infammation. RA can affect not only the joints, but it can also involve other organ systems, such as the lung and lead to systemic comorbidities. In the article the authors selected 1,337 patients newly diagnosed with RA between January 2000 and December 2012 and 13,370 patients without RA. The authors found that patients with RA had a higher prevalence (70.3% vs. … Read more

Dentists Report Half of Their Patients Show up High

An interesting study from the American Dental Association (ADA) suggests patients show up to dental visits high on marijuana or another drug. As of November 2022, recreational marijuana can be used legally in over 20 states in the U.S. and also Washington D.C., while medicinal use is legal in nearly 40 states. Dentists now report that more patients use marijuana reguarily because it is now legal in many states. However, showing up at the dentist high on marijuana can hinder the effectiveness of the appointment. The ADA conducted two surveys of in 2022: 1) a survey of 557 dentists and 2) a survey of 1,006 consumers. The survey of dentists found 56% limit treatment to patients when they are high. Further 46% of dentists in a survey reported needing to increase anesthesia amount to treat patients as a result of the … Read more

Tooth Wear and Affect on Quality of Life

An interesting article titled “Tooth Wear and Oral-Health-Related Quality of Life in Dentate Adults” appears in the Journal of Dentistry written by Mireille Kanaan and et. al. (2022). The article sought to determine the extent to which tooth wear when adjusted for oral health risk indicators, adversely impacts the Oral-Health-Related Quality of Life (OHRQoL) for adults. In the study the authors investigated 570 adult patients with complete or near-complete dentition. All patients in the study had at least one bilateral molar occlusal contact and were 18 years or older with a median age of 52. The study participants answered a self-applied questionnaire that consisted of four domains: (1) characteristics of the participants, (2) oral care attendance, (3) oral health conditions and lifestyle, and (4) complaints of OHRQoL. The athors found that 62.8% of the patients in the study had complete … Read more

Over half of patients say dentists fail to screen for health risks

An interesting article titled “Patients’ comfort with and receipt of health risk assessments during routine dental visits: Results from the South Atlantic region of the US National Dental Practice-Based Research Network” written by Y. Guo and et. al. appears in the Community Dentistry and Oral Epidemiololgy (vol. 00, pp. 1–10, 2022). In the article the authors seek to better determine the comfort level patients have with with health risk assessments (HRAs) and ascertain factors associated with the provision of HRAs. In the article, the authors conducted a cross-sectional study of 30 actively licensed dentists that were recruited out of 469 dentists in the South Atlantic Region of the US National Dental PBRN and recruited 30 patients each seen between January and March 2018. Each patient was asked to complete a questionnaire before and after their dental visit. The pre-questionnaire consisted … Read more

Characteristics of malpractice for TMJ Surgery

An interesting article titled “Characteristics of Medical Malpractice Claims Involving Temporomandibular Joint Surgery in the United States” appears in the Journal of Oral and Maxillofacial Surgery written by M. Green and et. al. (April 14, 2022, vol. 80, no. 7, pp. 1153-1157). The article seeks to explore the characteristics of medical malpractice claims that involve temporomandibular joint (TMJ) surgery by oral and maxillofacial surgeons in the U.S. In the article the authors conducted a study using data provided from OMS National Insurance Company, RRG (OMSNIC), which represents approximately 5,000 oral and maxillofacial surgeons in the United States. Closed malpratice claims data over the time period from from 1, 2016, through December 31, 2020 that was for claims against oral and maxillofacial surgeons in the Unites States with insurance coverage from OMSNIC was studied. Such claims were limited to lawsuits and … Read more