More Dental Patients Warned of Potential HIV and Hepatitis Exposure in Pennsylvania

Back in July, 2014, I discussed a case in Pennsylvania where dental patients where made aware of possible HIV and hepatitis exposure due to infection control lapses by a dentist. This led to a 74 year old dentist having his license suspended. A video interview of several students who were treated by the dentist said that sometimes the dentist didn’t wear gloves and didn’t wash his hands between patients. See the blog post located over at http://blog.teethremoval.com/dental-patients-warned-of-possible-hiv-and-hepatitis-exposure-in-pennsylvania/. An additional case of infection control lapses has also occurred in Pennsylvania. The dentist had his license temporarily suspended due to an investigation by Pennsylvania’s department of health. A press release issued said the dentist “…did not follow appropriate procedures to properly clean, disinfect, or sterilize dental tools used at his…office.” The investigation showed the dentist admitted that he and his staff do not send out samples for biological spore testing which to make sure that sterilization is occuring. Furthermore it is not clear when the dental instruments were last sterilized including metal impression trays and dental tools. As such the health officials have encouraged former and current patients of the practice to get tested for potential hepatitis and HIV. A few of the […]

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FDA Issues Alert to Prevent Lidocaine 2 Percent Solution to Not be Used for Teething Pain for Children

On June 26, 2014, the FDA issued an alert warning health professionals and providers that “…prescription oral viscous lidocaine 2% solution should not be used to treat infants and children with teething pain.” The FDA says that topical pain relievers and other medications that are rubbed on the gums are not useful for infants because they wash out of the mouth within minutes. Furthermore, when too much viscous lidocaine is given to children and is swallowed it can result in brain injury, seizures, heart problems, and even death. The FDA alert is located over at http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm402790.htm. In the background information it states “In 2014, FDA reviewed 22 case reports of serious adverse reactions, including deaths, in infants and young children 5 months to 3.5 years of age who were given oral viscous lidocaine 2 percent solution for the treatment of mouth pain, including teething and stomatitis, or who had accidental ingestions.” The FDA advises that parents should follow the American Academy of Pediatrics’ recommendations to treat teething pain. This includes used a chilled teething ring and having the parent gently rub or massage the child’s gums. Furthemore, the FDA advises against using any over the counter topical medication to treat teething […]

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The Image Gently Campaign in Dentistry

If you keep abreast at all with radiation exposure from medical imaging, you may have heard of the Image Wisely campaign. The Imagely Wisely Campaign was designed to have people aware of the fact that certain medical imaging tests such as CT exams are sometimes over used and do not have to be used in certain instances. The goal is to reduce radiation exposure to patients while still providing good medical care, see http://www.imagewisely.org/. The Image Gently campaign is designed to provide information to parents and others to help reduce exposure to radiation for children, see http://imagegently.org/, and has been around since 2007. The campaign is supported by the Alliance for Radiation Safety in Pediatric Imaging, which is a coalition of healthcare organizations dedicated to providing safe and high-quality pediatric imaging. Recently, it has been announced that a new Image Gently campaign in dentistry will be launched in September, 2014. The Image Gently alliance partners in dentistry consist of groups such as the American Dental Association and American Association of Oral and Maxillofacial Surgeons. The campaign states that radiographic selection should be based on professional judgment after taking a history and clinical examination. The campaign says that x-rays should be selected for individual needs […]

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Familarize Yourself with the ADA’s Principles of Ethics and Code of Professional Conduct

The American Dental Association also know as the ADA, in 2012, update their Principle of Ethics and Code of Professional Conduct document. It is available over at http://www.ada.org/~/media/ADA/About%20the%20ADA/Files/code_of_ethics_2012.ashx. As many Americans make trips to the dentist, it is useful to familiarize yourself with the ADA’s document to better determine if your dentist is being ethical and serving your needs well. If you don’t feel this is the case you have options to report your dentist and of course you can find a new dentist. Additional comments on the ethics and professional conduct of the ADA and it’s members is over at http://www.ada.org/en/about-the-ada/principles-of-ethics-code-of-professional-conduct. It states “The dental profession holds a special position of trust within society. As a consequence, society affords the profession certain privileges that are not available to members of the public-at-large. In return, the profession makes a commitment to society that its members will adhere to high ethical standards of conduct… The ADA Code is, in effect, a written expression of the obligations arising from the implied contract between the dental profession and society.” It should be noted that the position is that ADA members voluntarily agree to abide by the code. Further the code falls into three […]

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Elsevier to Bring New Dental and Oral Surgery Journal Offerings

Recently, it has come to my attention that Elsevier will be bringing some new journal offerings to the dental community. The first offering is with the open access Oral and Maxillofacial Surgery Cases journal. The website for the journal is over at http://www.oralandmaxillofacialsurgerycases.com/. There is a $500 fee to publish an article in the journal. The site states “Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.” There is an online submission system available and the editor in chief of the journal is Janice. S. Lee. The second offering that Elsevier will bring is by publishing JADA (The Journal of the American Dental Association). This is discussed in an August 1, 2014, JADA article titled “ELSEVIER CHOSEN TO PUBLISH THE JOURNAL OF […]

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