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

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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

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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

Pediatric Dentists Can Benefit from Improving their Image Interpretation Skills

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An interesting study titled “Does clinical experience with dental traumatology impact 2D and 3D radiodiagnostic performance in paediatric dentists? An exploratory study” appears in the BMC Oral Health written by Gertrude Van Gorp and et al. (vol. 22, no. 245, 2022). The article seeks to explore the performance of pediatric dentists when identifying and detecting traumatic dental injuries on both 2D and 3D images. In the study the authors analyzed data from nine pediatric dentists (six female and three male) who had used structured scoring sheets to randomly assess 2D and 3D images of anterior permanent teeth with dental trauma. The researchers analyzed the level of experience with traumatic dental injuries on imaging, identification, and interpretation of lesions. The authors compared these results to benchmark data from expert consensus of an experienced dentomaxillofacial radiologist and pediatric endodontist. Six of of … Read more

Factors that Influence Opioid Prescribing After Teeth Removal

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An interesting article titled “Factors influencing opioid prescribing after tooth extraction,” appears in the  Journal of the American Dental Association written by Douglas R. Oyler and et al. (published June 9, 2022). The article seeks to look at specific characteristics that infuence opioid prescribing after tooth extractions to help potentially lead to less opioid that are uncessarily prescibed. The subect of opioids and wisdom teeth extractions has been covered on this site frequently before, see for example the posts, Record Numbers Predicted to Die from Opioids in the US and Dentists Overprescribing Opioids to Adults in the U.S.. Patients in the U.S. are often first exposed to an opioid prescription from a dentist or dental care provider. Even so nowadays many dentists recommend nonopioid analgesics as the first option against pain reflief. In the article the authors reviewed records from … Read more

Shared Medical Appointments for Wisdom Teeth Informed Consent

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In the past informed consent for wisdom teeth surgery has been discussed on this site, see for example the post Informed Consent in Dentistry: Can Change Impact Personal Injury Cases? Often when it comes to have wisdom teeth surgery patients are shown a video discussing risks and benefits and treatment options related to wisdom teeth, then have an opportunity to discuss with their surgeon and ask any questions, and then sign a document acknowledging that they understand the risks and benefits. Such interaction typically places in a one on one setting with just the patient and the doctor. The patient is of course then billed for this appointment and must either pay out of pocket or pay what is remaining from their insurance plan and after meeting any insurance plan deductibles. There are some ways to possibly decrease the cost … Read more