Tooth loss associated with brain shrinkage

An interesting article titled “Associations of Dental Health With the Progression of Hippocampal Atrophy in Community-Dwelling Individuals: The Ohasama Study,” written by Satoshi Yamaguchi and et. al. appears in Neurology, published on Juy 5, 2023. The article sought to explore associations between the number of teeth present and hippocampal atrophy older patients 55 years and older in a longitudinal study. The hippocampus is part of the brain that is important for learning and memory. With Alzheimer’s disease, atrophy of the hippocampus is a common feature but other factors, such as periodontitis (gum disease) can be seen. The researchers were under the assumption that the association between dental health and hippocampal atrophy might be due to inflammation. Gum disease is a chronic inflammatory condition, and inflammation has been shown to damage the hippocampus. The study included 172 people with an average … Read more

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

Does Medicare Cover Dental Services in 2023?

In the U.S. when Americans turn 65 they are eligible for medical services and health insurance under the program called Medicare. Unfortunately Medicare doesn’t cover most dental care such as procedures and supplies like tooth extractions, cleanings, fillings, dentures, dental plates, or other dental devices. Recent surveys have shown that most people are in favor of expanding Medicare to include services like dental an vision. Many are also in favor of lowering the age of eligibity to less than 65. As of 2023. As of January 1, 2023, Medicare has now been expande to cover medically necessary conditions requiring dental services. According to the ADA the following dental services are now covered under Medicare: Such care can be performed in both an inpatient and an outpatient setting. Further, coverage applies to X-rays, anesthesia, or the use of an operating room … Read more

NIH awards grant to study responsible antibiotic use

The National Institutes of Health (NIH) has awarded the University of Texas Health Science Center at San Antonio a four-year, $2.4 million grant to work with the American Dental Association Science & Research Institute (ADASRI) to perform a clinical trial study for the responsible use of antibiotics to treat periodontal disease also known as gum disease. The study will allow for the generatation of real-world data on periodontal disease treatments that are supplemented by antibiotics. The study will be lead by principle investigator Georgios Kotsakis, DDS, MS who is an associate professor of periodontics at the UT Health San Antonio School of Dentistry. More than 30 clinicians who belong to the National Dental Practice-Based Research Network (PBRN) will collect data for the study. The trial is expected to start in Spring 2023 and the periodontal patients will be treated and … Read more

FDA warns about dental problems from buprenorphine

The U.S. Food and Drug Administration (FDA) has issued a safety concern regarding the medication buprenorphine which is a medication used to treat opioid use disorder, acute pain, and chronic pain. Buprenorphine is often used to reduce opioid withdrawal symptoms and the desire to use opioids, without causing the cycle of highs and lows associated with abusing opioid. The FDA warning issued on January 12, 2022, states that dental problems have occured when patients take medicines containing buprenorphine that are dissolved in the mouth. In the warning, the FDA said that the dental problems can include those of tooth decay, cavities, loss of teeth, and oral infections, and can occur in those without prior dental issues. As a result of this warning, the risk of dental problems occuring will be added to the prescribing information and the patient Medication Guide … Read more