Bringing Rapid HIV Testing to Dentistry

An interesting study has been performed by the University of Sydney in 2014, looking at the possibility of using rapid HIV testing before dental surgery. The study assessed 521 Sydney based dental patients and their willingness to undergo rapid HIV testing in dental settings, their preference for HIV testing type, and their willingness to pay for the HIV test. More than 80% of the patients in the study were found to be willing to undergo rapid HIV testing before a dental procedure. The technology behind a rapid HIV test has been around for more than a decade but it not currently available in dental settings. The test can be done as a finger prick or a saliva swab. The results of the HIV test can be determined within 20 minutes. The Australian Federal government announced in July 2014, that they … Read more

Wisdom Teeth: Perspectives from the Military

In previous discussions on this blog such as Third Molar Morbidity Among Troops Deployed and elsewhere, a discussion has been made about whether or not wisdom teeth should be extracted in those involved in the armed forces. A new article from Hurlbert Field titled “Wisdom teeth: Should they stay or go” provides a perspective by Staff Sgt. Jeff Andrejcik, was written on December 3, 2013, and is located over at http://www2.hurlburt.af.mil/news/story.asp?id=123372876. The article is written by a special operations dentist who performs wisdom teeth extractions. He says he has removed over 300 wisdom teeth and once removed 8 in one patient. He says in the article that most people don’t have room for wisdom teeth and they grow in sideways and are not cleansable. Larkin discusses how pericoronitis can occur in patients who have wisdom teeth that erupt but not fully leaving … Read more

Unsafe Injection Practices Plaque U.S. Outpatient Facilities

In a post last year I discussed how an Oral Surgeon Investigated for Reusing Needles and Syringes. In a recent article in JAMA titled “Unsafe Injection Practices Plague US Outpatient Facilities, Harm Patients,” Bridget M. Kuehn discusses many problems with injection practices (December 26, 2012,Vol 308, No. 24, pp. 2551-2552). She describes how hepatitis C virus was contracted by 2 patients who received an epidural injection from a pain management clinic. “During the visit, they observed the physician who treated both patients withdrawing medication from a multiple-dose vial with a previously used syringe topped with a new needle, a breach of safe injection practices that may have contaminated the vial and exposed subsequent patients to potential blood-borne infections.” This led to 8,000 patients who were treated at the clinic to be tested and 8 additional cases of hepatis C to … Read more

Deadly Infection and Wisdom Teeth Removal

I found a short snippet from the Wharton School of Business. The article addresses Wharton’s 2010 Business Plan Competition. One of the teams in the article is called R2R Therapeutics. The motivation for the team was 2nd year Wharton MBA student Bee Rhee who almost lost his wife due to a bacterial infection that occurred after the removal of his wife’s wisdom teeth. His wife was given antibiotics and they were able to stop the infection and she is currently alive today. However this business plan from this team does highlight a growing concern in healthcare which has to do with bacterial which is becoming more and more resistant to antibiotics. R2R Therapeutics’ goal is to combat these drug resistant bacteria by focusing on a novel cationic steroid antibiotic called R2R-1 which will work to disrupt the cell membrane and … Read more