Dentists, emergency room doctors and primary care physicians need to ease up on prescribing antibiotics for dental issues in patients who are otherwise healthy and have no manifestation of systemic disease. That’s according to an American Dental Association (ADA) clinical practice guideline co-authored by Dr. Anita Aminoshariae, professor of endodontics.
The study, published as the cover story in The Journal of the American Dental Association, concluded that antibiotics should only be used for systemic issues, such as fever and swelling, when an infection is clearly present and worsening. It also advises patients receive dental treatment instead and manage pain with over-the-counter pain medications. Scientists have long known that the inappropriate use of antibiotics can do more harm than good, and can contribute to issues like antibiotic resistance. Unfortunately, research into appropriate antibiotic prescribing is relatively new territory.
As part of the systematic review and guideline development process, the ADA outlined five new clinical recommendations and two practice statements, all related to prescribing antibiotics to patients with dental issues when a dental office setting is and is not available.
On February 1, 2020, the Dental Clinic will be offering free dental cleanings, oral health screenings, and radiographs to new adult (18 years of age or older) patients from 9am to noon. All treated guests will receive a New Patient Admitting fee voucher worth $90 and patients qualifying to be a board exam patient will receive an additional $100 voucher for future dental treatment. One guest will be randomly selected for a tooth whitening kit prize. Discounted parking is available via E 97th or E 93rd Street. Call 216.368.6800 for more information.
Dr. Anita Aminoshariae, professor in the Department of Endodontics at the School of Dental Medicine, was elected to serve on the Council on Scientific Affairs of the American Dental Association. The American Dental Association is the oldest and largest assemblage of dental-care professionals, and Aminoshariae is one of only 16 members who were selected from around the country to serve on the council.
Obesity and gum disease are among the most common non-communicable diseases in the United States, and studies now show that these conditions may be related. The new study, co-authored by Dr. Andres Pinto, professor of oral and maxillofacial medicine and diagnostic sciences, explores the effect of obesity on non-surgical periodontal care and evaluates potential pathways that may illustrate the connection between the two conditions.
Examining a plethora of existing studies, researchers found that increased body mass index, waist circumference, and body fat percentage are associated with an increased risk of developing gum disease at single points in time. They concluded that changes in body chemistry affect metabolism, which causes inflammation -- present in both maladies.
“There is a thought, from the clinical perspective, that if you treat one of the issues, it may impact the other,” Pinto said. “This is the big question. For example, if we treat obesity successfully, will this impact periodontal disease to the point of being of clinical relevance compared to a control population? The jury is still out given the paucity of controlled, well designed, clinical trials on this issue.”
The Ralph T. and Esther L. Warburton Foundation has pledged another $3 million to CWRU to establish three endowed scholarships--one each in the School of Dental Medicine, School of Medicine, and Frances Payne Bolton School of Nursing. Added to previous gifts, overall support from the Foundation now totals $6 million.
The scholarships are intended for students from Stark and Summit counties, with the hope of creating a pipeline of health-care providers to Northeast Ohio hospitals. They are intended for students from middle-income families who do not qualify for need-based aid, but also do not have family resources to cover tuition.
“Not only has the Bonacker-Warburton scholarship that I have received provided financial relief,” said fourth-year dental student Nathan Andrasik from Hudson, “but the consistent support and confidence that the Warburton family has had in me over the past three years has inspired me to push through the trials of dental school and inspired me to become the best dentist I can be.”