The PAAS study will evaluate the effectiveness of adjunctive antibiotics in the treatment of periodontal disease. Antibiotic stewardship calls for optimizing antibiotic prescribing to effectively treat infections, and to reduce antibiotic misuse to prevent the development of antibiotic-resistant microbial strains. The ADA expert panel recommendation for antibiotics as adjunctive therapies to SRP was considered of weak strength and suggested that larger pragmatic clinical trials would benefit dental professionals in their clinical decision making.
The National Dental Practice-Based Research Network (PBRN) conducted a study to describe the characteristics of its member dentists in the United States and determine how often they provide specific dental procedures. The results showed that dentists participating in the National Dental PBRN have much in common with dentists at large. The network has a broad representation of dentists, practice types, patient populations, and treatments offered, including diversity regarding race/ethnicity, gender, insurance, and geography of its practitioners and patients.
Personal protective equipment (PPE) can help protect dental personnel from exposure to pathogens, including SARS-CoV-2. However, correctly donning and doffing PPE without self-contamination can be difficult. The network studied how dental care workers don and doff PPE, when and where self-contamination is most likely to occur, and how to help improve knowledge about this. The results from the study were recently published and Kimberly Reske and Jennie Kwon, the study principal investigator, shared their findings with us in our blog.
The mDentistry model supplements the traditional practice of dentistry with virtual visits supported by mobile devices and mHealth tools such as mobile phones, wireless infrastructures and intraoral cameras. This mDentistry eHygiene study is the first step of utilizing the mDentistry model to assess the acceptance of virtual intraoral examinations by patients and the dental health care personnel, along with testing patients’ abilities to take intraoral photos using a digital mobile health tool.
Dr. Sandra Japuntich was joined by Dr. David Louis, a general dentist from Eden Prairie, MN, Dr. Paul Pentel, a physician at Hennepin Healthcare, MN, and Dr. Brad Rindal, a general dentist and researcher at HealthPartners and the Network node director for the midwest region, in a panel discussion about smoke cessation and the FreSH study.
The results from this cross-sectional study were recently published in JADA, and we interviewed Dr. M. Marianne Jurasic, the study principal investigator, for our blog. Dr. Jurasic is the Director of the Center for Clinical Research as well as a Clinical Professor of General Dentistry and Health Policy and Health Services Research at the Boston University Henry M. Goldman School of Dental Medicine. “Treating teeth with deep carious lesions with a more conservative approach such as selective caries removal has the potential to extend the longevity of the tooth and affect a patient’s oral health and quality of life. I therefore wanted to know to what extent this more conservative approach to caries management has been adopted by Network dentists.”
The Mental Health Screening and Referral to Treatment in Dental Practices (MSDP) is recruiting oral health providers
Mental health screening can improve quality of life and treatment engagement. Unlike primary medical services, where screening for mental health concerns is standard practice, dental offices rarely perform this as part of routine dental care. The MSDP pilot study will evaluate the feasibility of integrating mental health screening and referral to mental health services into dental practice workflows. Five practitioners from the South-Central Region of the National Dental PBRN will be recruited to enroll between 5 and 8 patients in each dental office.
Smoking is harmful to oral health. However, quitting smoking can stop the progression of tobacco-related oral health problems. While advancing the understanding and how to improve smokers’ dental hygiene, we are studying the effectiveness of nicotine replacement sampling in dental practices to increase smoking cessation.
Oral health practitioners rarely treat tobacco use. The FreSH study tests a simple tobacco treatment approach called Nicotine Replacement Therapy Sampling. In this study, practices will provide a brief intervention for tobacco cessation recommended by the American Dental Hygienist’s Association called Ask-Advise-Refer (Ask all patients if they smoke, advise them to quit, and refer to the state quitline).