Using antibiotics wisely: A toolkit to reduce overuse of antibiotics

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Antimicrobial resistance (AMR) continues to be a critical threat to global health, and the health of Canadians. It is estimated that bacterial AMR was directly responsible for 1.27 million global deaths in 2019 and contributed to 4.95 million deaths.1 AMR is an escalating problem in Canada. Nationally, about 5500 deaths annually are attributed to AMR, 26% … Read more

Study Finds Variability in Antibiotic Prescribing with Scaling and Root Planing

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More periodontists than general dentists prescribe antibiotics with scaling and root planing, highlighting differences in antibiotic prescription patterns, according to a study published in the October issue of The Journal of the American Dental Association. “Antibiotic Prescription Patterns Among US General Dentists and Periodontists” looked at the responses of 256 members of the American Dental Association … Read more

Most Antibiotics Prescribed for Dental Visits Inconsistent with Guidelines, Study Finds

Five out of every six antibiotics prescribed before an appointment with a Veterans Affairs, or VA, dentist were inconsistent with guidelines, researchers found. “Antibiotic prophylaxis guidelines for dental procedures are lacking,” Katie J. Suda, PharmD, MS, professor of medicine at the University of Pittsburgh, and colleagues wrote in Infection Control & Hospital Epidemiology. “Within dentistry, it is common for prophylaxis … Read more

Less Antibiotic Use in Dentistry Gave No Increase in Endocarditis

Sweden is one of the few countries that have removed the dental health recommendation to give prophylactic antibiotics to people at a higher risk of infection of the heart valves, so-called infective endocarditis. Since the recommendation was removed in 2012, there has been no increase in this disease, a registry study from Karolinska Institutet published … Read more

FDI World Dental Federation: Prescribing of Dental Antibiotics Up 22% in England During First Year of COVID-19

After years of consecutive decline, the rate of dental antibiotic prescribing increased by over a fifth in 2020 due to COVID-19 restrictions. Dentistry was the only part of England’s publicly-funded National Health Service to experience an increase. The steepest rise occurred when dental practices were closed from March to June 2020 during the first wave of COVID-19, and it … Read more

AAE Applauds New ADA Guidelines For Antibiotics

The American Association of Endodontists (AAE), a global membership organization of specialized dentists who provide root canal treatment, applauds the American Dental Association for updating its guidelines on using antibiotics to treat tooth pain. ‘The AAE is a worldwide leader and long-time advocate for endodontists, the dental specialty and patient care,” AAE President Dr. Keith … Read more

Short Courses Of Abx Can Cause Big Problems For Dental Patients

Some dental patients who were inappropriately given antibiotics prior to procedures suffered adverse events potentially connected to the drugs, such as anaphylaxis and Clostridioides difficile infection, researchers said here. Of patients inappropriately prescribed antibiotic prophylaxis prior to a dental procedure, almost 4% had adverse events ranging from new allergies and emergency department visits to anaphylaxis and C. difficile infection, … Read more

NICE Should Change Antibiotic Guidelines for Dental Patients, Study Shows

New research has revealed the impact a change in US guidelines had on the prescribing of antibiotic prophylaxis (AP) to prevent a life-threatening heart condition infective endocarditis (IE) in patients before undergoing invasive dental treatment. The findings of the international research provide further evidence that the UK’s National Institute of Health and Care Excellence (NICE) … Read more

Antibiotics Destroy Immune Cells and Worsen Oral Infection, Says Study

New research shows that the body’s own microbes are effective in maintaining immune cells and killing certain oral infections. A team of Case Western Reserve University researchers found that antibiotics actually kill the “good” bacteria keeping infection and inflammation at bay. Scientists have long known that overuse of antibiotics can do more harm than good. … Read more

Dentists Prescribing Too Many Antibiotics, Says BCCDC

The B.C. Centre for Disease Control says dentists are prescribing too many antibiotics — and it wants patients to help solve that problem. A new poster campaign launched  by the BCCDC and the B.C. Dental Association is asking people to consider how they use antibiotics. The posters, posted prominently on SkyTrains, picture the open mouth … Read more

Woman Develops a ‘Black Hairy Tongue’ After Horrific Car Accident

She felt nauseous and had a bad taste in her mouth but didn’t think anything of it until she looked in the mirror. After the accident that left the 55-year-old woman with both legs crushed, doctors told her to take antibiotics to prevent infection. But after a week, feeling nauseous with a “bad taste in her mouth,” the US woman … Read more

Antibiotics Prior to Procedures May Be Helpful in Preventing Infections

New American Academy of Orthopaedic Surgeons (AAOS) criteria specify when it may be appropriate to consider antibiotic administration prior to various dental procedures to prevent infection of orthopaedic replacement joints or implants. “Appropriate Use Criteria (AUC) for the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures” was recently approved by the AAOS Board of … Read more

Antibiotics: Use and misuse in pediatric dentistry

From Marty Jablow DMD – Dental News and Technology Peedikayil FC. Antibiotics: Use and misuse in pediatric dentistry. J Indian Soc Pedod Prev Dent 2011;29:282-7  Antibiotics are commonly used in dentistry for prophylactic as well as for therapeutic purposes. Most often antibiotics are used in unwarranted situations, which may give rise to resistant bacterial strains. … Read more

It’s a Mythtery to me

Want to take advantage of the Mobile Me cloud to share two of the more important articles I know to address Endodontic Pain as it relates to antibiotics and effective therapeutic regimens.  Because a blog goes viral, I’d urge you to do the same with friends and colleagues if you believe this information to be … Read more