Patient Care

Patient Care

CDA Journal examines dental anxiety
07/31/2019
The August issue of the Journal of the California Dental Association reviews the persistent problem of dental anxiety in dentistry. Articles discuss ways to communicate effectively with fearful patients, the use of virtual reality exposure therapy in treating dental anxiety, and the assessment, diagnosis and management of dental phobia in children and adults.
Drug-resistant diseases could become leading cause of death by 2050
07/08/2019
“Unless the world acts urgently, antimicrobial resistance will have disastrous impact within a generation,” stated the World Health Organization in a report published recently. Inappropriate use and overuse of antibiotics are the primary drivers of antibiotic resistance and are associated with C. difficile infections and increased emergency department visits for adverse events. In California, 260,000 each year are diagnosed with an antibiotic-resistant infection and, of these, 3,000 die according to the CDC.
CDA clarifies oral irrigants that meet state law
06/25/2019
A new law to ensure proper irrigation and disinfection of exposed pulpal tissue went into effect Jan. 1 of this year. As explained in a December 2018 Update article, the law states that water and other methods used for irrigation when performing procedures on exposed dental pulp must be “sterile or contain recognized disinfecting or antibacterial properties.”
Dentists must screen patients for measles, other ATDs, prior to providing treatment
06/03/2019
As the number of measles cases in California and at least 25 other states continues to rise, becoming the highest number of reported cases in the U.S. since 1994, dental practices should ensure that they are screening patients for the highly contagious virus and other aerosol transmissible diseases prior to providing treatment.
Journal reviews endo-ortho treatment of avulsed teeth
05/30/2019
The June issue of the Journal of the California Dental Association presents a case report on a patient with avulsion of her maxillary central incisors who received a less than ideal replantation and failed to obtain timely endodontic treatment.
Dispensing dentists: Warning notice required on opioid prescription labels
04/22/2019
A new state law effective Jan. 1, 2019, requires all dispensers of opioids to prominently display a notice on the prescription label or container of any prescription drug containing an opioid. The notice should be displayed by way of a flag or other notification mechanism attached to the container and must state: “Caution: Opioid. Risk of overdose and addiction.”
Dental anesthesiology recognized as a specialty
04/15/2019
Dental anesthesiology has become the 10th dental specialty recognized by the National Commission on Recognition of Dental Specialties and Certifying Boards. The commission adopted a resolution in March based on an application from the American Society of Dentist Anesthesiologists to recognize dental anesthesiology as a dental specialty.
Oral health care of older adults featured in CDA Journal
04/05/2019
The April issue of the Journal of the California Dental Association explores the oral health issues of older adults. Articles discuss three models of elderly patient care that have sought to overcome barriers to the integration of medicine and dentistry; a conceptual framework for a broad public health approach to improving the oral health of older adults; and more.
'Failure to produce patient records' among most cited violations, says dental board
03/20/2019
Maintaining its focus on consumer safety, the Dental Board of California has issued an increasing number of citations in recent years. As noted in its 2018 Sunset Review Report to the California Legislature, citations increased by 36 percent in each of the previous four fiscal years. Two of the five most commonly cited violations according to the report are (1) Failure to produce patient records and (2) Failure to follow infection-control guidelines.
CDA bill makes silver diamine fluoride a covered Medi-Cal benefit
03/19/2019
Silver diamine fluoride would become a covered benefit as a treatment option for tooth decay for specified Medi-Cal Dental Program enrollees under a new bill authored by Sen. Richard Pan. Senate Bill 154 would make SDF a covered benefit if applied as part of a patient’s comprehensive treatment plan and with the patient’s written informed consent.
Register for March 14 webinar 'EHRs and the Opioid Crisis'
03/11/2019
A monthly webinar series hosted by the California Health Information Partnership & Services Organization continues March 14 with “EHRs and the Opioid Crisis.” The 1.5-hour webinar will summarize the recommendations of a report, “CDC Opioid Guideline: Implementation Guide for Electronic Health Records,” published last November by the Electronic Health Record Association.
CDA Journal spotlights opioid misuse
03/01/2019
The March issue of the Journal of the California Dental Association discusses opioid misuse and provides important concepts of substance-use disorders, pain management and prescription-medication diversion that dentists should consider. A comprehensive caries management guide for dental professionals to use in clinical settings will be included with the issue.
Little patients are a big deal
02/18/2019
Tooth decay is the most common chronic childhood disease, according to the American Academy of Pediatric Dentistry. Without intervention, this infectious disease can cause lasting impacts on total health and quality of life, even into adulthood. By encouraging little patients and their parents to take an active role in preventive care and by creating comfortable dental visits, your team can help establish good lifelong oral health habits.
Mobile app from ADSA can assist dentists during medical emergencies
02/13/2019
A new app developed by the American Dental Society of Anesthesiology emphasizes the early detection of and quick response to medical emergencies that can occur in the dental office. The app allows dentists and their staff to keep track of drug doses and expiration dates and use patient information to calculate personalized drug doses. Crisis checklists assist in providing appropriate interventions with flow charts that evaluate emergency events.
Health risks of e-cigarettes discussed in CDA Journal
02/07/2019
The February issue of the Journal of the California Dental Association focuses on the harmful effects of electronic cigarettes and the role dentists can play to help patients stop smoking. Other articles spotlight the efficacy of probiotics in treating peri-implant diseases and the best clinical scenarios for using cone beam computed tomography.
TDIC's informed consent form helps dentists follow law when prescribing opioids to minors
02/06/2019
The Dentists Insurance Company has developed a resource to help prescribers follow a new requirement when prescribing Schedule II drugs to minors. Beginning Jan. 1, 2019, before a prescriber issues the first prescription to a minor for a controlled substance containing an opioid, the prescriber must discuss specific information with the minor or the minor’s parent or guardian. The new form, “Consent to Prescribe an Opioid to a Minor,” covers the required discussion items.
New opioid policy furthers CDA's efforts to reduce abuse, misuse
02/04/2019
Providing education, promoting evidence-based acute pain management practices and forming partnerships with specialty dental organizations form the basis of the CDA Opioid Policy adopted by the CDA House of Delegates at its annual meeting last November. The new policy solidifies CDA’s role as a leader in state health care policy and creates new opportunities to collaborate with health care colleagues and others to reduce the misuse and abuse of prescription opioids.
Clarification on new infection control requirement for dental pulp procedures
12/11/2018
Dentists have contacted CDA Practice Support with questions about the new infection-control requirement that all licensed dentists in California should be following as of Jan. 1, 2019. As explained in a December Update article and according to the new law, when performing procedures on exposed dental pulp, water or other methods used for irrigation must be “sterile or contain recognized disinfecting or antibacterial properties.”
Antibiotic stewardship in dentistry featured in CDA Journal
11/30/2018
The December Journal of the California Dental Association features articles on the four core elements of antibiotic stewardship in dentistry, performing coronectomy of mandibular third molars as an alternative to extraction and the importance of early recognition of the symptoms of non-Hodgkin lymphoma of the maxilla.
New infection control standard for procedures that expose dental pulp
11/28/2018
When performing procedures on exposed dental pulp, water or other methods used for irrigation must be “sterile or contain recognized disinfecting or antibacterial properties,” according to a new requirement that all licensed dentists in California must follow beginning Jan. 1, 2019. CDA worked with the state Legislature to ensure the new requirement appropriately addressed the vulnerability that occurs during treatment of exposed dental pulp.
In California, saving teeth and money — one mouth at a time
11/23/2018
At the children’s dental clinic that Dr. John Blake runs in Long Beach, children as young as 2 or 3 show up with blackened teeth and swollen faces, unable to eat because of the pain and in need of whole mouth restorations. In California, tooth decay in children outpaces the national average. Hoping to save both teeth and money, the state is addressing the problem with an overhaul of Denti-Cal, part of the Medi-Cal health system for low-income Californians.
Service animal, comfort animal or pet?
11/07/2018
When patients visit the dental practice of David Firestone, DDS, they are often put at ease by Rocky, a 6-year-old Maltipoo. As a regular in Dr. Firestone's practice, Rocky’s job is to greet patients and sometimes sit on welcoming laps during treatment. According to the ADA Center for Professional Success, having a companion animal correlates with improvements in a person's social, mental and physiologic status. But before dentists begin opening their doors to animals, they should keep a few things in mind.
Antibiotic Awareness Week set for Nov. 12-18
11/06/2018
U.S. Antibiotic Awareness Week is an annual one-week observance to raise awareness of the threat of antibiotic resistance and the importance of appropriate antibiotic prescribing. More than 2 million illnesses and 23,000 deaths due to antibiotic-resistant infections occur in the United States each year; this translates to an estimated 260,000 illnesses and nearly 3,000 deaths in California.
New opioid laws will affect dentistry in 2019 and beyond
10/31/2018
Many bills were introduced over the past year to combat the opioid epidemic in California, as CDA previously reported. Here is an overview of CDA-supported legislation in the areas of e-prescribing, informed consent, interstate data sharing and prescription-pad requirements, that Gov. Jerry Brown signed into law in September and how these bills will affect the practice of dentistry.
10/29/2018
The Kids’ Healthy Mouths campaign encourages teeth brushing for two minutes, twice a day, for better oral health. So what better day to encourage good brushing habits than on National Brush Day, Nov. 1, when sugary Halloween candy may be lingering in mouths. Before Halloween and on National Brush Day, dentists and their staff can share with parents and caregivers simple steps to help prevent oral disease and reinforce the importance of good teeth-brushing habits.
Walk-in volunteers welcome at CDA Cares Modesto Oct. 26-27
10/25/2018
The CDA Foundation’s volunteer-run dental clinic, CDA Cares, will take place Oct. 26-27 at the Modesto Centre Plaza. Dentists (restorative, pediatric and oral surgeons) and dental and medical professionals, including dental assistants, doctors and nurses, as well as community volunteers who can guide patients and assist with language translation, should first read the volunteer FAQ for general information and requirements.
End first exposure: Dentistry's biggest opportunity in the opioid crisis
10/24/2018
Sometimes you read a research article and it hits you between the eyes like a sledgehammer. So it was when I read “Prescription Opioids in Adolescence and Future Opioid Misuse” published in the journal Pediatrics in 2015. It made me really reconsider the impact dentists can have on ameliorating the opioid crisis.
Major sponsors show generous support of CDA Cares
10/19/2018
Thanks to several major sponsors who have made significant donations of equipment and resources, around 2,000 patients will receive cleanings, fillings, extractions and a limited number of full and partial dentures at CDA Cares, the CDA Foundation’s volunteer-run dental clinic coming to Modesto Oct. 26-27. Those sponsors include Henry Schein, GES, Planmeca USA and Western Dental.
Opioids in California: What is CDA doing?
10/05/2018
CDA began addressing opioids more than three years ago, but the data and countless personal stories tell us that now is a good time to pull together all our resources and efforts and provide our membership with a 360-degree look at the issue in California and CDA’s leadership on it.
Rethinking pain management in our dental practices
09/27/2018
Dentists do a good job managing acute, short-term pain and dentists are not the primary prescribers of opioid analgesics for adults. However, we perform a lot of dental surgeries that result in a lot of opioid prescriptions, and we prescribe the majority of opioid analgesics for children ages 11 to 18. Let’s take a closer look at acute pain management and why it’s time to change our behavior.
Smokeless tobacco prevention summit convenes Oct. 16-18 in Sacramento
09/13/2018
More than 400 national experts, health care providers and advocates will participate in the 9th National Summit on Smokeless Tobacco Prevention coming to Sacramento Oct. 16-18. Individuals, organizations and agencies committed to reducing and eliminating the use of smokeless and other noncombustible tobacco products are encouraged to register to join the current coalition.
Soda tax initiative would generate billions for health care, LAO concludes
09/05/2018
The nonpartisan Legislative Analyst’s Office has concluded that the California Sugar-Sweetened Beverages Tax Act of 2020, a ballot measure filed in July by CDA and CMA, would generate an estimated $2-3 billion annually from a statewide sales tax of 2 cents per ounce on sugar-sweetened beverages. Between $1.6 billion and $2.5 billion of that revenue would be dedicated exclusively to health care.
Special edition of CDA Update addresses nationwide opioid epidemic
08/30/2018
The September 2018 issue of the Update, CDA’s monthly news magazine, focuses entirely on the opioid crisis gripping America and on dentistry’s leadership role in this crisis. Articles include “Rethinking pain management in our dental practices,” by Solomon Poyourow, DDS, MD, MPH, and “End first exposure: Dentistry’s biggest opportunity in the opioid crisis” by Kerry K. Carney, DDS, CDE. Other articles discuss legislative efforts to curb opioid abuse, alternatives to opioids for managing pain and instructions for prescribing controlled substances electronically.
Encourage patients to 'take them back' to help prevent addiction, overdose
08/15/2018
The next DEA National Prescription Drug Take Back Day is set for Saturday, Oct. 27, and more than 300 locations in California are prepared to help people dispose of unused prescription drugs safely and anonymously. Health care providers can encourage their patients and others to dispose of prescription drugs from 10 a.m. to 2 p.m. Patients should also be made aware that they can also dispose of unused prescription drugs year-round at designated locations.
FDA warns against use of OTC benzocaine teething products
08/06/2018
The FDA has taken action to stop the use of over-the-counter benzocaine oral health products for young children, stating that the products “pose serious safety risks, especially those with no demonstrated benefit.” In addition to warning consumers that these products, which are intended for the temporary relief of sore gums due to teething, pose a serious risk to infants and children, the administration has asked companies to stop selling the products for such use.
July 19 webinar will address the opioid crisis, prescribing trends
07/16/2018
A free lunchtime webinar on Thursday, July 19, will examine the current state of the nation’s opioid crisis, including deaths from prescription and illicit opioids, prescribing trends and some of the efforts being made to address the crisis. The one-hour webinar is hosted by the ADA and presented by Dr. Scott Winiecki, team lead for the Food and Drug Administration’s Safe Use Initiative.
From facial reconstruction to transplantation: Prosthodontist to discuss importance of teamwork
07/03/2018
In a featured lecture this September at CDA Presents The Art and Science of Dentistry, Lawrence E. Brecht, DDS, will speak about the importance of the surgical-prosthetic-industrial team approach in reconstruction, from the simplest examples to the most complex, including facial transplantation. He’ll discuss how the culmination of the team concept can be seen in the advances in composite tissue allograft surgery (facial transplantation) for the severest of facial deformities.
CDA, CMA file statewide soda tax measure for 2020
07/02/2018
A ballot measure to protect public health through a state soda tax has been filed for the November 2020 ballot by CDA and the California Medical Association. The filing comes four days after the multibillion-dollar soda industry proposed a ballot measure that jeopardized the fiscal outlook of local governments, forcing the state to pre-empt local authority and pass an unprecedented 12-year moratorium on any local soda tax.
CDA-supported bills modify opioid prescribing, CURES requirements
06/07/2018
At least 130 bills to combat the nation’s opioid epidemic have been introduced in U.S. Congress since January, and California is mounting its own legislative efforts to curb opioid abuse. CDA has identified 19 bills in the current session that can be classified into five main categories of opioid legislation. Among these, CDA is taking an official support position on five bills and a support if amended position on a sixth. A summary of the bills and how they may impact the way dentists practice and prescribe follows.
Pain management for adolescents discussed in June 7 ADA webinar
06/04/2018
Because of the growing crisis from illicit and prescription opioid abuse, dentists and other practitioners treating acute pain must understand the risks and benefits of prescribing opioid analgesics such as hydrocodone and oxycodone for managing acute postoperative pain. A free webinar Thursday, June 7, at 8 a.m. PST will address concerns about managing pain when treating adolescents in the dental practice.
CDA objects to dental hygiene committee policy proposals in sunset review
05/28/2018
The Dental Hygiene Committee of California is undergoing its 2017–18 “sunset review” — an evaluation by the Legislature to assess the DHCC’s performance and determine whether it should continue to exist and, if so, whether it should be modified. In a letter to Sen. Jerry Hill, CDA recognized the DHCC’s substantial work on its 2018 sunset review package before moving on to outline its objections to five policy recommendations.
CDA Cares Anaheim clinic delivers dental care to 2,019 people
05/04/2018
The CDA Foundation’s volunteer dental clinic, CDA Cares, provided $1,537,951 in charitable dental services to 2,019 people during the April 27-28 event at the Anaheim Convention Center. During the two-day event, dentists and dental professionals provided more than 11,858 procedures, including fillings, extractions, cleanings and oral health education.
Mandatory checks in CURES take effect Oct. 2
04/19/2018
The Department of Justice announced that California’s Controlled Substance Utilization Review and Evaluation System, also known as CURES 2.0, is ready for statewide use and that mandatory CURES consultation becomes effective Oct. 2, 2018. Beginning on this date, prescribers must check a patient’s prescription history in CURES 2.0 before prescribing a Schedule II-IV substance, with some exceptions.
Legislation, CDA Presents lecture, address prescription opioid abuse and CURES
04/16/2018
On the legislative front, in California alone, more than two dozen bills that address opioid prescription and misuse are working their way through the Legislature, including several by Assemblymember Jim Wood, DDS. Meanwhile, CDA continues to provide education and resources on opioid prescribing to members and dentists throughout California. In May at CDA Presents The Art and Science of Dentistry in Anaheim, CDA Public Affairs will host “Clinical and Legal Considerations for Prescribing Controlled Substances.”
ADA advances national policy to reduce opioid dependency
03/28/2018
The ADA on March 26 adopted a new policy to combat the opioid epidemic, calling it the potential first of its kind by a major health professional organization to support mandates on opioid prescription limits and continuing education. “I call upon dentists everywhere to double down on their efforts to prevent opioids from harming our patients and their families,” said ADA President Joseph P. Crowley, DDS, in a press release. The Interim Board Policy on Opioid Prescribing addresses continuing education, dosage and duration, and prescription and drug monitoring.
Dentists with DEA numbers must be registered with CURES 2.0
02/21/2018
“All health care practitioners authorized to prescribe or dispense Schedule II-IV controlled substances were required to register to use CURES 2.0 no later than July 1, 2016,” the Dental Board of California reminds dentists in an email distributed late January. California’s Controlled Substance Utilization Review and Evaluation System aids prescribers and dispensers in identifying fraudulent activity and is intended to reduce prescription drug abuse and diversion.
Resources for dentists as opioid crisis declared public health emergency
11/13/2017
With the U.S. Department of Health and Human Services on Oct. 26 declaring the opioid crisis a public health emergency, CDA reminds dentists, who prescribe approximately 11 percent of prescription opioids annually, of the resources available to them. CDA’s online opioid resource guide at cda.org/opioid is regularly updated with links to resources as they are published.
CVS Health expands fight against opioid abuse
10/25/2017
CVS Health launched a new initiative in September to help fight the national opioid abuse epidemic by enhancing opioid utilization management, providing drug disposal kiosks nationwide and aiding local communities in treatment and recovery services. The president and CEO of CVS Health said in a news release that addressing the nation’s opioid crisis calls for a multipronged effort involving many health care stakeholders, including dentists.
Policy statement on opioid abuse adopted by dental board
10/10/2017
In California alone, opioid-related deaths from 2002 to 2014 were up almost 30 percent, and dentists prescribe up to 12 percent of all opioid prescriptions in the U.S. In light of these alarming statistics, the Dental Board of California in August 2017 finalized and adopted a policy statement recognizing the epidemic of opioid abuse in the U.S.
CURES 'red flags' covered in San Francisco course
07/18/2017
Dentists prescribe approximately 11 percent of prescription opioids annually in the U.S. With this in mind, CDA Public Affairs is sponsoring a course to be held at CDA Presents The Art and Science of Dentistry in San Francisco this August that will help dental professionals understand their role in drug diversion programs, including the use of California’s prescription drug monitoring program known as CURES.
CURES fee exemption available for some dentists
06/22/2017
California prescribers who are registered with the U.S. Drug Enforcement Agency to prescribe, dispense or administer controlled substances must also register to access the state’s prescription drug monitoring program, CURES. A $6 annual ($12 biennial) fee is assessed with licensure renewal in order to maintain the database.
Course helps dentists respond to opioid abuse epidemic
04/18/2017
Dentists prescribe approximately 11 percent of prescription opioids annually in the U.S. A course at CDA Presents in Anaheim will help dental professionals understand the ever-growing problem of prescription drug abuse and dentists' role in drug diversion programs, including the use of California's prescription drug monitoring program known as CURES, Controlled Substance Utilization Review and Evaluation System.
Topics
Search
Enter Keywords
Filter by Date
From :  
To      :