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Public Health On Call

1021 - Antibiotic Overuse in Dentistry

Public Health On Call

The Johns Hopkins Bloomberg School of Public Health

Medicine, Health & Fitness, News

4.6 • 644 Ratings

🗓️ 11 March 2026

⏱️ 17 minutes

🧾️ Download transcript

Summary

About this episode:

Dentists prescribe about 10% of all antibiotics in the U.S., but research shows that a large share may be unnecessary. In this episode: the grave public health risks of inappropriate antibiotic use, how this can be curbed, and the questions you should ask next time you're in the dentist's chair.

Guest:

Liz Szabo, MA, is an investigative health reporter with CIDRAP News.

Host:

Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department.

Show links and related content:

Transcript information:

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Transcript

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0:00.0

Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

0:05.9

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

0:16.3

If you have questions or ideas for us, please send an email to public health question at jhhhu.edu.

0:23.8

That's public health question at jhhu.edu for future podcast episodes.

0:30.7

Hey listeners, it's Lindsay Smith-Rogers. Today, dentists and antibiotics.

0:35.4

Liz Zabo is an investigative reporter with Sidrap News. She joins Dr. Josh

0:40.0

Sharfstein to talk about a recent series on the overuse of antibiotics by dentists. Let's listen.

0:46.5

Liz Zabo, thanks so much for joining me today. We're going to be talking about antibiotic use and

0:52.4

dentists. How did you get interested in this topic?

0:56.8

I've covered antibiotic resistance for a number of years, but it's always been on the medical side.

1:02.9

Late last year, I got an email from a gentleman who is fairly traumatized by the death of his mom due to C. diff,

1:10.4

and it's likely she contracted the C. diff

1:12.7

because of a dental antibiotic. She was prescribed clandemycin after getting a routine tooth

1:19.2

extraction, and within days she had some pretty awful symptoms. Well, there's a lot to unpack there.

1:26.8

So let's take a little bit of a step back, but then we'll get right into that story. Why have you been covering antibiotics for so many years? Well, it's antibiotic resistance. According to experts, really poses a sort of existential threat. Antibiotics have been some of the most important technological, medical breakthroughs,

1:46.2

and they allowed people to not only survive infections, to not die because you prick your arm on a rosebush

1:53.8

while gardening. But they've also allowed people to get through surgeries and have cancer

1:59.0

therapies and cancer treatments where it really put you at

2:02.4

risk. So if our antibiotics stop working, a lot of our other medical interventions could fall

2:08.3

apart. It can easily sound sort of apocalyptic. Yeah. And what you're talking about is resistance

2:13.7

so that if you use antibiotics too much, then the microorganisms might adapt and suddenly

2:21.8

the antibiotics don't work anymore.

...

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