Does Intravaneuous Ibuprofen Reduce Pain After Wisdom Teeth Surgery?

An interesting article titled “Does Single-Dose Preemptive Intravenous Ibuprofen Reduce Postoperative Pain After Third Molar Surgery? A Prospective, Randomized, Double-Blind Clinical Study” appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The article explores if intravenous ibuprofen given either shortly before or after wisdom teeth surgery has any any effect on pain experienced in the subsequent 24 hours. In the article a study is conducted using 75 patients who presented at Erciyes University in Turkey over the time period from March to October 2018 for removal of impacted lower wisdom teeth. The 75 patients were randomly divided into 3 groups with 25 patients in each. The first group of patients received 800 mg of intravenous ibuprofen 60 minutes before surgery and intravenous placebo 60 minutes after surgery, the second group of patients received intravenous placebo 60 … Read more

How to Get Low Cost Dental Implants Done

A smile is one of the few natural qualities that endear someone to others. And because it wields such an enormous influence as a first impression, the condition of our teeth, gums and mouth can really influence our confidence level. If you are dissatisfied with your teeth in a way that makes you keep mum or feel uneasy around people because you don’t want to show your dentition, then you need a denture. Dental implants are a smart choice for people who were born with a missing tooth or had a tooth extraction due to infection, decay or even an injury. They are the most natural and functional solution used for replacing a missing tooth. Most people who find themselves in this situation are sometimes discouraged from going for implants due to the huge financial cost. In some dental facilities, … Read more

Should Melatonin be Used for Wisdom Teeth Surgery?

An interesting article titled “Should Melatonin Be Used as an Alternative Sedative and Anxiolytic Agent in Mandibular Third Molar Surgery?” written by Torun et al. appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The article seeks to compare the effects of melatonin and midazolam in patients having wisdom teeth removed. Melatonin has been discussed on this site before as a supplement that can be taken to help with sleep at night and for migraine prevention, see the post Melatonin may be more effective than Amitriptyline for Migraine Prevention. In the article by Torun the authors describe how sedatives are often given for wisdom teeth surgery but they can depress both the respiratory and cardiac systems and thus this requires increased cost for patient monitoring. When describing melatonin the authors mention how melatonin has sedative, analgesic, … Read more

Mastering the Challenge of Health Data in Dentistry

In the past on this site there has been discussion of using an outcomes data registry for dentistry and a quality data registry in dentistry to help assess complications, outcomes, and treatment effects in dentistry. A data registry is used to monitor what occurs in clinical practice on a regular basis to help with quality of care improvements and more satisfied patients. In recent years, an explosion of data has occurred due to advances in information technology which has led to the area of dental informatics. An interesting article titled “Health Data in Dentistry: An Attempt to Master the Digital Challenge,” written by Tim Joda et al. appears in the 2019 issue of Public Health Genomics (no. 22, pp. 1-7, Published Online Aug. 7, 2019). The article discusses a blueprint to master the challenge of health data collection, sharing and analytics, along with … Read more

Does Bromelain Impact Pain, Swelling, and Mouth Opening after Wisdom Teeth Surgery?

An interesting article titled “Oral Bromelain for the Control of Facial Swelling, Trismus, and Pain After Mandibular Third Molar Surgery: A Systematic Review and Meta-Analysis,” appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery written by Liu et al. The article seeks to explore if bromelain reduces pain and swelling and improves mouth opening after wisdom teeth removal. Bromelain is believed to decrease swelling by returning interstitial fluid and inflammatory component cells into the bloodstream and provide an anti-inflammatory effect by decreasing pain mediators such as prostaglandin E2 and substance P. Bromelain provides for systemic proteolytic enzyme therapy and is a mixture of proteolytic enzymes found in pineapple plants. The authors state a few articles in the past have explored using bromelain after wisdom teeth removal but with inconsistent results. For example one study showed bromelain … Read more