Archive | October, 2012

Should you use Sutures when having Wisdom Teeth Out?

A study titled “A comparative study of the effect of suture-less and multiple suture techniques on inflammatory complications following third molar surgery” appears in the 2012 (in press) International Journal of Oral and Maxillofacial Surgry by O.D. Osunde, R.A. Adebola, and B. D. Saheeb. The study in Nigeria included 80 patients between the ages of 18 and 30 who had a mandibular third molar extracted. These patients were randomized into 2 treatment groups A: (suture-less – no sitches) and B: multiple sutures. The operation time was found to be roughly 3 minutes longer in the sutures group (statistically significant). In addition, the suture-less group experienced less pain, swelling, and trismus on post-operative days 1 and 2 (statistically significant). In the article the authors state: “The suture-less technique is cheap, saves operative time, minimizes manipulation of soft tissue and hence causes less surgical morbidity.In addition, with a suture-less technique, like other surgical closure methods that allow for drainage of inflammatory exudates, there may be no need for additional medications such as steroids, use of ice packs, or laser applications. Compared with other secondary closure techniques, suture-less third molar surgery is less traumatic, is devoid of foreign bodies such as gauze or […]

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Avoiding Nerve Injuries with Lower Wisdom Teeth

A study (in press) appears in the International Journal of Oral and Maxillofacial Surgery (2012) titled “Early extraction: a silver bullet to avoid nerve injury in lower third molar removal?” by Q. B. Zhang and Z. Q. Zhang. At the beginning of the article the authors discuss how lower third molars show the highest incidence of impaction and are responsible for pathology such as pericoronitis, periodontitis, pain, cysts, tumors, and second molar-tooth crown resorption. I have discussed the risks of keeping wisdom teeth in over here http://www.teethremoval.com/risks_of_keeping_wisdom_teeth.html The authors also discuss the complications associated with removal of third molars which I have elaborated on in great detail here http://www.teethremoval.com/complications.html. In this study two groups of patients from China were grouped: A) those less than 23 and with immature teeth, and B) those greater than 23 and with mature teeth. Group A consisted of 518 patients with 808 lower third molars extracted and group B consisted of 532 patients with 810 lower third molars extracted. In Group A 20 of the 808 lower wisdom teeth were associated with complications (2.48%) with all of them temporary. In Group B 81 of the 810 lower wisdom teeth were associated with complications (10%) with […]

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How to Prepare for a Visit to the Dentist

If you have had a bad experience at the dentist in previous years, being afraid that your next visit will cause discomfort or bring up bad memories is quite common. Perhaps you have never been afraid of the dentist but if a new treatment is the plan this can also cause mild anxiety. There are hundreds of reasons that patients fear visits to the dentist but there are also many ways to counteract the feeling of dread. Many people fear visits to the dentist but if visits of this nature cause you anxiety, here are four tips to help you overcome your fear. Talk to your Dentist If you are scared of booking a dental appointment, speak to your dentist about it. If your dentist is aware of the problem, they will walk you through the treatment and put you at ease. Take a Friend If you feel nervous about your appointment, having a friend with you can act as moral support and make you feel safer. Do Your Research Most people are scared of the unknown. Finding out as much as you can about dental hygiene and potential procedures can help you prepare for your visit. Don’t Put It […]

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Can Surgeons Learn Lessons from Olympians?

An interesting article titled “Performing to a world class standard under pressure—Can we learn lessons from the Olympians?” by Serryth D. Colbert and et. al. appeared in the 2012 issue of the British Journal of Oral and Maxillofacial Surgery (50, pp 291-297). With the Summer Olympics this year in London, the authors decided to ask Team Great Britain Olympic rowing squad what makes a winner. The authors state: “We explored the concept of ‘mental toughness’ and the impact this has on successful performance under intense pressure. Our aim was to use their experiences to possibly improve oral and maxillofacial surgeons’ performance in critical situations.” The researchers consulted a leading performance development consultancy and made a questionnaire which was given to both the rowers and the surgeons at a joint conference.  The results were that the rowers responded to the questionnaire with more ‘mentally tough’ responses than the surgeons. This difference in response averaged 12% on the Likert scales (were 1 is strongly disagree, 2 is disagree, 3 is neither agree nor disagree, 4 is agree, and 5 is strongly agree). The researchers speculate that “The superior performance demonstrated by the athletes on the Likert Scale may reflect the desire that […]

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