Archive | May, 2013

The Effect of Acne Medication on Wisdom Teeth Removal

In a research letter in the October 2012 issue of J AM ACAD DERMATOL titled “The effects of isotretinoin on wisdom tooth extraction,” by Jyoti Sharma, Diane M. Thiboutot, and Andrea L. Zaenglein (pp. 794-795), a discussion is made of of the medicine more commonly known as Accutane. Accutane has since be removed from use in the U.S. due to legal issues but the generic form of isotretinoin remains available. See more discussion on the Wikipedia page http://en.wikipedia.org/wiki/Isotretinoin. In the study, 328 patients between 12 and 27 were contacted who were on isotretinoin. 26 of these patients had wisdom teeth extraction, with all but 1 of the patients still being on isotretinoin at the time of the surgery. 3 patients suffered from a dry socket but none of the other patients had a complication after wisdom teeth removal. One of these patients was female and it should be noted that of the 8 female patients who had wisdom teeth extracted and also on isotretinoin they also were all on oral contraceptive pills which are known as a risk factor for dry socket. The author of the study state “While the patients in our study experienced a higher rate of alveolar osteitis […]

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Taking Advantage of a Discount Dental Plan For Wisdom Teeth Extraction: Aetna Dental Access

Wisdom teeth removal can be expensive for many patients. On top of this many people do not have dental insurance, with many people also not having health insurance. Even if you have both dental insurance and medical (health) insurance many of the costs associated with surgery to remove wisdom teeth will not be covered and you will be responsible for the bill. X-rays and anesthesia can also add to the cost of the surgery. The actual costs of wisdom teeth extraction surgery vary and depend on numerous different factors. I have previously discussed this over at http://www.teethremoval.com/wisdom_teeth_extraction_cost.html. In this post I talk about how an impacted wisdom tooth can cost between $100 to $878 to be removed. Some of this cost depends on the location you live in and the skills and experience of the surgeon. In addition, the cost depends on the type of impaction you have. The cost of extraction can increase depending on the type of anesthesia you have done and if you have a cone beam CT scan performed in addition to an x-ray. For many young patients these costs can be significant. In order to reduce costs, you could attempt to research online different surgeons […]

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The Misbehaving Tooth Fairy

In the article “The tooth fairy and malpractice” by Sian Ludman, Hamid Daya, Polly S Richards, and Adam Fox, in BMJ Christmas 2012, 345, e3027, a very interesting discussion is made of the tooth fairy. The article states “We are concerned that the actions of the mythical character at the root of this report must be brought to the attention of the medical community, as it seems to represent the first signs of a worrying new trend in malpractice.” The tooth fairy is widely considered to be benevolent but the authors present a disturbing report. A discussion is made of an 8 year old who presented with a foreign body in the left external auditory meatus (which showed up on a CT scan). The image is in the report. The parents of the boy discussed how three years earlier the boy had woken from sleep and was extremely distressed because the tooth fairy had put a tooth in his left ear. The tooth had initially been left under his pillow for the tooth fairy to collect and to leave some money in its place. The parents tried to find the tooth but were unable to. Once the tooth was located […]

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Exploring Giving Antibiotics Before Third Molar Surgery (Wisdom Teeth Removal) in Spain

An issue that one asks when having third molar surgery (wisdom teeth removal) is one whether should have antibiotics administered before or after surgery (or not at all). See for example http://www.teethremoval.com/antibiotic_resistance.html In a recent article appearing in J Evid Base Dent Pract 2012, issue 12, pp. 149-150, Manal A. Awad, reviewed a study exploring amoxicillin administration to those who were having wisdom teeth extracted. The original study was titled “Efficacy of amoxicillin treatment in preventing postoperative complications in patients undergoing third molar surgery: a prospective, randomized, double-blind controlled study,” by Lopez-Cedrun JL, Pijoan JI, Fernandez S, and Santamaria J, Hernandez G and appeared in the electronic 2011 version pages 5 -14, issue 69, number 6. It is well known that amoxicillin is useful in treating oral infections. In the study 123 healthy patients between the ages of 18 and 46 years which included mostly females (90) were randomly divided into 3 groups: 1) received amoxicillin preoperatively (n = 39), 2) received placebo (n = 44), and 3) received amoxicillin postoperatively (n = 40).  The patients in the study were having at least 1 impacted wisdom teeth removed. Patients and clinicians were blinded as to what group they were in […]

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Migraine in Children Can Lead to Reduced Performance in School

In an article titled “Migraine and migraine subtypes in preadolescent children Association with school performance,” appearing in Neurology in 2012 by Marco A. Arruda and Marcelo E. Bigal, a discussion is made that children with migraine may have below average school performance than kids who do not have headaches. The study looked at 5,671 children ages 5 to 12 from Brazil and found that those with migraine were 30% more likely to have below average school performance than those children with no headaches. The researchers collected information from the student’s teachers on their performance and also completed a questionnaire screening for emotional and behavioral problems. Further, the researchers interviewed parents of the students from medical history and other potential useful information. Of the 5,671 children around 0.6% had chronic migraine occurring 15 or more days per month and 9% had episodic migraine. The researchers found that the link between migraine and poor performance in school was even stronger for children with migraines that were more severe, lasted longer, or for children with chronic migraine. The researchers believe that for those children having headaches with migraine features this is a serious problem and needs to be taken seriously. Further, children need […]

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