Subcutaneous Emphysema In Dental Procedures

Subcutaneous emphysema, surgical emphysema, or tissue space emphysema are different names for a similar condition, namely, the abnormal presence of air in tissue spaces Subcutaneous emphysema occurs rarely during dental procedures. When it does occur, it can be a frightening experience that often will be confused with an anaphylactic reaction. Differentiating the two conditions is not difficult. Palpation of the swollen head and neck areas will elicit crepitus, or a ‘Velcro’ sensation, that is not present in anaphylaxis. Anaphylaxis occurs after exposure to an allergen that elicits an IgE-mediated hypersensitivity that leads to an abrupt onset of symptoms that may include pruritis of lips, tongue and palate; oedema of the lips; nausea; vomiting; dysponea; wheezing; rhinorrhoea; syncope and hypotension. Anaphylaxis is a true medical emergency, whereas subcutaneous emphysema is generally not life-threatening. Therapy for subcutaneous emphysema involves the following: (i) … Read more

Surgeon Pulled Teeth Directly For Profit

Pulling more teeth than medically necessary from patients mouths, just to make money. That’s the allegation against a local oral surgeon whom News 3 Investigators first exposed a year ago. The state started investigating after her story, and now she tells us what the state says needs to be done to protect patients. The State Board of Dental Examiners wanted to suspend Dr. Jay Selznick’s license, put him on three years probation, prevent him from treating medicaid patients for nine months and force him to reimburse some patients. All because they believe he’s operating below the standard of care and falsifying records to cover his tracks. “I’m glad the truth finally came out and justice will prevail. He will get what he’s got coming. He thinks that he’s above the law, and he’s not.” We first met Medicaid patient Karyn … Read more

Sarah Billington On Late Show with David Letterman

This is from the Late Show with David Letterman on January 4th, 2008. Sarah enjoyed the time to catch up on things like going to the dentist. She unfortunately learned that she had to get her wisdom teeth pulled. She had no desire to be knocked out so she requested the gas. After a few doses, she felt she needed more. The dentist said to his assistant, “OK, Johnny Cash her!” She was given so much gas that she started freaking out. She couldn’t sit still. She finally requested to be knocked out. They did that, but the last thing she remembers before going bye-bye was hearing the doctor saying, “Whoops! She swallowed it!” When she came to, she found her boyfriend getting directions from the dentist for her to go for a chest x-ray. And Sarah has the x-ray … Read more

Skipping Breakfast Ups Tooth Decay Risk For Children

Caregivers should beware that young children who skip breakfast might be fattening their chances of experiencing tooth decay, according to a study in this month’s Journal of the American Dental Association. Using data from the third National Health and Nutrition Examination Survey, conducted by the Centers for Disease Control and Prevention, study authors investigated the relationship between healthful eating practices (such as breast-feeding, eating breakfast and consuming five servings of fruits and vegetables a day) and dental caries in the primary teeth among children two to five years old. “Specifically, not eating breakfast every day was found to be associated with overall caries (tooth decay) experience and untreated decay in the primary dentition in children aged two through five years,” the authors wrote. “Our findings support the notion that even if the effects of poverty could be mitigated, healthful eating … Read more

Dental Researchers Test No-needle Anesthesia, No-drilling Cavity Care

Imagine having a decayed tooth repaired, painlessly, without drilling or shots of anesthesia to numb the area. Wishful thinking? Not if two studies being conducted at the University at Buffalo’s School of Dental Medicine show positive results. In one study, funded by a $100,000 grant by Apollonia, LLC, researchers in the school’s Center for Dental Studies are testing a nasal spray that numbs the upper teeth. “If this study is successful,” said Sebastian Ciancio, D.D.S., principal investigator on the study, “it may mean the end of dental injections when dentists are performing procedures on the upper arch.” The second study, set to begin in coming months, will test the use of ozone to kill bacteria in a decayed tooth and its potential to eliminate the need for the dreaded drill, at least to repair simple cavities. Researchers at UB and … Read more