Pediatric Dental Death in Cambridge, Ontario, Canada Spurs Comments on Dental Anesthesia

Recently, a death has occurred in Cambridge, Ontario, Canada, in a dental office. Details of the case have not yet been released, but a boy died after getting anesthetic and had a previously undetected heart condition. It seemed to have occurred sometime around late April, 2014, but the date may be off a bit. It appears that in this case the boy was brought to a hospital after the dental office in an attempt to save his life. An interesting article over in the Cambridge times published June 27, 2014, by Gordon Paul, titled “Pediatric dental surgery with anesthesia should be done in hospitals, dentist says,” provides some comments on this case. See http://www.cambridgetimes.ca/news-story/4605070-pediatric-dental-surgery-with-anesthesia-should-be-done-in-hospitals-dentist-says/. In this article comments by Dr. Hanover who is on the political action committee of the Ontario Dental Association are provided. He says “I think every pediatric dentist is most comfortable in a hospital. You’ve got the anesthetist, you’ve got a whole team of nurses, you’ve got crash carts, you’ve got ICUs … and in a dental office, you’ve got the dental anesthetist and maybe an RN. That’s the big difference.” Dr. Hanover, says that he has performed dental surgery on thousands of children under general anesthesia, but […]

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Dental Patients Warned of Possible HIV and Hepatitis Exposure in Pennsylvania

Recently, patients of a long time dentist in Pennsylvania have been warned of possible exposure to HIV and hepatitis B and C. The dental license of the 74 year old dentist has been suspended as state officials investigate. It is suspected that he was not properly sterilizing his instruments. No reports of disease or transmission have occurred. The dentist is a long time dentist of a school district. In an interview with one of the school’s students who was examined by the dentist and her mother, it was stated the dentist didn’t have gloves on when treating patients and didn’t wash his hands between patients. The full interview can be seen over at http://www.nbcnews.com/watch/nbc-news-channel/dirty-dentist-has-town-clenching-its-teeth-282301507827 provided by NBC News. In the past, other cases have occurred where dentists or oral surgeons have been suspected of not following proper procedures to avoid spreading disease. For example see the post Dental Patients Warned of Possible HIV and Hepatitis Exposure Due to Oral Surgeon’s Practices and the post Oral Surgeon Investigated for Reusing Needles and Syringes. In the first post an oral surgeon in Oklahoma potentially used rusty instruments and lax sterilization procedures potentially exposing around 7,000 patients to HIV and hepatitis. In the second post, an oral surgeon […]

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Does Flouride Cause Additional Hip Fractures?

Researchers are interested in studying fluoride and it’s possible benefits and risks due to it commonly being in water supplies of communities. This is because fluoride is known to help prevent cavities. Even so, some question if putting fluoride in everyone’s water is the right thing to do as some people could experience problems from the water. For example, several studies have shown Large Amounts of Fluoride Consumed by Young Children Leads to Fluorosis. Hence, it is beneficial to minimize fluoride exposure to young children. Others have looked at the opposite end of the age spectrum: old people. Researchers in Sweden have investigated the possibility that fluoride in the water can lead to additional hip fractures. The study consisted of a large amount of Swedish residents who were exposured to fluoride levels with the researchers testing a hypothesis that there is an association between fluoride level in drinking water and the risk of hip fracture. The study appeared in the Journal of Dental Research. The researchers included all of those born in Sweden between January 1, 1900 and December 31, 1919, who were currently still alive and living in their municipality of birth. A total of 473,277 participants were used and their information was […]

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Flesh Eating Bacteria Leads to Death After Wisdom Teeth Removal

Earlier this year (2014) in February, I posted about an Eighteen Year Old Music Student in Portland Dies After Wisdom Teeth Removal. This occurred in Maine. It has been since confirmed by a medical examiner, that the 18 year old man died after his wisdom teeth extraction by developing necrotizing fasciitis. This is a flesh eating bacteria which can ravage muscles and skin tissue. A quote is provided (see source below)  by the infection control expert from the American Dental Association who says he has never heard of necrotizing fasciitis after wisdom teeth extractions. I am not quite sure why he says this as cases have appeared of this in the literature and I have discussed this on the wisdom teeth complications page over at http://www.teethremoval.com/complications.html. Another case of death occurring from necrotizing fasciitis after wisdom teeth extraction occurred to a 25 year old man in 2007, in Seattle, Washington. See Carol Smith. Seattle Post-Intelligencer. Enough Scrutiny in Dental Deaths? July 15, 2008. http://www.seattlepi.com/local/370740_dentists15.html. In this case it took 3 days after the wisdom teeth extraction until death. This was also the number of days before death in the case in Maine for the 18 year old male. Source: Tomas Jivanda, […]

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Cut Sugar to Prevent Cavities

If you are looking to avoid cavities in your teeth and wisdom teeth, then you may want to consider limiting your intake of sugar. Free sugars are added to many foods and are naturally present in other food such as honey and fruit juice. Since 1990, the World Health Organization (WHO) has said they suggest less than 10% of all calorie intake should be from free sugars. A study conducted by Newcastle University and commissioned by the WHO and was published last year in the Journal of Dental Research explored free sugar intake as a percentage of calorie intake and the incidence of dental cavities. The article found when less than 10% of total calories in the diet is from free sugars there are much lower levels of cavities (tooth decay). The article also found that when less than 5% of total calories is from free sugars even further benefits are found which reduces the risk of dental cavities over a lifetime. Hence if one is expecting to keep their teeth throughout their lifetime and wants to minimize the risk of dental cavities they should modify what they eat and drink to limit sugars. The researchers from Newcastle explored 55 […]

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