Wisdom teeth and periodontal damage of second molars

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An interesting article titled “Third molars and periodontal damage of second molars in the general population,” written by Kindler et al. appears in the Journal of Clinical Periodontology, (vol. 45, pp. 1365-1374, 2018). The article explores the association between impacted or erupted wisdom teeth and periodontal pathology using probing depth and clinical attachment levels. Additional information on periodontal probing depth and a wisdom tooth’s effect on adjacent second molars can be found on the Risks of Keeping Wisdom Teeth page on this website. In previous works impacted wisdom teeth have been identified as a risk factor for developing tumors, dental cysts, and other pathology in adjacent second molars. Even without periodontal symptoms, periodontal damage on the distal aspect of second molars can be present. In the article the authors looked at data from a population-based Study of Health in Pomerania (specifically West Pomerania, … Read more

Dental Care in Exchange for Community Service

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Interesting work out of the University of Michigan discusses the concept of getting dental care for free by performing community service. A master’s thesis by Lorene R. Kline titled “No Cost Dental Care in Exchange for Community Service Hours: Participating Patients’ and Dentists’ Responses” (2016) discusses this concept. The article is located over at https://deepblue.lib.umich.edu/bitstream/handle/2027.42/123017/Kline_MSDH_Thesis_%20Final_2016.pdf?sequence=1&isAllowed=y The work discusses a program to help low income Michigan residents where adult participants were offered $25 in dental services for every hour of volunteer work. The program was titled Pay it Forward and was a partnership between Care Free Medical and Dental and the Central District Dental Society of Michigan. Pay It Forward was geared toward low-income adults who fell between 133% and 250%  of the poverty level and did not qualify for Medicaid. The cost was based on Medicaid schedule fees. The thesis work focused on … Read more

Photoacoustic Imaging for Periodontal Health in Humans

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Recently on this website research exploring using photoacoustic imaging for periodontal probe depths from University of California, San Diego, using swine models was discussed. This same group has since published an article titled “Photoacoustic imaging for monitoring periodontal health: A first human study,” by Moore et al. in Photoacoustics (vol. 12, pp. 67-74, 2018, published online November 01, 2018) where they show that a photoacoustic-ultrasound imaging approach can image the full depths and geometries of pockets in healthy human adults. Traditionally ultrasound uses the principle sound in and sound out but the photoacoustic-ultrasound approach uses light in, sound out. The advantageous of such an approach over traditional radiography is that it can image soft issue and that it does not cause ionizing radiation. The conventional method for dentists to monitor gingival health in humans is with a periodontal probe. This … Read more

Was Wisdom Teeth Removal Performed Without Consent that Lead to Trigeminal Nerve Damage, Migraines, and Dizziness?

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An Illinois woman has filed a lawsuit against her dentist and dentist assistant in October, 2019, alleging that four wisdom teeth were extracted without informed consent. Just before the surgery occurring in September 2017, the woman alleges that she spoke with the dental assistant about concerns with going forward with the extraction. However, the surgery proceeded and the woman was given general anesthesia. The woman’s boyfriend at the time of the surgery signed of on the informed consent form although there was no legal right to do so. The dentist was not aware that the woman had nerves that were too close to the wisdom tooth and thus should have required a more complex procedure. The suit says the dentist used an “overly aggressive, improper technique” and “negligently and carelessly failed to properly inform the plaintiff of all the risks.” … Read more

The Before and After of Tooth Surgery: Everything You Need to Know

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Tooth extraction is a common procedure. When your teeth are severely decayed and broken, and the dentist cannot repair them with a filling or other dental procedure like a root canal, tooth extraction is the last option. When you know what to expect before and after tooth extraction, you will be at ease. By following clear instructions, you can prevent infections and avoid dry socket, which is a very painful condition. Let’s see what you should do before and after tooth extraction. Before Tooth Extraction Ask questions It is normal to have questions about the procedure. Don’t hold back. List down all your questions and remember that no question is too silly to ask. Get answers to your questions before proceeding with the tooth extraction procedure. The Dentist will Perform X-Rays Before the extraction, the dentist will perform x-rays of … Read more