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The Effect of Acne Medication on Wisdom Teeth Removal

Posted on 25. May, 2013 by .


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

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 (11.4%) than the average cited rates (3%-5%), an association between isotretinoin use and complications in wisdom teeth removal cannot be determined from the data gathered because of the limited sample size.”

The three patients who suffered from dry socket all recovered fully. Clearly due to the limited sample size in this study the results may not be applicable to the population.

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Posted on 12. Dec, 2008 by .


Stress causes cortisol levels to increase within the body, which increases oil production and  causes acne breakouts. Getting more exercise, obtaining proper rest, and caring for skin are three basic steps to counteract these problems.

Dermatologists have found when you’re stressed out, your body releases a hormone called cortisol.

“When cortisol levels increase, oil production increases and sometimes that will cause acne in patients that have never even had acne before,” Flor Mayoral, M.D., a dermatologist in South Miami, Fla.

As if acne wasn’t bad enough, stress can cause your hair to fall out too! “When people are stressed out, your body also responds by taking a time out, and we really do not need hair,” Dr. Mayoral explains.

Men and women can develop alopecia — bald spots of hair in the beard or scalp — when they’re under stress. Nervous habits like twirling your hair can also pull hairs out, causing bald spots.

“And then when the hair grows back, sometimes it grows in as gray hairs.” Dr. Mayoral says.

Stay ahead of stress by taking better care of yourself during tough or hectic times. “Sometimes people meditate to help them deal with stress,” Dr. Mayoral says. “Exercising is a wonderful way to deal with stress. It releases endorphins..”

Dr. Mayoral says when adults suddenly develop acne, it is usually in response to stress. Stress stimulates the body to release a hormone called cortisol, which promotes the release of oil by the skin. This increase in oil is what encourages acne to develop. Ways to help minimize the effect of stress on skin include avoiding extra hot showers, applying moisturizer after bathing, and using sunscreen.

There are some easy, practical things humans can do to reduce the amount of stress in their lives.

  • Be realistic and don’t try to be perfect.
  • Don’t over-schedule and cut out an activity or two when you start to feel overwhelmed.
  • Get a good night’s sleep.
  • Get regular exercise to manage stress and follow a healthy diet.
  • Learn to relax by building time into your schedule for reading or a nice long bath.

Source: ScienceDaily

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