Potential Risks of Surgery for Wisdom Teeth (Third Molars)

M. Anthony Pogrel in his article “What Are the Risks of Operative Intervention?” in the Journal of Oral and Maxilofacial Surgery vol. 70, pp. 33-36, 2012, suppl. 1, goes into complications associated with removing impacted wisdom teeth (third molars). I have previously explored this topic in detail over at http://www.teethremoval.com/complications.html. Although I did a poor job of distinguishing actual complications from negligence. In the article, Pogrel describes how studies have indicated that around 10% (1 in 10) of people undergoing removal of third molars may suffer from a complication. However, most of these complications are mild and will completely resolve in time. Pogrel states “Complications from M3 removal can be divided into 2 groups: those that are short-lived and self limiting, including bleeding, inflammatory complications such as surgical site infection and alveolar osteitis, or “dry socket,” drug reactions, displaced crowns … Read more

Association Between Partially Erupted Mandibular Third Molar and Caries in Distal Second Molar

An interesting article titled “Association between the presence of a partially erupted mandibular third molar and the existence of caries in the distal of the second molars,” appears in the International Journal of Oral and Maxilofacial Surgery by S. G. M. Falci and et. al. (October 2012, pp. 1270-1274). The article mentions how previous studies have shown that caries on the mandibular second molar due to the presence of partially erupted third molars has varied between 7% and 32%. The article criticizes prior work where studies based their prevalence data on panoramic radiographs which is not as good as periapical radiographs when diagnosing caries. The authors state “The lack of sample characterization, the absence of sample calculation, the deficient or inadequate statistical analysis and the absence of a description of the eligibility criteria, discredits the scientific evidence of these previous … Read more

Slit Throat During Wisdom Teeth Extraction

A recent story has appeared in ABC Action News (Tampa, Florida, U.S.) titled “Patient says dentist accidentally slit throat while pulling wisdom teeth: Patient expected refund after accident” by Jackie Callaway, July 9, 2013. The story described a man who had three wisdom teeth extracted earlier this year. The man had the first two wisdom teeth removed successfully. According to the man, on the third wisdom tooth, the dentist slipped and came down to near his tonsil and cut his throat. The man says the swelling and pain was unbearable and he lost 12 pounds. The man was interested in getting a refund for the $180 he paid for the dental visit; however, the refund was not made. In addition, the man’s wife had an upcoming appointment with the dentist office, which they canceled and were charged a $25 cancellation … Read more

Planning Intravenous Sedation for Wisdom Teeth Surgery

An article (in press at the time of writing this -2012) appears in the International Journal of Oral and Maxilofacial Surgery titled “Does planned intravenous sedation affect preoperative anxiety in patients?” by M. Seto, Y. Sakamoto, H. Takahashi, R. Kita, and T. Kikuta. The authors set out to evaluate The Spielberger’s State-Trait Anxiety Inventory (STAI) which can be used to evaluate levels of state and trait anxiety. State anxiety is defined as a subjective feeling of nervousness, whereas trait anxiety is defined as an individual’s underlying tendency to perceive a situation as stressful or threatening. One hundred and eleven (111) Japanese patients who were scheduled to have wisdom teeth extracted under local anesthesia were evaluated. STAI evaluates the degree anxiety based on 5 stages. The article states “The authors assessed preoperative anxiety using STAI at the initial visit and recommended … Read more

Lessons from Medical litigation in oral surgery practice

I have previously touched on, such as in the post How to Improve Your Chances to Win a Dental Malpractice Lawsuit, some of the issues surrounding medical litigation from a dental and oral surgery standpoint. In the article “Medical litigation in oral surgery practice: Lessons learned from 20 lawsuits,” by Hesham F. Marei, currently in Press at the time I have reviewed this, Journal of Forensic and Legal Medicine, 2012, an investigation into lawsuits occurring in an oral surgery setting over three years (2009-2012) in Saudi Arabia is explored. Over 100 lawsuits were looked at with 20 fitting in the inclusion criteria. Marei states: “The most common cause for litigation was oro-antral communication, followed by neurological deficit associated with the surgical removal of wisdom teeth and placement of dental implants. Bleeding after extraction was the third most common cause for … Read more