Insurance Companies Limiting Access to Opioids After Wisdom Teeth Surgery

Recently on this website, two articles were published discussing possible opioid abuse stemming from prescriptions given after wisdom teeth surgery, see 1) Persistent Opioid Use After Wisdom Teeth Removal and 2) Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse. The first article discussed a 2018 JAMA article which found that that those who filled an opioid prescription from up to 7 days before until up to 3 days after wisdom teeth removal were 2.69 times as likely than those who did not to continue to fill opioid prescriptions weeks or months later after the wisdom teeth surgery. The second article discussed a 2018 JAMA Internal Medicine article which found that being given opioids by a dentist or oral surgeon for those who had never previously used opioids had higher rates of opioid use at … Read more

Antibiotics for Dental Use Contributing to SuperBugs

Research has shown that antibiotics prescribed by dentists for various dental surgeries and procedures may contribute to the development of Clostridium difficile (C. diff), a serious and potentially deadly infection with severe diarrhea. A common questions many patients ask if they are having their wisdom teeth out includes if they should take antibiotics. This topic has been covered before on teethremoval.com, for example see http://www.teethremoval.com/antibiotic_resistance.html, http://blog.teethremoval.com/patients-perception-of-antibiotic-need-after-teeth-removal/,and http://blog.teethremoval.com/the-effect-of-a-single-dose-of-antibiotics-prior-to-wisdom-teeth-surgery/. The current guidance seems to recommend a single dose of antibiotics prior to surgery for high risk patients for postoperative infections but other healthy patients do not need any antibiotics prior to surgery. During the annual ID Week2017, which is an annual meeting of the Infectious Diseases Society of America (IDSA), the Society for Healthcare Epidemiology of America (SHEA), the HIV Medicine Association (HIVMA) and the Pediatric Infectious Diseases Society (PIDS), researchers presented their findings on antibiotic prescriptions leading … Read more

Wisdom Teeth Removal can Lead to Teasing and Unwanted Nicknames

As has been covered before on teethremoval.com, one complication that can and has occured during wisdom teeth removal is the possibility of a thermal burn on the face and a permanent scar. See the wisdom teeth removal complications page for more information. As part of the nice deadly dentistry piece by The Dallas Morning News, a case of this occurring to a young woman in California is highlighted. The story is from Brooks Egerton titlted “Beating the System: Nevada disciplined dentist for deaths, but it didn’t matter in Texas,” and written December 9, 2015. The case is of a young woman entering her senior year of high school who was scheduled to have four wisdom teeth extracted in July 2008. The woman was accompanied by her mother during the procedure as is typical in many cases and then was brought out … Read more

Two million settlement in wisdom teeth extraction death

A 17 year old woman died in June 2015, after having her wisdom teeth removed. This has been reported on http://teethremoval.com/death.html since 2015. The woman was from Minnesota and went into cardiac arrest during the surgery. The woman’s parents in early 2017, filed a wrongful death lawsuit against the oral and maxillofacial surgeon. The court documents said that the surgeon and staff did not appropriately anticipate or respond to the emergency. The lawsuit said there were dangerous actions, from incorrectly administering general anesthesia to failing to provide proper monitoring during surgery. The attorney said the parents sued the doctor as it “…gave the family a better understanding of how the death of their daughter came about… They had the courage in a difficult situation to seek the truth about why their daughter died.” The attorney also said “I’m absolutely convinced that … Read more

Continuing to Assess the Death Rate of Dental Treatment

For years on teethremoval.com one has been able to find more information about deaths from dental treatment and wisdom teeth removal. In addition it has been estimated that the death rate in dentistry occurs in 1 out of every 400,000 cases. Due to a few recent review articles that appeared in 2017, the mortality rate in dentistry page at http://www.teethremoval.com/mortality_rates_in_dentistry.html has been updated. Two articles that may be of note are H. Mortazavi, M. Baharvand, and Y. Safi, Death Rate of Dental Anaesthesia, Journal of Clinical and Diagnostic Research, Jun., Vol-11 (6): ZE07-ZE09 2017, and N. G. Reuter, P. M. Westage, M. Ingram, and C. S. Miller, Death related to dental treatment: a systematic review, Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, vol. 123, iss. 2, pp. 194-204. e10, Feb. 2017. The first article performed a review of over 20 studies focused on death … Read more