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

What Can a Surgeon Do to Prevent Opioid Abuse

An interesting article titled “The Surgeon’s Roles in Stemming the Prescription Opioid Abuse Epidemic” written by James Hupp appears in the 2016 Journal of Oral and Maxilofacial Surgery (vol. 74, pp. 1291-1293). The article describes the current challenges oral and maxilofacial surgeons are facing when it comes to prescribing opioids. This is because regulators and politicians are getting involved due to their perception of an opioid abuse problem. He mentions that Congress is considering legislation to address prescription drug addiction problems. The author wants surgeons to remember that there are legitimate reasons for giving patients who have had oral surgery such as wisdom tooth extractions an opioid medication.  Pain that interferes with a patient’s usual routines, their ability to consume enough fluids and calories, or their ability to sleep often requires a narcotic until the pain subsidizes. As such these patients should be prescribed opioids … Read more