Tag Archives | Pain

How to treat your wisdom teeth during pregnancy

It is completely safe to have regular dental cleanings while you are pregnant. Many women experience pregnancy-related gingivitis and other dental issues during pregnancy, and regular cleaning may help minimize the chances of developing a serious problem. However, we can’t always predict what will happen, and sometimes serious problems arise that need to be addressed. The topic of dental treatments during pregnancy is one that gets a lot of attention, and the information can be confusing. One issue that is particularly controversial is the issue of treating wisdom teeth. What can you do if you experience pain and swelling related to your wisdom teeth during pregnancy? Is it safe to treat them, or do you have to endure the pain until after you have your baby? The bottom line is that you should schedule an appointment with your dentist immediately if you experience wisdom tooth pain while pregnant. Problems Caused by Wisdom Teeth To understand why it is important to see your dentist for wisdom tooth pain, let’s talk about some of the things that can happen if you ignore it: Swelling and pain in the gums can be fairly common during pregnancy. When wisdom teeth cause pain, even routine […]

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Using Povidone Iodine After Wisdom Teeth Removal

The article titled “Effect of Low-Concentration Povidone Iodine on Postoperative Complications After Third Molar Surgery: A Pilot Split-Mouth Study” written by Hamid Mahmoud Hashemi and et. al. appears in the January 2015 issue of the Journal of Oral and Maxillofacial Surgery (vol. 73, issue 1). The article discusses polyvinylpyrrolidone iodine which is a highly potent antiseptic solution known for its bactericidal activity. The authors performed a prospective randomized split mouth study of patients undergoing surgical removal of impacted mandibular wisdom teeth to evaluate whether diluted povidone iodine can be used as an irrigant and coolant and if it has any effect on common postoperative sequelae, including swelling, pain, and trismus. A total of 30 healthy patients (18 to 25 yr old) with bilateral impacted mandibular wisdom with similar position and degree of impaction were recruited at Tehran University in Iran between March 2012 and September 2012. One impacted mandibular wisdom teeth in the first patient was randomly allocated to the study side by using a coin and the other side served as the control. In the subsequent patient, the opposite sides were allocated to the study and control groups. The teeth were removed under local anesthesia with 2% lidocaine and […]

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Exploring the Alternative to Medical Injury Claims in New Hampshire

In a post last year I dicussed briefly the early offer system in New Hampshire see The Optional Alternative to Medical Injury Claims. This is the first of the kind system in the United States that is an alternative to the traditional medical malpractice system. An article in the 2013 issue 4 of the American Journal of Law and Medicine has explored this titled “Evaluating New Hampshire’s First-In-The-Nation Early Offer Alternative to Medical Malpractice Litigation,” and written by John W. Masland. The article states “Many states have enacted medical malpractice reforms, recognizing that their tort systems result in protracted litigation, high costs, and a large number of uncompensated victims. One proposed reform, an “early offer” system, allows a medical provider to make a financial offer covering an injured patient’s economic damages, which, if the patient accepts, precludes litigation…On June 27, 2012, the New Hampshire General Assembly overrode former Governor John Lynch’s veto and established the country’s first early offer payment system for medical malpractice claimants.  After a medical injury, patients may now request an early offer payment from their medical providers for economic damages.” The article goes into more specific details of the early offer program as implemented in New Hampshire. […]

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New Blood Pressure Medication for Migraines

A new study by the Norway and the Norwegian University of Science and Technology shows that a blood pressure medication, candesartan, is as effective as propranolol which is prescribed to prevent migraine. Further, candesartan may work better for those migraine suffers who don’t find propranolol to be useful. The study by the norwegian researchers was a triple blind test which means that neither patients nor doctors nor those who analyzed the results knew whether the patients had been given the drug or a placebo. Seventy two patients took part in the study and all patients were affected by migraine attacks at least twice a month. The patients used each treatment candesartan, propranolol, or placebo for 12 weeks and also underwent four weeks before start and finish between each treatment without anything. As such each patient was tested for nearly a year. More than 20 percent of migraine patients reported that they feel better when given a placebo. However, blind tests show that candesartan works for another 20 to 30 percent of patients with migraine. Candesartan was used intially to treat high blood pressure but was discovered by chance in the 19990s that it worked well for headaches. This led to […]

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Is Hashimoto’s Encephalopathy Related to New Daily Persistent Headache?

An interesting article titled “New Daily Persistent Headache As A Presenting Symptom Of Hashimoto’s Encephalopathy,” is written by Daniel E. Jacome and located over at http://www.webmedcentral.com/wmcpdf/Article_WMC00960.pdf. The article discusses Hashimoto’s encephalopathy (HE) which is a rare autoimmune neurological disorder and how patients with this disorder may present with a headache characteristic of new daily persistent headache or atypical hemicranias continua. Patients of HE are said to have elevated serum titers of thyroid microsomal and antithyroglobulin antibodies. A reference is made to a past case of a woman who had such elevated antibodies and also a left sided headache and aphasia. The current article describes a case of a 50 year old man who had such elevated antibodies and also a persistent daily left sided headache with aphasia. Note that his brain MRI and MRA was normal. In the article it is mentioned that the man is put on a indomethacin 2 week test as commonly done for hemicranias continua. He doesn’t respond to this and they then try intravenous methyl prednisolone which works well in providing headache relief. He later was put on intravenous immunoglobulin. He doesn’t take steroids on a long term basis and now commonly takes ibuprofen for […]

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