Tag Archives | patient

Review of the Wisdom Behind Third Molar Extractions

Back in 2009, an article titled  The wisdom behind third molar extractions” by “S Kandasamy and DJ Rinchuse appeared in the Australian Dental Journal (54. pages 284-292. 2009) I discussed some of the provocative comments in this article in the post Bringing About Healthcare Change. To reiterate he states “…in the 21st century, the routine removal of asymptomatic pathology- free third molars has become a dated practice that is rapidly running out of valid excuses, and it has no justification in contemporary dentistry and medicine.” Earlier this year an article titled “Patient Specific Variables are a Consideration in the Decision to Extract Asymptomatic Third Molars” by Katerine W. L. Vig appeared in the J Evid Base Dent Pract. (2012 12 pp. 92-94) The conclusion of this article is “The removal of third molars to avoid lower incisor crowding is not justified. Clear indications exist for removal of third molars associated with pathology. Asymptomatic partially or fully erupted third molars are best retained and monitored regularly for periodontal maintenance, especially those with associated pockets greater than 4mm. Risks with retaining third molars should be put in the context of the overall medical condition of the patient with the potential for systemic involvement.” […]

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Death and Greed at the Dentist: Is Your Child at Risk?

A new investigation came out recently by ABC News appearing on both “Nightline” and “World News With Diane Sawyer” looking at sedation deaths from dentistry. The story is located over on the ABC News website which appeared on July 12, 2012 and is titled “Death, Greet at the Dentist: American Children at Risk.” A synopsis of the investigation appeared on drbicuspid.com on July 13, 2012, titled “ABC News spotlights pediatric dental sedation risks.” The story over on ABC News opens up with “American children are being put at risk by inadequately trained dentists who often seek to enhance profits by sedating their young patients for even routine tooth cleaning and cavity treatments.” In the segment on “Nightline” Brian Ross says “…it is a scandal in many cases driven by dentists who are told they can increase their bottom line. Hundreds of thousands of dollars in extra profits by giving their young patients a quick and all too often dangerous dose of sedatives…” The story on ABC News says “The ABC News investigation found a patchwork of state regulations with some states requiring only a weekend-long course for dentists to be certified in the administration of oral sedatives.” As highlighted in […]

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Migraines – Cause and Effect

Roughly 30 million Americans suffer from migraine headaches and women are affected 3 times more often than men. Hormonal changes are part of the reason why females have such a higher incidence. Migraine headaches typically last between 4 and up to 72 hours with some experiencing them several times a month. Several risk factors have been identified that increase a person’s chance of having migraines: Family history: If one has 1 or more first-degree relatives with migraine headaches, the likelihood rises substantially. Age: Most people are between 15 and 55 who have migraine headaches. Gender: Women are much more likely to suffer from migraines than men. Certain medical conditions: epilepsy, anxiety, stroke, depression, and high blood pressure are all associated with migraines. Hormonal changes: Women with migraines often have them just before or shortly after menstruation. The exact cause of migraine is not fully understood. Some researchers believe migraines occur due to abnormal changes in the brain which results in inflammation and blood vessels swelling and pressing on nerves. Numerous triggers for migraine attacks have been identified: sleep disturbances bright lights and loud noises dehydration hormonal changes stress weather changes low blood sugar foods that contain aspartame foods that contain […]

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Perioperative Information for Third Molar (Wisdom Teeth) Removal

A recent study titled “An Evaluation of Patients’ Knowledge About Perioperative Information for Third Molar Removal,” appears in the Journal of Oral and Maxillofacial Surgery (vol. 70, pages 12 – 18, 2012). The study attempts to look at what patients know about third molar (wisdom teeth) removal before having surgery performed. The study was conducted by authors in Brazil and Kentucky (United States). The study explains on being nervous and anxious before having wisdom teeth removed can actually cause a longer surgery, more potential swelling, and even more pain. Hence there is incentive for the surgeon and the surgical team to help produce a calming environment for patients to help reduce anxiety which can lead to potentially better outcomes. The study had 67 patients which included 43 female and 24 males who had 1 or more wisdom tooth removed. The patients presented to an ambulatory environment between August 2009 and April 2010 in Brazil. One surgeon interviewed each patient and this surgeon was blinded as in did not know about the patient’s past tooth extraction experience(s). In this study 25 of the patients had previous tooth extraction experience. Most of the wisdom teeth were extracted for orthodontic reasons. Other reasons […]

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