Tag Archives | teeth removal

AAOMS Issues New Position Paper on Medication-related Osteonecrosis of the Jaw

Earlier in 2014, the American Association of Oral and Maxillofacial Surgeons issued a new position paper on Medication related Osteonecrosis of the Jaw (MRONJ) see http://www.aaoms.org/docs/position_papers/mronj_position_paper.pdf?pdf=MRONJ-Position-Paper. The condition in the past has been called Bisphosphonate-related Osteonecrosis of the Jaw but both antiresorptive and antiangiogenic therapies are associated with it so the name has been updated. MRONJ appears as non-healing exposed bone in the mouth and may affect patients undergoing intravenous cancer-related therapy or those treated with oral or IV bisphosphonates for osteoporosis. The paper states that patients may be considered to have MRONJ if the following characteristics are present: Current or previous treatment with antiresorptive or antiangiogenic agents; Exposed bone or bone that can be probed through an intraoral or extraoral fistula(e) in the maxillofacial region that has persisted for more than eight weeks; No history of radiation therapy to the jaws or obvious metastatic disease to the jaws. Most patients on antiresorptive or antiangiogenic agents who develop MRONJ do so after a dental procedure, such as a tooth extraction. The position paper cites several studies which has shown that between 52% to 61% of patients report tooth extraction as the precipitating event who develop MRONJ. It is estimated that […]

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The Costs Associated with Third Molars (Wisdom Teeth)

An interesting articled by George M. Koumaras titled “What Costs Are Associated With the Management of Third Molars?” appears in the 2012 J Oral Maxillofac Surg vol. 70, pp. 8-10, supp. 1. The article attempts to look at the costs associated with asymptomatic, disease-free, third molars (wisdom teeth). Three scenarios were explored by the author: scenario 1 (nonoperative management): retention of asymptomatic, disease-free third molars and monitoring for 20 years from age 18 to 38 years scenario 2 (operative management): removal of 2 asymptomatic, disease-free, bony impacted third molars for 18-year-old patients using general anesthesia (30 minutes) in an office-based ambulatory setting scenario 3 (failure of nonoperative management): removal of 1 previously asymptomatic, disease-free, bony impacted third molar after 10 years of follow-up in a now 28-year-old patient using general anesthesia (30 minutes) in an office-based ambulatory setting.” The author used claims data from Delta Dental of Virginia in 2009 to assess the financial scenarios. In scenario 1, the author assumed a patient retained his wisdom teeth and visited an oral surgeon every 2 years to assess the teeth. A total of $2,342 for this treatment plan was arrived at including 10 office visits and panoramic radiograph examinations. In scenario […]

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Oral Surgery Misconduct During Wisdom Teeth Removal

In other posts on this blog I have talked about unfortunately there have been cases of misconduct occuring during wisdom teeth removal. See for example In Light of the Allegations of Child Sex Abuse at Penn State… and expanded on and discussed in greater detail over at http://www.teethremoval.com/sexual_assault_under_anesthesia_for_wisdom_teeth_removal.html. In a recent case an oral surgeon in Massachusetts  was found guilty of fondling a 16 year old female patient while she was under sedation and having her wisdom teeth extracted. The oral surgeon was convicted of incident assault and battery and sentenced to 1 year in jail.  The patient in this case was fully clothed and another staff member of the dental team saw the misconduct occurring. These cases are unfortunate. In order for both patients and dentists and/or surgeons to avoid issues nurses or other chaperones should be present during the surgery. In addition, in other cases, a side effect of some of the drugs given during surgery is sexual hallucinations. Therefore, there may be instances where misconduct really did not occur but the patient believed it did. Hence, a nurse or other chaperone present can help mitigate potential issues that can arise. Source: Boston Herald, Mass oral surgeon guilty of […]

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Aggressive Dental Marketing Practices

Several years ago I posted a controversial post titled Dental Practices of some Dentists Websites Online is Questionable. In this post I discussed how I am frustrated by website users who register on forums and post topics and reply to topics with a signature that includes an html link to their (or a client’s) website. I called this a questionable search engine optimization strategy. Unfortunately this tactic continues to rage on and I actively have to fight it off and know that other website owners do so as well. Recently, I have become a bit irrated by a particular website: wisdomteethremoval.com. This website essentially has the same domain name as mine teethremoval.com except it has a wisdom added on to the front. Now clearly I deem this website as in direct competition with my website and attempting to divert attention away from my website. Now this website is also engaging in some Aggressive Search Engine Optimization Strategies. The website runs an answers page http://www.wisdomteethremoval.com/answers. If you look carefully at the questions and answers in this page you will see that they are being copied and pasted directly from Yahoo Answers. 1) From http://www.wisdomteethremoval.com/answers/question/what-happens-when-you-get-your-wisdom-teeth-out/ 2) From http://answers.yahoo.com/question/index?qid=20091210180305AAYUyK6 This copying and pasting […]

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The Best Dental Websites Online

Recently I was made aware that my blog here at blog.teethremoval.com was included as one of the Best 7 Dental Websites Online right now over at http://www.emergencydentistsusa.com/best-dental-websites-online-right-now The 7 contestants include: The Dental Warrior Teeth Removal (this site) Dr. Chetan Brookside Dental Dr. Tom Farley Modern Dental Marketing The Junior Dentist Of course if you run a dental website and were not included in the list, you probably are quite upset and wondering how the websites were selected. The post says “…we only picked websites that were interesting to us. Sure, we could have done things by the book and found the most “educational” dental websites with pictures telling you exactly how to do thing A or thing B. Instead, we picked websites with a unique view of the dental profession. We looked at the overall design of the site, the content found on the site and the personality behind the site.” A poll powered by polldaddy is currently taking entries for the 7 possible contestants. Right now 11 votes have been cast and the The Dental Warrior is in first place. So if you feel inclined you can go over to the website and cast your vote. The previous […]

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