Patient’s Perception of Antibiotic Need After Teeth Removal

An interesting article titled “Patients’ Perception of the Need for Antibiotics Following Routine Tooth Extraction,” appears in the May 2015 issue of the Journal of Oral and Maxilofacial Sugery and written by Charles D. Boxx and Daniel M. Laskin (vol. 73, issue 5). The article seeks to perform a study of 120 patients having teeth removed in Richmond, Virginia, at Virginia Commonwealth University (VCU), to see their perception of antibiotic need. The patients were asked to complete a questionnaire about whether they expected to be prescribed antibiotics after tooth extraction, whether they would request them if not prescribed and the reason why, and whether they would expect to be prescribed antibiotics for a toothache or a dental abscess. The patients were further asked if they had ever requested antibiotics from a medical doctor for a cold. The patients also indicated … Read more

Should You Have a Dental Extraction Before a Cardiac Surgery?

An interesting article titled “Morbidity and Mortality Associated With Dental Extraction Before Cardiac Operation,” appears in the March 2014, journal The Annals of Thoracic Surgery (vol. 97, issue 3, pp. 838-844). The article is conducted by researchers from Mayo Clinic. They found that people who had planned dental extraction before cardiac operation are at risk for major adverse outcomes, which included a 3% risk of death before cardiac operation and included an 8% risk of a major adverse outcome including stroke or kidney failure. In many cases problem teeth are extracted before surgery with the thought being that they will reduce the risk of an infection occurring such as endocarditis which is an infection of the inner lining of the heart. Prosthetic heart valve-related endocarditis results in about 25% of infective endocarditis cases and is fatal in up to 38% … Read more

Wisdom Teeth Removal: Tweets from Twitter

As the name of this website is teethremoval.com, often discussion of removing teeth, specifically wisdom teeth, are mentioned. One way to find out what people are saying first hand from their wisdom teeth removal experience is from Twitter. Many tweet out some 140 character message with the hashtag #wisdomteeth. Below I have included many tweets with the hashtag #wisdomteeth over the past year in 2014. 1) alexis @kickrockspunk all these ppl at the movie theater eating popcorn and i’m just like slurpee w/ no straw #wisdomteeth 2) paige @paaigehattonn I feel the need to explain to everyone why my cheeks are huge when I’m out #wisdomteeth 3) David Solberg ‏@da_solberg16 Will sell soul to eat solid food #WisdomTeeth 4) weston huser ‏@westonhuser I get to be a chipmunk tomorrow #WisdomTeeth 5) Jenna Haverkamp ‏@JennaHaverkamp Dear Lord, Please don’t let me … Read more

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 … Read more

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 … Read more