Studies and Opinions on Opioids After Wisdom Teeth Removal

Recently on this site there have been several posts regarding giving patients opioids after wisdom teeth removal. In the post Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? a study by Resnick et al. appearing in the 2019 edition of the Journal of Oral and Maxillofacial Surgery was discussed (titled “Do Oral and Maxillofacial Surgeons Over-Prescribe Opioids After Extraction of Asymptomatic Third Molars?”). Recently some commentary in a letter to the editor appearing in the 2019 edition of the Journal of Oral and Maxillofacial Surgery has been provided titled “Opioid Prescription Following Third Molar Extractions,” written by Subramanian and Quek which questions the validity of the study by Resnick. In the article by Subramanian and Quek some very valid points are made. First, the article by Resnick only relied on voluntary reporting of opioid use and this … Read more

Recent Cases of Dentist Assistant Sexual Assault During Wisdom Teeth Removal

In the past some cases of sexual assault occurring during surgery to remove wisdom teeth has been discussed, see for example the post Dentist Who Groped Patients Sentenced to Jail and http://www.teethremoval.com/sexual_assault_under_anesthesia_for_wisdom_teeth_removal.html. These cases typically involve the dentist or oral surgeon as the ones making the sexual assault. However, a few cases in recent years have involved a dental assistant as the one making the sexual assault. The first of such cases occurred in 2015 and 2016 in San Diego, California. It was believed the dental assistant assaulted 13 victims over this time with most of them being younger patients who were assaulted while having wisdom teeth extracted. In each case the women were placed under anesthesia for wisdom teeth removal and the sexual assault occurred after the surgery when the dental assistance was supposed to be cleaning up the … Read more

Risks of Keeping Wisdom Teeth: Infected Wisdom Tooth Removal Leads to Sepsis

Recently a case of a 25 year old woman from England who developed an infected wisdom tooth has been reported. The woman had the infected wisdom tooth removed in December 2018 after repeated infections had developed. Unfortunately the surgery was eventful and the woman developed complications. Two days after the extraction the woman was not able to hold down any food nor any water. She was urged to go to a hospital by a doctor and spent four days at a hospital. While at the hospital she went into septic shock and was diagnosed with sepsis. She was given intravenous antibiotics and liquids. It was believed that when the wisdom tooth was removed the infection that was present went into her bloodstream. When she was released from the hospital the woman was given six different medications to take. Roughly six … Read more

Does a Patient’s Psychological Profile Influence Pain Experienced by Wisdom Teeth Removal?

An interesting article titled “Does Psychological Profile Influence Third Molar Extraction and Postoperative Pain?” appears in the 2017 edition of the Journal of Oral and Maxillofacial Surgery written by Gonzalez-Martinez et al. (vol. 75, pp. 484-490). The article explores if psychological distress is associated with higher levels of dental anxiety and pain following wisdom teeth surgery. Dental anxiety has been shown in studies to be present in 3% to 20% of the population and oral surgery has been shown to provoke the most anxiety. The authors feel that detecting dental anxiety early is essential and one tool for evaluating the psychological profile of an individual is the Symptom Checklist 90 (SCL-90). The authors devised a triple blinded study for patients having wisdom teeth extracted (surgeon, anesthetist, and patient). Patients presented at the University Hospital Casa de Salud of Valencia in … Read more

Oral and Maxillofacial Surgeons Utilizing New Methods To Reach Patients for Wisdom Teeth Management

According to the March/April 2019 and May/June 2019 editions of AAOMS Today, the American Association of Oral and Maxillofacial Surgeons (AAOMS) is utilizing new methods to reach patients for wisdom teeth management. AAOMS is utilizing methods taking advantage of public service announcements (PSA) at airports, on radio, and on television (TV). AAOMS is also utilizing new infographics on websites and social media. According to page 22 in the March/April 2019 issue of AAOMS Today, in mid 2018 AAOMS launched airport PSAs with signage saying “Pain or no pain, your wisdom teeth should be checked every year.” In addition a picture of either a young woman or young man is featured along with the AAOMS logo, the tagline of AAOMS stating “Oral and maxillofacial surgeons: The experts in face, mouth and jaw surgery”, and also telling patients to find a surgeon … Read more