wisdom teeth extraction

Tramadol for Pain Control after Wisdom Teeth Surgery

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An interesting article titled “Effect of Submucosal Injection of Tramadol on Postoperative Pain After Third Molar Surgery,” written by Iqbal et al. appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The article discusses the effectiveness of using tramadol for pain control after removing impacted lower wisdom teeth. In the article the authors conduct a study using 60 patients who presented for lower wisdom tooth removal in Mangalore, India. Patients were randomized into either group A or group B, 30 patients in each, in the double blinded study (both the patient and surgeon were unaware of the groupings). Those in group A received 1 mg/kg of tramadol diluted with 1 mL of saline solution and those in group B received 1 mL of saline solution both immediately after suturing. The injection was slowly administered into the … Read more

Wisdom Teeth Extractions in Australians: Findings from a 2013 Telephone Survey

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An interesting article titled “Third molor extractions among Australian adults: findings from the 2013 National Dental Telephone Interview Survey,” written by Hanna et al. appears in the International Dental Journal (vol. 68, pp. 77-83, 2018). The article sought to answer several questions regarding wisdom teeth removal in Australians: whether: 1.) having dental insurance is associated with a higher number of wisdom teeth extractions; 2.) if receiving single versus multiple wisdom tooth extractions is associated with self-rated oral health in the short term; and 3.) if receiving wisdom teeth extractions for those aged 18 to 25 years is associated with fewer number of days absent from work/school because of dental problems than those older than 25 years. The reason the authors explored item (2) identified above was because they believed those who received multiple extractions in a short time window might … Read more

Preventing Lingual Nerve Damage After Wisdom Teeth Extraction

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An interesting article titled “Prevention of Lingual Nerve Injury in Third Molar Surgery: Literature Review” written by Pippi et al. appears in the 2017 edition of the Journal of Oral and Maxillofacial Surgery (vol. 75, pp. 890-900). The article discusses attempting to identify any factors that could influence if a patient suffers lingual nerve damage after wisdom teeth removal. In the study the authors reviewed previous literature published up until February 2016 that pertained to lingual nerve injuries after wisdom teeth surgery. From the literature review the authors analyzed three different surgical techniques used for wisdom teeth removal: 1) buccal approach, 2) lingual split technique, and 3) buccal approach plus lingual flap retraction in order to determine if their were any differences on lingual nerve injuries. The authors also evaluated the association between nerve damage and tooth sectioning or ostectomy. … Read more

Reasons to Avoid Amoxicillin For Healthy Patients in Conjunction with Wisdom Teeth Surgery

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An interesting article titled “Dental Care Professionals Should Avoid the Administration of Amoxicillin in Healthy Patients During Third Molar Surgery: Is Antibiotic Resistence the Only Problem?” appears in the 2016 edition of the Journal of Oral and Maxillofacial Surgery (vol. 74, pp.1512-1513) written by Aragon-Martinez et al. The article discusses some of the reasons why antibiotics such as amoxicillin should not be given to healthy patients having wisdom teeth extracted. The topic of whether or not to have antiobitics before or after wisdom teeth surgery has been discussed on this site before, see for example 1) Antibiotics for Dental Use Contributing to SuperBugs 2) Patient’s Perception of Antibiotic Need After Teeth Removal, and 3) The Effect of a Single Dose of Antibiotics Prior to Wisdom Teeth Surgery. In the article by Aragon-Martinez it is discussed how amoxicillin dosages for wisdom … Read more

Ozone Therapy for Wisdom Teeth Surgery

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An interesting article titled “Does Topical Ozone Therapy Improve Patient Comfort After Surgical Removal of Impacted Mandibular Third Molar? A Randomized Controlled Trial” appears in the 2017 edition of the Journal of Oral and Maxillofacial Surgery (vol. 75 no. 51.pp. e1-51.e9) written by Sivalingam et al. The article explores using topical ozone for patients after wisdom teeth surgery. In the article a discussion is made of how medical grade ozone has been used to help with surgical treatment and with several diseases such as infections and burns. The author devised a study to see if topical ozone therapy improves patient comfort after wisdom teeth removal when compared to systemic antibiotics. The authors sought to explore if ozone gel was able to decrease postoperative pain, swelling, and mouth opening after wisdom teeth surgery. The authors set up a split-mouth study where … Read more