Does Intravaneuous Dexamethasone Reduce Pain and Swelling and Improve Mouth Opening After Wisdom Teeth Surgery?

An interesting article titled “Efficacy of intravenous dexamethasone administered preoperatively and postoperatively on pain, swelling, and trismus following third molar surgery. A comparative study” written by Giri et al. appears in the 2019 edition of Oral Surgery (vol. 12, pp. 110-117). The article explores if intravenous dexamethasone given either shortly before or after wisdom teeth surgery has any any effect when compared on the time of administration on pain, swelling, and trismus (mouth opening) experienced in the week after surgery. Previously on this site in a post titled Does Intravaneuous Ibuprofen Reduce Pain After Wisdom Teeth Surgery? it was shown that preoperative intravenous ibuprofen administration significantly reduced the pain experienced after surgery. In the article by Giri the authors say that dexamethasone is a type of corticosteroid that has a strong anti-inflammatory action. Dexamethasone has a half-life of 36–54 hours … Read more

Legal Aspects of Sexual Assault During Wisdom Teeth Removal

As has been discussed on this site before, sexual assault can and does happen during wisdom teeth removal. Its a grim reality that happens more frequently than one would think. See for example the posts Teenager Sexually Assaulted by Dental Assistant during Wisdom Teeth Removal, Dentist Who Groped Patients Sentenced to Jail, and Recent Cases of Dentist Assistant Sexual Assault During Wisdom Teeth Removal along with where cases of sexual assault occurring during wisdom teeth surgery are described. When such cases occur, this can cause the victims to want to bring civil cases against the dentist or oral surgeon. There are also criminal charges that can filed by the federal or state government. Thus it is important to understand the differences between civil and criminal law. When a civil dispute occurs between the private rights of individuals, civil litigation … Read more

What is the Polo Mint Wisdom Tooth and How to Treat It

An interesting article titled “Identifying the Polo® mint mandibular third molar: a case series” written by Chopra et al. appears in the 2019 edition of Oral Surgery (vol. 12, pp. 89-95). The article discusses lower wisdom teeth that have a perforation in the root where the inferior dental nerve passes through and resemble the classic perforation within the Polo Mint confectionary (the Polo mint is a breath mint with a hole in the middle). These type of wisdom teeth are described as being uncommon, occurring every 1 in 800 cases or less; however they present a high degree of inferior dental nerve injury if they are extracted. The authors state that surgeons may only seen one or two cases in their entire career. In the article the authors describe a study from 2010 to 2017 where they identified 22 cases … Read more

Management for an Ectopic Wisdom Tooth

One of the medically necessary valid reasons that the American Association of Oral and Maxillofacial Surgeons gives for removal of a wisdom tooth is if it is in an ectopic position. So the question is what exactly is the ectopic wisdom tooth and what should one do about it? In the article titled “Removal of ectopic mandibular third molar teeth: literature review and a report of three cases” written by Ahmed and Speculand appearing in Oral Surgery in 2012 (vol. 5, pp. 39-44) discussion is made of a literature review of ectopic wisdom tooth along with three cases of lower ectopic wisdom teeth. In the article titled “Ectopic wisdom tooth in the condyle area” written by Mourouzis et al. appearing in Oral Surgery in 2011 (vol. 4, pp. 194–196) discussion is made of an upper ectopic wisdom tooth in a … Read more

The Predictive Value of using Panoramic X-Rays for Wisdom Teeth Surgery Complications

An interesting article titled “Predictive Value of Panoramic Radiography for Injury of Inferior Alveolar Nerve After Mandibular Third Molar Surgery,” appears in the 2017 edition of the Journal of Oral and Maxillofacial Surgery (vol. 75, pp. 663-679) written by Su et al. The article sought to explore if panoramic x-rays taken before wisdom teeth removal can predict possible injury of the inferior alveolar nerve. In the article the authors discuss how inferior alveolar nerve injury is the third most common complication following wisdom teeth removal. When inferior alveolar nerve injury occurs numbness of the lip or chin can occur along with difficulty speaking and chewing food. Current studies have shown inferior alveolar nerve injury occurs about 8% of the time after wisdom teeth removal with less than 1% expected to be permanent. Current practice has shown that panoramic x-rays can … Read more