Wisdom Teeth

Lessons from Medical Litigation of Dentists

by

Back in June of 2013, I discussed in the post Lessons from Medical litigation in oral surgery practice several lessons that can be learned upon exploring lawsuits occurring in an oral surgery setting. An interesting post on the same topic but applied to dentists as a whole was just written earlier today in DrBicuspid, titled “When a dentist becomes the defendant,” by Meghan Guthman (October 7, 2013, source: http://www.drbicuspid.com/index.aspx?sec=sup&sub=pmt&pag=dis&ItemID=314397&wf=1660“) Apparently this article was already written in the American Student Dental Association in their summer 2013 issue and was just a reprint. The article discusses some data gathered by Medical Protective which is a malpractice insurance company. Their data shows that the average payment to a plaintiff in a dental malpractice lawsuit is $65,000. Around 20% of their dental malpractice cases between 2003 and 2012 involved a tooth extraction with the average … Read more

Does the Menstrual Cycle Effect the Possibility of Developing a Dry Socket After Wisdom Teeth Removal?

by

An interesting study is described exploring the possibility of the menstrual cycle affecting the possibility of developing a dry socket after wisdom teeth removal. This study is presented in the article titled ” Effect of Menstrual Cycle on Frequency of Alveolar Osteitis in Women Undergoing Surgical Removal of Mandibular Third Molar: A Single-Blind Randomized Clinical Trial,” by Majid Eshghpour, Naser Mohammadzadeh Rezaei, and AmirHossein Nejat, appearing in the Journal of Oral and Maxillofacial Surgery (vol. 71, pp. 1484-1489, 2013). The article explores the association of between the menstrual cycle and the frequency of dry socket (alveolar osteitis). The authors report that various studies have shown a chance ranging from 5-30% of the possibility of developing a dry socket (alveolar osteitis) after wisdom teeth removal. (See the complications page of this website to see more on dry sockets http://www.teethremoval.com/complications.html) In the … Read more

Do Oral Surgeons Prescribe Too Many Narcotics for use after Wisdom Teeth Removal?

by

A new article published in the Journal of Oral and Maxillofacial Surgery is titled ” Narcotic Prescribing Habits and Other Methods of Pain Control by Oral and Maxillofacial Surgeons After Impacted Third Molar Removal,” by Ibrahim Mutlu, A. Omar Abubaker, and Daniel M. Laskin (vol. 71, pp. 1500-1503, 2013). The article explores the issue of whether or not oral surgeons regularly prescribe more than an adequate amount of narcotic pain killers to young adults after their wisdom teeth extraction. It has been believed by some that the narcotics given by oral surgeons for wisdom teeth removal can be a source of using narcotics for non-medical uses. In this article a 8 question survey was sent to 100 randomly selected oral and maxillofacial surgeon members of the American Association of Oral and Maxillofacial Surgeon (AAOMS). The questions were related to whether … Read more

Can a Persistent Headache be Caused by Sinus Problems?

by

I came across an interesting article that appeared over a year ago in the Washington Post. The article is titled “A man’s persistent headache proves hard to diagnose and harder to treat,” by Sandra G. Boodman, and published on March 19, 2012. Article Link: http://articles.washingtonpost.com/2012-03-19/national/35448791_1_headache-sinus-pain-relievers The article discusses a 41 year old man who developed a constant headache in November of 2008. Over the course of many months the man consulted many neurologists, ear nose and throat doctors, ophthalmologist, and others but none could explain what was causing him the headache. The man is quoted as saying “I’d been chasing this for more than six months. No one could tell me what it was. I just remember thinking, ‘How am I going to be able to function if it never goes away?” Over the course of the treatment the man … Read more

Association Between Partially Erupted Mandibular Third Molar and Caries in Distal Second Molar

by

An interesting article titled “Association between the presence of a partially erupted mandibular third molar and the existence of caries in the distal of the second molars,” appears in the International Journal of Oral and Maxilofacial Surgery by S. G. M. Falci and et. al. (October 2012, pp. 1270-1274). The article mentions how previous studies have shown that caries on the mandibular second molar due to the presence of partially erupted third molars has varied between 7% and 32%. The article criticizes prior work where studies based their prevalence data on panoramic radiographs which is not as good as periapical radiographs when diagnosing caries. The authors state “The lack of sample characterization, the absence of sample calculation, the deficient or inadequate statistical analysis and the absence of a description of the eligibility criteria, discredits the scientific evidence of these previous … Read more