Using Low Dose Naltrexone for Treating Burning Mouth Syndrome

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An interesting article titled “Low Dose Naltrexone for Treatment of Burning Mouth Syndrome” appears in Oral Surgery, Oral Medicine, Oral Pathology, and Oral Radiology written by L. Sangalli and C. S. Miller (Published April 30, 2022). The article discusses using a low dosage of naltrexone to treat burning mouth syndrome (BMS) that started after a woman had a tooth extraction. In the article discussion is made of a 62 year old woman who had been experiencing BMS the the last three years. She had had a tooth extracted three years earlier and the pain she was experiencing was at the site of the extraction. After some time pain went away but then a year or so after the extraction the woman began experiencing BMS at the dorsum of her tongue. She reported tingling and burning sensations and the pain flucated between … Read more

Coated gauze may help with pain and dry socket after wisdom teeth removal

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An interesting article titled “Retrospective analysis for predictors of postsurgical complications from third molar extraction with use of oxytetracycline–hydrocortisone-coated gauze inserted in extraction socket” appears in Oral Science International, written by Sayumi Matsuda and et. al. and published on June 15, 2023. The article sought to explore a study of a technique of inserting gauze coated with oxytetracycline–hydrocortisone ointment into a wisdom tooth extraction socket and look at the occurence of dry socket and pain when compared to a those without the gauze. The researchers applied the gauze technique to 286 patients who had lower wisdom teeth removed. The authors found the incidence of dry socket after extraction was 1.05% (with a 95% confidence interval of 0.22% to 3.03%) and the incidence of post-extraction infection was 0.35% (with a 95% confidence interval of 0.01% to 1.91%). These percentages were lower … Read more

Woman dies after wisdom tooth extraction in Brazil

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A 23 year old woman in Brazil had wisdom teeth extracted on May 10, 2023 in Brazil. Two days later she returned to the dental clinic complaining about pain at the extraction site. After being evaulated at the clinic the woman was sent home. The next day her pain continued and she sought care at a local Emergency Room. The woman was discharged. The woman’s pain continued and she went back to the Emergency Room the next day and was again discharged. On May 15, 2023, the woman returned to see her dentist and the dentist referred her to a Hospital. The woman was found to have an acute facial infection and a dental abscess in the location where the wisdom tooth was extracted. The woman was given medication to help with her infection. Unfortunately two days later the woman … Read more

Risk Factors for Delayed Infection After Wisdom Teeth Surgery

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An interesting article titled “Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions” written by A.M. Smith et al., appeared in Healthcare in 2023. The article investigated the risk factors for delayed-onset infection (DOI) after lower wisdom teeth extractions. Delayed-onset infection (DOI) is a potential complication of wisdom tooth extraction that occurs one to four weeks after surgery. Even with precautions, such the use of antibiotics and not smoking and following good oral hygiene after surgery delayed-onset infection can occur with a reported incidence from 0.5% to 1.8%. Prior studies have shown that the depth and the tilt of the tooth axis of the lower wisdom tooth are risk factors for local delayed-onset infection and the development of delayed-onset infection is related to the space distal to the second molar. The authors of the current study sought to identify … Read more

Burnout amongst dentists and dental students

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A study exploring burnout in dentists is published in the Journal of Evidence-Based Dental Practice titled “High prevalence rates of burnout and emotional exhaustion among the dental profession,” written by Kelvin I. Afrashtehfar and  Carlos A. Jurado (26 April 2023, 101886). A another study exploring burnout in dental students is published in the Joural of Dental Education titled “Correlates of burnout in predoctoral dental students in the United States,” written by Alex Joseph et. al (19 April 2023). Studies to date have shown that burnout has become a problem for dentists. Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment. It is beleived to occur in response to chronic stress that is unmanaged. In the first study a systematic review and meta-analysis of 37 studies was performed that resulted in 31 used in the quantitative analysis. These studies demonstrated … Read more