Health

Algorithmically Detecting Brain Abscess Caused by Dental Infection

by

An interesting article titled “Dental focal infection-induced ventricular and spinal canalempyema: A case report” appears in the World Journal of Clinical Cases written by Hang Xue an et al. (vol. 8, no. 14, pp. 3114-3121, July 26, 2020). A discussion is made of a case report of a 53 year old woman who developed a brain abscess caused by a dental infection and how an algorithm pathogenic sequencing technique was used for diagnosis. In the article, the authors discuss the 53 year old woman from China who presented to a hopsital in 2019. She had high blood pressure for 10 years that was not well controlled even though she was taking medication and also had dental cavities for the prior three years. When she arrived at the hospital she was in narcosis and had no autonomous respiration. She had Cerebrospinal … Read more

North Carolina Oral Surgeon Loses License Forever After Death of Patient who Received Dental Implants

by

An oral surgeon in North Carolina was forced to give up his license in August 2021. The reason was due to an order signed by the North Carolina State Board of Dental Examiners that was the result of an investigation of a patient the oral surgeon had treated for dental implants who died as a result of the treatment. The patient that died was a 53 year old cardiologist in North Carolina. The oral surgeon had had his license for roughly 20 years when he had to give it up. On July 30, 2020, the oral surgeon administered anesthesia and sedatives to the cardiolgist for dental implant placement. Close to the end of the surgery, the cardiologist’s oxygen saturation and heart rate dropped to life threatening levels. The oral surgeon attempted ventilation, by trying to intubate the patient with an … Read more

Has the FDA Warning for Children Under Three Affected General Anesthesia Use in Dentistry?

by

An interesting article titled “Prolonged General Anesthesia in a Pediatric Population” was presented on July 21, 2021, at the virtual session of the 2021 International Association for Dental Research (IADR)/AADR/CADR General Session written by Mary Younan and et al. The research sets to investigate if use of prolonged general anesthesia amongst pediatric dental patients has changed since 2016 when the Food and Drug Administration (FDA) came out with guidance that said 3 or more hours of anesthetic exposure, may be a risk factor for cognitive defects, particularly for pediatric patients under 3 years of age. The researchers attempeted to see if a difference exists in the proportion of pediatric dental cases with general anesthesia time 180 minutes pre-FDA to post-FDA warning and to use a root cause analysis to identify factors that contribute to prolonged general anestehsia exposure of children … Read more

Grant Awarded to Help Improve How Primary Care Doctors Apply Fluoride Varnish on Kids Teeth

by

A grant in the amount of $424,000 was awarded for researchers at Kennesaw State University in Georgia to study how flouride varnish is applied to kids teeth. The grant was awarded by the U.S. National Institutes of Health in particular to explore how pediatricians apply fluoride varnish to kids teeth. The grant is for a three year period of time. It is the first NIH grant awarded soley to Kennesaw State. Fluoride varnishis applied to help reduce decay for both primary teeth and permanent teeth and thus can help improve oral health. In the U.S. insurance pays for pediatricians to apply fluoride varnish to young children. Even so it has been reported that only 4% of pediatricians report regularly applying fluoride varnish to the primary teeth of infants and children. Due to affordability issues many children particulary under three years … Read more

Oral surgeon must pay 2.75 million in malpractice case for dental surgery gone wrong

by

An oral surgeon has been ordered to pay $2.75 million in a medical malpractice case that nearly killed a 32 year old man. The trial had been delayed numerous times due to the COVID-19 pandemic. Further, the oral surgeon refused to negiotiate any type of settlement with the patient. In 2018, the man was refered to the oral surgeon for removal of his lower left wisdom tooth. During the his first appointment, the man had a panoramic x-ray of his mouth. When the oral surgeon reviewed the x-ray he noticied a radiolucency near the man’s lower left wisdom tooth. The oral surgeon then had the man undergo a cone-beam computed tomography (CBCT) scan and suggested a biopsy to determine whether the lesion was cancerous. When a radiologist reviewed the CBCT san he said it was suboptical because IV contrast had … Read more