Wisdom Teeth

Tooth bud abalation of wisdom teeth may be alternative to surgery in the future

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An interesting article titled “Fully Guided Third Molar Tooth Bud Ablation in Pigs,” appears in the Journal of Oral and Maxillofacial Surgery written by Leigh E. Colby (2022, pp. 1-12). The article describes the investigation of ablated wisdom tooth buds in pigs which may one day serve as an alternative to surgical extraction. In the study the author conducted a mandibular split-mouth animal pig study that compared right lower wisdom tooth with left unablated wisdom tooth buds. The left unablated tooth buds were used as the control group. The author stated that pigs were chosen as their wisdom tooth bud development resembles that of humans. Further pigs that were 20 weeks old were chosen as they have wisdom tooth buds that are similar in dimension to humans. A total of 5 female pigs were used that were acquired in Oregon. … Read more

3D Printed Models for Wisdom Teeth Surgery Planning

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An interesting article titled “Physical Simulation Models in Oral and Maxillofacial Surgery: A New Concept in 3-Dimensional Modeling for Removal of Impacted Third Molars,” written by Cervenka et al. appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The article describes creating three-dimensional (3D) printed models for wisdom teeth surgery planning for particular use in residency training. The authors discuss how advances in 3D design and printing along with decreases in costs are making the use of surgical simulation models an option for clinical training. This can have particular use with residency training because of caps on the amount of hours residents can work and increasingly patients not wanting residents to participate in their surgeries. In the article the authors present a design and fabrication of a reusable 3D printed lower jaw model with a reconfigurable … Read more

Combining ibuprofen and acetaminophen for wisdom teeth surgery pain management

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Before on this site the hazards of opioids prescribed for surgeries like wisdom teeth extraction has been discussed. Instead of taking an opioid like Vicodin which contains hydrocodone or another opioid that contains oxycodone an alternative patients may have if their oral surgeon is willing is to take a combination of ibuprofen and acetaminophen. This combination has been discussed in many articles on the past on this site such as Reducing Opioids in Oral and Maxillofacial Surgery, New Research Being Conducted at Rutgers for Opioid Alternatives Could Lead to Less Potential Drug Abuse for those Having Wisdom Teeth Surgery, and Oral and Maxillofacial Surgeons Current Perspectives on Opioid Prescribing. Patients may have questions about the right dosage level, there side effects, and if they work as well as opioids. According to a white paper by the American Association of Oral … Read more

Wisdom teeth and periodontal disease association in US adults

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An interesting article titled “Wisdom teeth, periodontal disease, and C-reactive protein in US adults” appears in Public Health written by Y. Zhang and et al. (vol. 187, pp. 97-102, 2020). The study sought to evaluate the associations among the presence of wisdom teeth, periodontal disease, and serum C-reactive protein (CRP) in the US adult population. Periodontal disease is a chronic gum disease which has been linked to many systemic diseases. An elevated level of CRP indicates systemic inflammation as it is a sensitive non-specific biomarker and has been linked to risk for cardiovascular disease. The end goal of the study was to generate population-based evidence to inform heart disease prevention and dental care. In the study the authors performed a secondary data analysis using the National Health and Nutrition Examination Survey (NHANES) 2009-2010 data from the national cross-sectional survey conducted … Read more

Using Bupivacaine with Wisdom Teeth Removal Results in Less Opioids Prescribed

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An interesting article titled “A Retrospective Cross-Sectional Study of the Effect of Liposomal Bupivacaine on Postoperative Opioid Prescribing After Third Molar Extraction,” written by Stuart E. Lieblich and et al. appears in the Journal of Oral and Maxillofacial Surgery (vol. 79, pp. 1401-1408, 2021). The study seeks to explore if patients who have lower wisdom teeth removed using liposomal bupivacaine need less opioids than those wo do not have liposomal bupivacaine. In the study the authors performed a retrospective study of patients who had undergone wisdom teeth extraction at 2 outpatient oral surgery centers in the United States. Patients had to have been at least 18 years of age and undergoing an elective wisdom tooth removal with 1 partial bony or full bony lower impacted wisdom tooth. A total of 600 patients who underwent wisdom teeth extracted were included in … Read more