Using Bupivacaine with Wisdom Teeth Removal Results in Less Opioids Prescribed

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

Taking etoricoxib before Wisdom Teeth Surgery to Help Relieve Pain

An interesting article titled “Does low dose of etoricoxib play pre-emptive analgesic efect in third molar surgery? A randomized clinical trial” written by Long Xie and et al. appears in BMC Oral Health (vol. 21, no. 462, 2021). The article discusses the results of a randomized clinical trial that explored if a preemptive low dose of the nonsteroidal anti-inflammatory drug (NSAID) etoricoxib may reduce the need for analgesics after wisdom teeth extraction. The study the authors conducted was designed as randomized, parallel, double-blinded and placebo-controlled and occurred between August 2019 and July 2020. A total of 56 patients were included in the study that met the inclusion criteria and scheduled to have impacted horizontal mandibular wisdom teeth extracted. The authors found that the mean VAS pain score in the etoricoxib group was significantly lower than that in the placebo group … Read more

Dentist Cuts Chunk out of Cheek and Lip while Patient Has Wisdom Teeth Removed

A 31 year old woman had a chunk of her cheek and lip taken out while having two wisdom teeth extracted in September 2013 in Watford, England. She was left with permanent nerve damage as a result of the chunk of her cheek and lower lip being taken out with a pair of pliers that slipped while the dentist was performing the surgery. She had to have four stitches to repair the damage. The woman stated that she was in the dental chair for over an hour for just one tooth extraction procedure and had to be given anesthesia twice because of the length of the surgery. The reason for the surgery was due to repeated inflammation of the wisdom teeth. She left the dental office bleeding from her cheek. She also experienced pain and swelling and went back to … Read more

Man destroys dental office after dentist refuses to remove suspected electronic eavesdropping device

In the past on this site it has been described how there may be a wisdom teeth conspiracy where dentists or oral surgeons implant an electronic eavesdropping device also known as a microchip inside patients mouths after wisdom teeth removal. This is described in the post Wisdom Teeth Conspiracy: Electronic Eavesdropping Device although no concrete proof of such a conspiracy is provided. It was however speculated that it could be possible to place a radio-frequency identification (RFID) microchip with potential for Global Positioning System (GPS) tracking capabilities inside a patients mouth. If this was done it may be possible for someone to observe and hear everything the person says and also know their exact location. Recently, it has been reported that a man in Brazil and his wife believed that the woman had a microchip secretely implanted in her mouth … Read more

Coronectomy Five Year Follow Up

An interesting article titled “Coronectomy: A Surgical Option for Impacted Third Molars in Close Proximity to the Inferior Alveolar Nerve—A 5-Year Follow-Up Study,” appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery written by Monaco et al. The article discusses a study that explores complications up to five years after coronectomy. Coronectomy is often suggested to treat wisdom teeth when there is a high risk of nerve damage see for example Do People Know about Coronectomy For Management of Wisdom Teeth?. In the article the authors build upon a prior study they published that evaluated early or late complications and root migration for up to three years after coronectomy by extending the time period to up to five years after coronectomy. The study evaluated 94 patients who presented for lower wisdom teeth removal at the University … Read more