Wisdom Teeth

Should we Remove Wisdom Teeth Before Bone Disease Therapy?

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An interesting article titled “Pediatric-Antiresorptive Use: Should We Intervene on Third Molars Early?” written by Michael J. Cimba and et al. appears in the Journal of Oral and Maxillofacial Surgery (vol. 79, pp. 1817−1818, 2021). The article seeks to address if oral surgeons should consider preventatively extracting wisdom teeth in children before they start bone disease therapy to prevent jawbone destruction. In the article the authors discuss how removing wisdom teeth that have not yet fully developed in children before they begin antiresorptive therapies may prevent them from developing medication-related osteonecrosis of the jaw (MRONJ). MRONJ, a progressive death of the jawbone, is a side effect of antiresorptive therapy such as bisphosphonates and denosumab, which are drugs used to treat bone (osseous) diseases and cancer-related conditions. It is well known that dental extractions like removing wisdom teeth can increase the risk … Read more

Can Neck Hyperextension During Dental Treatment Lead to Stroke Like Symptoms?

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An interesting article titled “Major Neurological Deficit Following Neck Hyperextension During Dental Treatment: Report of 2 Cases and Review of the Literature,” written by Victor G. El-Hajj and et. al. appears in the 2022 edition of the The Neurologist. The authors discuss two cases where patients had dental treatment performed and then suffered from neurological impairment due to hyperextension of the neck. Both patients had routine dental treatment done and had their necks overstretched which lead to a hopsital stay. The first patient discussed was a 67 year old man who saw his dentist for bridgework. He had been taking a medication for high blood pressure for nine years but had no history of cerebrovascular events. The man’s dental work took around 45 minutes and he was given local anestheisia. His neck had to be extended during the procedure to … Read more

Change in Taste After Wisdom Teeth Surgery

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An interesting article titled “Short-Term Evaluation of Gustatory Changes After Surgical Removal of Mandibular Third Molar—A Prospective Randomized Control Trial,” appears in the 2018 edition of the Journal of Oral and Maxillofacial Surgery (vol. 76, pp. 258-266). The article sought to explore if changes in taste occur after removing wisdom teeth. In the article the authors discuss how damage to the lingual nerve and the loss of the ability to sense taste are complications that can occur after wisdom teeth surgery. The authors devised a study using 60 patients who had impacted wisdom teeth surgically removed. They selected 15 patients in each category of mesioangular, distoangular, horizontal, and vertical impacted wisdom teeth. The patients were evaluated with regards to taste testing before surgery and again 10 days after surgery. In the study each patient was given a sweet, salty, sour, … Read more

Woman who suffers broken jaw after wisdom teeth extraction loses medical malpractice case

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A woman in North Carolina went to a dental practice in October 2016 and was told she needed to her a wisdom tooth extracted. The following month in November 2016 the woman had the surgery performed by an oral surgeon in North Carolina. During the procedure the dentist had difficulty and required the assistance of another dentist at the dental practice. Substantial pressure was placed on the woman’s jaw during the surgery. The dentist told the woman after the surgery that a small piece of bone in her jaw had broken during the surgery. However, the dental records of the two dentist for this visit said ” a “[l]arge portion of [the] left maxillary tuberosity fractured off with [the] tooth during extraction . . . “ After the surgery the woman experienced intense pain throughout her face and jaw. She … Read more

Vertigo After Tooth Removal

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An interesting case report titled “Vertigo after tooth removal” appears in the British Dental Journal written by R. O’Rorke and et al. (vol. 231, no. 3, published August 13, 2021). The article describes a 26 year old woman who experience vertigo after having two teeth surgically extracted. The woman presented to the dentist with bilateral recurrent pericoronitis in relation to distoangularly impacted lower wisdom teeth. The woman had both of these wisdom teeth extracted while under local anesthesia, although there was a four week period of time between each extraction. During a teledentistry visit three days after the second tooth surgery on the lower left side, the woman complained of moderate pain, restricted mouth opening, and nausea. The woman was told she would be okay and to continue to maintain a good oral hygiene. Later on, the woman experience new-onsent … Read more