Wisdom Teeth

Acupuncture for dental anxiety

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An interesting article titled “Acupuncture for anxiety in dental patients: Systematic review and meta-analysis,” by Allan et al. appears in the European Journal of Integrative Medicine (vol. 20, pp. 22-35, 2018). The article sets to look at previous trials done to explore acupuncture and it’s potential effect on dental anxiety. Some dental patients experience anxiety which is estimated to be between 4% and 30% of the population in the world. Reasons for dental anxiety include fear of pain, fear of needles, fear of anesthesia, and the fear of losing control. In the past several articles on this site have explored dental anxiety including: 1.) How To Manage Dental Anxiety in Elderly Patients, 2.) Can Providing Audiovisual Information Help Relieve Anxiety in Patients Having Wisdom Teeth Removed?, 3.) Anxiety in Dental Patients Before and After Tooth Extraction, 4.) Dental Phobia – Therapy Treatments … Read more

Pseudoaneurysm after Wisdom Teeth Removal

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There are many complications that can occur as a result of wisdom teeth removal. Such complications from wisdom teeth removal are discussed on this website at http://www.teethremoval.com/complications.html. One complication that does not receive much attention, perhaps because it does not occur much, is a pseudoaneurysm or false aneurysm. A pseudoaneurysm usually occurs from an aterial breach or rupture in an artery which leads to a leakage of blood and a resulting hematoma. One case of this occurring in a 25 year old man is on the complications page. The pseuodoaneurysm and adjacent parent artery were occluded through the use of cannulization aided by computed tomographic angiography. Another more recent case of pseuodoaneurysm occuring after wisdom teeth removal is described in an article by Rawat et al., titled “Traumatic Pseudoaneurysm: A Life-Threatening Complication After Surgical Extraction of Impacted Maxillary Third Molar,” appearing in … Read more

Management and Risks of Dry Socket After Wisdom Teeth Removal

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An interesting article titled “Alveolar osteitis: a critical review of the aetiology and management” written by Veale appears in the 2015 edition of Oral Surgery (vol. 8, pp. 68-77). The article attempts to provide guidance on the best treatment and prevention of alveolar osteitis more commonly known as dry socket. Dry socket is a common complication after wisdom teeth removal that typically occurs around 2 to 4 days after surgery. With dry socket there is a total or partial loss of the blood clot from the socket, which results in an inflammatory response and intense pain. Dry socket is believed to occur up to 5% of the time after a wisdom tooth extraction and some studies show it more often occurs after a lower wisdom tooth removal. In the article many risks factors of dry socket are attempted to be … Read more

Quality of Life Impact As a Consideration for Wisdom Teeth Removal

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An interesting editorial titled “Outcomes after 3rd molar surgery: what about quality of life?” written by Ogden appears in the 2014 edition of Oral Surgery (vol. 7, pp. 1-2). The article discusses how there are many complications that can occur after wisdom teeth removal and many of these are mentioned to the patient prior to surgery as part of the informed consent process. Such complications that can occur after wisdom teeth removal are discussed over at http://www.teethremoval.com/complications.html and the informed consent process has been discussed before for example in the post Informed Consent in Dentistry: Can Change Impact Personal Injury Cases? and also http://www.teethremoval.com/legal_system_medical_malpractice. However the article by Ogden dives deep and addresses how patient quality of life outcomes should be disclosed as complications in the informed consent process. The author mentions a 1997 study which showed that 1 week … Read more

Antibiotics After Wisdom Teeth Removal Can Lead to Life Threatening Infection

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One subject of debate regarding those who have wisdom teeth removed is whether or not to take antibiotics and if so should you take them before or after surgery. This has been covered on this site before in such posts as 1) Antibiotics for Dental Use Contributing to SuperBugs, 2) The Effect of a Single Dose of Antibiotics Prior to Wisdom Teeth Surgery, and 3) Patient’s Perception of Antibiotic Need After Teeth Removal. Some guidance seems to indicate that a single antibiotic before dental surgery should be given to high risk patients for postoperative infections but in other patients that are healthy an antibiotic is not needed. Some may question this approach, but antibiotics can contribute the development of Clostridium difficile (C. diff or C. difficile), a serious and possibly deadly infection that is accompanied by severe diarrhea. In one case a man … Read more