Wisdom Teeth

Quality of Life Following Injury to the Inferior Alveolar Nerve or Lingual Nerve During Wisdom Teeth Surgery

by

An interesting article titled “Quality of life following injury to the inferior dental or lingual nerve – a cross-sectional mixed-methods study” written by Patel et al. appears in the 2018 edition of Oral Surgery (vol. 11, pp. 9-16). The article seeks to explore the impact of nerve damage that occurred during wisdom teeth removal on a persons quality of life. In the article the authors discuss how the most common reason for injury to either the inferior alveolar nerve or lingual nerve is wisdom teeth removal. Even so these types of injuries can also occur during other types of procedures such as anesthetic block injection and dental implant placement. There are different management options to deal with the nerve injury such as counselling, topical and systemic analgesia, or surgical intervention. Nerve injuries can result in altered sensation and/or pain and … Read more

3D Printing for Impacted Wisdom Teeth

by

An interesting article titled “The use of 3D model planning in the management of impacted teeth” written by Scott et al. appears in the 2018 edition of Oral Surgery (vol. 11, pp. 125-130). The article discusses using surgical planning using a 3D printed model for removal of an impacted wisdom tooth in a 61 year old man. 3D printing for wisdom teeth removal has been discussed on this site before see the post 3D Printed Models for Wisdom Teeth Surgery Planning. In the article by Scott a discussion is made of how computed tomography scans can be taken of the mouth to determine the exact position of a lower wisdom tooth in relation to the inferior alveolar nerve. Using stereo lithography it is then possible to manufacture 3D printed models from the scans. This allows one to simulate the exact … Read more

Piezoelectric Handpiece versus Standard Handpiece for Wisdom Teeth Surgery

by

An interesting article titled “Comparison of a piezoelectric and a standard surgical handpiece in third molar surgery” appears in the 2019 edition of Oral Surgery written by Gopal et al (vol. 12, pp. 30-34). The article discusses if there are any advantageous to using either a piezoelectric handpiece or a standard surgical handpiece with respect to outcomes after wisdom teeth surgery. In the article the authors describe how a piezoelectric handpiece can allow for micrometric cuts with maximum surgical precision and minimal damage to soft tissue. A study was devised including 30 patients who presented in Cape Town, South Africa for removal of all 4 wisdom teeth. The patients had their wisdom teeth removed on one side using a piezoelectric handpiece and on the other side using a standard surgical handpiece and thus a split-mouth design was used. All surgeries … Read more

Does Intravaneuous Dexamethasone Reduce Pain and Swelling and Improve Mouth Opening After Wisdom Teeth Surgery?

by

An interesting article titled “Efficacy of intravenous dexamethasone administered preoperatively and postoperatively on pain, swelling, and trismus following third molar surgery. A comparative study” written by Giri et al. appears in the 2019 edition of Oral Surgery (vol. 12, pp. 110-117). The article explores if intravenous dexamethasone given either shortly before or after wisdom teeth surgery has any any effect when compared on the time of administration on pain, swelling, and trismus (mouth opening) experienced in the week after surgery. Previously on this site in a post titled Does Intravaneuous Ibuprofen Reduce Pain After Wisdom Teeth Surgery? it was shown that preoperative intravenous ibuprofen administration significantly reduced the pain experienced after surgery. In the article by Giri the authors say that dexamethasone is a type of corticosteroid that has a strong anti-inflammatory action. Dexamethasone has a half-life of 36–54 hours … Read more

Personal Injuries After Wisdom Teeth Removal

by

For many wisdom teeth surgery means having surgery for an hour or so, resting up at home and eating a restricted diet for a few days at home afterwards, and then getting back on with their normal life. However, wisdom teeth removal does not always go to plan and many suffer from complications, such as described at http://www.teethremoval.com/complications.html. For some of these people, the complications can be very life altering and life changing. They may even mean life as it once was will never be the same. Many patients who suffer from complications file civil lawsuits and sue in an attempt to be awarded damages including money. Cases of personal injuries after wisdom teeth are described at http://www.teethremoval.com/dental_malpractice.html. Other examples of these cases have been discussed in past blog posts such as Was Wisdom Teeth Removal Performed Without Consent that … Read more