Wisdom Teeth

Most Cost Effective Way to Treat Persistent Trigeminal Neuropathy

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An interesting article titled “Is Surgical Repair With Nerve Allograft More Cost-Effective Than Non-Surgical Management for Persistent Trigeminal Neuropathy? Initial Assessment With Q1 Markov Model,” written by Benjamin Palla and et. al. appears in the Journal of Oral an Maxillofacial Surgery published online February 17, 2023. The article explores if surgical repair with allogeneic nerve graft a more cost-effectivetreatment option than no surgery. The article explores patients who suffer from trigeminal nerve injuries and how in some patients that show no signs of improvement after 3 months they are considered to have persistent trigeminal neuropathy (PTN). This condition can result as a complication of wisdom teeth removal. This condition can affect aspects of daily life including tooth brushing, flossing, talking, eating, drinking, chewing, smiling, kissing, and sleeping. A total of 36% of patients with trigeminal neuropathy have depression and many … Read more

Melatonin to Reduce Pain and Swelling Following Wisdom Teeth Removal

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An interesting article titled “The Effect of Local Melatonin Application Following the Removal of an Impacted Mandibular Third Molar” appears in the Journal of Oral and Maxillofacial Surgery written by Shaimaa Mohsen Refahee and et. al. The article seeks to measure the effect of applying melatonin in the socket of an impacted lower wisdom tooth with osteogenic activity, painkilling effect, and anti-inflammatory effect. A prior article exploring the use of melatonin after wisdom teeth extraction has been discussed on this site before see Should Melatonin be Used for Wisdom Teeth Surgery?. In the current article, the authors conducted a prospective, randomized, blinded trial comprised of patients who required removal of the impacted lower wisdom tooth. Melatonin has antioxidant and anti-inflammatory properties and promotes osteoblast differentiation and bone formation, which could potentially limit problems like intrabony defects and bone loss associated … Read more

Recreational Marijuana Uses Effect on Vital Signs and Anesthetic Requirements During Oral Surgery

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An interesting article titled “Is Recreational Marijuana Use Associated With Changes in the Vital Signs or Anesthetic Requirements During Intravenous Sedation?” appears in the Journal of Oral and Maxillofacial Surgery in January 18, 2023, written by Pooja Gangwani and et. al. The article sough to explore the association of cannabis’ psychoactive element tetrahydrocannabinol (THC) use on the vital signs and anesthetic requirements during sedation procedures. The study was the first to explore this findings on THC and its effects on sedation in the oral and maxillofacial surgery literature. In the article the authors used a retrospective cohort of 53 patients who were treated at an oral and maxillofacial surgery department between July 2018 and May 2022. The patients included in the study had undergone toxicology screening due to their history of recent drug use and received IV sedation. THC status was … Read more

Is it Safe to Not use Suture or Stitches When Removing Wisdom Teeth?

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An interesting article titled “Sutureless socket technique after removalof third molars: a multicentric, open, randomized controlled trial” appears in BMC Oral Health written by Sarah Takadoum and et. al. (vol. 22, Article number: 256, 2022). The article conducted a clinical trial to compare pain following removal of impacted wisdom teeth with and without sutures also known as stiches. In the article the authors mentioned how questions remain regarding the best operative techniques during wisdom teeth surgery particularly the mucosal closure stage on impacted mandibular (lower) wisdom teeth. There are some who recommend suturing sockets after extraction, justfying this by saying that it limits bleeding and contamination of the postoperative site to thus improve the quality and speed of healing. There are others who prefer natural healing while the site is closed via cheek pressure. The authors set out to compare postoperative pain … Read more

Lemierre’s Syndrome After Wisdom Teeth Extraction

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One possible complicaton after wisdom teeth extraction is known as Lemierre’s Syndrome. Lemierre’s Syndrome is a rare complication with limited cases being reported that can happen after having wisdom teeth extracted. Since antibiotics have been introduced it is also referred to as “the forgotten disease.” It has been covered on this site before, and is listed as a complication of wisdom teeth removal at http://www.teethremoval.com/complications.html. Lemierre’s Syndrome starts with an infection in the head and neck region and presents with swelling, a high fever, neck pain, and a sore throat. It has a high mortality rate of 18% and thus imaging and antibiotic treatment are of the upmost importance if it presents. Diagnosis involves laboratory results including blood cultures and radiological scans such as CT imaging. Particularly, a CT scan with contrast can identify a thrombosed vein, such as the … Read more