Wisdom Teeth

Articaine versus Bupivacaine Anesthetic Effectiveness for Lower Teeth Extraction

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An interesting article titled “A Comparative Evaluation of Anesthetic Effectiveness of 4% Articaine vs 0.5% Bupivacaine for Lower Molar Tooth Extraction” appears in Cureus in December 16, 2022, written by Tenglikar P, Manas A, Sahoo A, et al. (vol. 14, no. 12, pp. e32611). The article discusses the differences in the effectiveness of two common local anesthesia agents used in dentistry to control pain. The authors set out to explore the the effectiveness of 0.5% bupivacaine with 4% articaine in lower tooth extraction based on duration of anesthesia, onset, and pain perception along with observing blood pressure and heart rate. Today lidocaine (lignocaine) is extensively used as a local anesthestic agent in dentistry to control pain. Other anesthestic agents exists including bupivacaine and articaine. The authors conducted a randomized controlled study of patients having lower teeth extracted from June 2017 to October … Read more

Iowa dentist with history of inappropriate conduct faces new charges

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An Iowa dentist with a history of alleged sexual misconduct with multiple patients is facing more charges from state regulators. The dentist first faced trouble in July 1993, when was charged with unprofessional conduct in the practice of dentistry and accused of inappropriately touching two female patients, one 17 and one 25 during their dental appointments. The 17 year old was recovering after being sedated during wisdom teeth surgery when the dentist entered and inappropriately touched the patient while she was in the dental chair. The 25 year old at her first appointment was sedated and upon waking found that her clothes were disheveled and had pain in her pubic bone. At her second appointment of the 25 year old, she allegedly awoke and heard the dentist making suggestive remarks while inappropriately touching her. Shortly after the first two patients … Read more

Good News for Dental Phobes: Pain-Free and Needle-Free Dentistry May be Coming

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Dental visits often evoke fear and anxiety, largely due to the dreaded needle and potential pain associated with procedures. But what if there was a way to experience pain-free and needle-free dentistry? Griffith University in Australia is currently trialing a revolutionary device called the Nuralyte that may offer pain and needle free dentistry the future. The reseaschers are developing a technology utilizing light to temporarily block nerve conduction in the teeth and jaw, mimicking the numbing effect of a traditional injection. One burst of light from the Nuralyte may provide 15 to 20 minutes of pain relief. Unlike X-rays, the energy in this light source does not alter DNA. Developed by tech start-up Dentroid, the Nuralyte holds immense potential to transform the dental industry. For individuals with dental anxiety or those who experience difficulty achieving complete numbness from injections, this … Read more

A case of bilateral kissing molars

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An interesting article titled “Bilateral ‘kissing’ molars: A case report” appears in Clinical Case Reports written by Bilal Aslam- Pervez and Emma Carr (2022;10:e06407). The article discusses a case of a 20 year old man who had a very rare bilateral kissing molars impaction. Kissing molars occur the occlusal surfaces of impacted molars are united by the same follicular space and the roots point in the opposite direction. This typically occurs between wisdom teeth and second molars, but can also occur between wisdom teeth and the fourth molar. In the article discussion is made of the 20 year old man who went to a hospital in Scotland complaining of a dull ache for the last year. The patient was healthy but did smoke around 10 cigarettes a day for the last few years. Upon examination a total of 7 teeth … Read more

Anxiety and Pain After Wisdom Teeth Surgery

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An interesting article titled “RELATIONSHIP BETWEEN TYPES OF INFORMATION, DENTAL ANXIETY AND POST-OPERATIVE PAIN FOLLOWING THIRD MOLAR SURGERY, A RANDOMISED STUDY” appears in the Journal of Oral and Maxillofacial Surgery written by Ayodele Gbenga Akomolafe and et. al. (published online Nov. 1 2022). The article sought to determine the relationship between information types, dental anxiety and post-operative pain after lower wisdom teeth removal. In the article the researchers recruited 90 patients between the ages of 18 and 35 who had wisdom teeth extracted with local anesthesia. The patients were randomly divided online using a randomization software into to groups based on the method of information they received about the extraction: verbal or audiovisual. The information given included details about the surgery, information about surgical site closure with suture material and possible complications of extraction. Those in the verbal group were given … Read more