Wisdom Teeth

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

Laser therapy can reduce pain after wisdom teeth removal

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An interesting article titled “Extraoral low-level laser therapy can decrease pain but not edema and trismus after surgical extraction of impacted mandibular third molars: a randomized, placebo-controlled clinical trial,” appearing in BMC Oral Health is written by Ehsan Momeni and et. al. (September 20, 2022, Vol. 22, 417). The article seeks to explore the impact of using a low-level diode laser on pain, swelling (edema), and jaw opening (trismus) following surgery to remove impacted lower wisdom teeth. This topic has been covered before on this site see for example the articles Laser Therapy to Reduce Pain and Improve Healing After Tooth Removal and Using Laser Therapy after Tooth Extraction to Improve Wound Healing. In the article the authors explore laser therapy as a possible alternative to techniques such as medication, cryotherapy, and surgical closure techniques to minizime complications, pain, and … Read more

Using the sedative Remimazolam for oral surgery

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An interesting article titled “Can Remimazolam Be a New Sedative Option for Outpatients Undergoing Ambulatory Oral and Maxillofacial Surgery?” appears in the Journal of Oral and Maxillofacial Surgery written by Zijian Guo and et. al. (Available online 16 September 2022). The article discusses the sedative remimazolam and its possibility to sedate in oral surgery as effectively as midazolam. In the article the authors discuss how patients can receive dental treatment with more comfort using sedation. Midazolam is widely used in oral and maxillofacial surgery but has side effects of increased accumulation and respiratory depression. Remimazolam has similar pharmacological effects to midazolam but has rapid onset, fast metabolism, less potential adverse effects. Remimazolam has a a mean half-life of between 0.5 and two minutes and a terminal half-life in plasma of 37 to 53 minutes.  The authors conducted the first ever … Read more