Wisdom Teeth

Iatrogenic Fracture of the Mandibular Angle During Wisdom Tooth Surgery

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An interesting article titled “Iatrogenic Fracture of the Mandibular Angle During Excision of an Impacted Third Molar” appears in Cureus in August 04, 2022, written by Agrawal P, Jadhav A, Bhola N D (vol. 14, no. 8, pp. e27672). The article discusses a case of a 30 year old woman who had atrogenic mandibular angle fracture after having an impacted wisdom tooth removed. In the article, the authors mention of a 30 year old woman visited their outpatient department complaining of pain and swelling over the lower right side of her face with an inability to open her mouth and chew for the last four days. Prior to this, she had her lower right impacted wisdom tooth removed under local anesthesia. On exam, the woman was found to have an asymmetrical face due to swelling over the lower right region … Read more

What is the Estimated Amount of Wisdom Teeth Extractions in the US

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An interesting article titled “Estimated Cumulative Incidence of Wisdom Tooth Extractions in Privately Insured US Patients,” written by Alan R. Schroeder and et. al. appears in Frontiers in Dental Medicine (July 2022, vol. 3, article 937165). The article sought to determine the cumulative incidence and predictors of wisdom teeth extractions in the US. The article was motived by some of the controversy around wisdom teeth extractions and to better provide frequency estimates of the procedure to help inform future quality improvement initiatives and/or clinical trials. The authors used a national dental insurance claims database of privately insured patients (IBM MarketScan Dental Database), to help estimate the incidence of wisdom teeth extractions in the US and to determine variation by sex and geographic region. The authors included all patients in the database for their study who were under 60 years of … Read more

Tramadol dexketoprofen combination effective for relieving wisdom teeth surgery pain

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Effective pain control for wisdom teeth surgery continues to be an area of much interest. In an article titled “ANALGESIC EFFICACY OF TRAMADOL/DEXKETOPROFEN VSIBUPROFEN AFTER IMPACTED LOWER THIRD MOLAR EXTRACTION: A RANDOMIZED CONTROLLED CLINICAL TRIAL,” appearing in the Journal of Evidence Based Dental Practice written by C. Vallecillo and et al. (volume 21, issue 4, December 2021, 101618) the authors explore ibuprofen or tramadol-dexketoprofen as pain control after wisdom teeth surgery. In the article the researchers explored the effectiveness of Enanplus a capsule consisting of 75 mg tramadol hydrochloride and 25 mg dexketoprofen that is sold outside the U.S. Tramadol is an opioid class medication that inhibits the reuptake of noradrenaline and serotonin. Dexketoprofen is a non-steroidal anti-inflammatory drug (NSAID) that has with fewer adverse effects than other more common NSAIDs. The authors conducted adouble-blind, parallel-group, randomized controlled clinical trial … Read more

Estimating Late Developing Wisdom Teeth

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An interesting article titled “Late Developing Third Molars: a Concerning Predisposing Sign of Impaction?” was presented on July 22, 2021, at the virtual session of the 2021 International Association for Dental Research (IADR)/AADR/CADR General Session written by Denver Marchiori and et al. The research set to investigate more how the development of impacted wisdom teeth which are known to develop later and slower than fully erupted wisdom teeth. This study used longitudinal patient imaging data and quantitative analytical methods to investigate and determine the extent to which late-developing wisdom teeth are more predisposed to eruption and impaction. The authors retrospectively explored 324 maxillary and mandibular wisdom teeth by looking at cone-beam computed tomography scans and panoramic radiographs of 99 Western Canadians ages 6 to 24. rom this data a generalized estimating equation model was calculated to estimate wisdom tooth eruption status … Read more

Woman goes on online shopping spree after wisdom teeth surgery

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An interesting story is reported in WPDH about a woman who goes an online shopping spree after having her wisdom teeth removed. After the woman has her wisdom teeth removed and while still under the influence of anesthesia she goes on an online shopping spree. As part of her shopping spree the woman buys 4 pairs of black pants. She also buys several shirts to go with the pants. She also spends $140 on a pair of tennis shoes. The woman also buys her daugher a jacket. Besides clothing apparel, the woman decides she needs some new items for her home. She spends on a new laundry basket, a large order of toilet bowl cleaner, and on some cat litter inserts. The following days after having her wisdom teeth removed, the woman has no recollection of going on this online … Read more