What Can a Surgeon Do to Prevent Opioid Abuse

by

An interesting article titled “The Surgeon’s Roles in Stemming the Prescription Opioid Abuse Epidemic” written by James Hupp appears in the 2016 Journal of Oral and Maxilofacial Surgery (vol. 74, pp. 1291-1293). The article describes the current challenges oral and maxilofacial surgeons are facing when it comes to prescribing opioids. This is because regulators and politicians are getting involved due to their perception of an opioid abuse problem. He mentions that Congress is considering legislation to address prescription drug addiction problems. The author wants surgeons to remember that there are legitimate reasons for giving patients who have had oral surgery such as wisdom tooth extractions an opioid medication.  Pain that interferes with a patient’s usual routines, their ability to consume enough fluids and calories, or their ability to sleep often requires a narcotic until the pain subsidizes. As such these patients should be prescribed opioids … Read more

Can Playing Baseball in Youth Lead to Better Surgeons?

by

An interesting article by Thomas Dodson titled “Everything I Ever Needed to Know About Oral and Maxillofacial Surgery, I Learned Playing Baseball” appears in the 2016 Journal of Oral and Maxillofacial Surgery (vol. 74, pp. 1709-1710). In the article the author tries to tie in how the game of baseball can teach oral and maxillofacial surgeons much of what they need to know. The author opens by talking about how he is saddened by the lost of Dr. William Harrison Bell who was a prominent surgeon in the field. He then explains that himself and the doctor who passed were both very big into baseball as youths. Dr. Dodson played first base in college and Dr. Bell was a minor league player. Dr. Dodson said that all the doctors he has worked with at various institutions all have been enthusiastic about baseball. He wonders if … Read more

Ten Tips to Prevent Tooth Decay

by

Below is an interesting inforgraphic that talks about ten tips to prevent tooth decay. This includes visiting your dentist regularly, brushing twice a day, brushing your tongue, using fluoride toothpaste, using mouthwash, flossing daily, considering dental sealants, limit snacking, drinking some tap water, and eating tooth-healthy foods. This infographic is from Sydenortho see http://www.sydenortho.com/

How Effective is Antimicrobial Prophylaxis in Oral Procedures

by

An interesting article titled “Effectiveness of Antimicrobial Prophylaxis in Preventing the Spread of Infection as a Result of Oral Procedures: A Systematic Review and Meta-Analysis” appears in the 2016 Journal of Oral and Maxilofacial Surgery written by J. A. Moreno-Drada and H. A. Garcia-Perdomo (vol. 74, pp. 1313-1321). The article seeks to explore the effectiveness of prophylactic antibiotics (such as amoxicillin) for preventing localized infections of the oral cavity, neck, and thoracic cavity in patients undergoing oral procedures. Bacteremia is well known to occur after dental procedures. Severe complications as a result of infections from bacteremia have been reported. Based on expert opinions, it has been recommended that prophylaxis be given to patients at high risk before manipulation of the gingiva or periapical region of the teeth and before perforation of the oral mucosa during dental procedures. However the use of prophylactic antibiotics is controversial. In some cases this could lead to antiobiotic resistance. In the face of bacterial … Read more

The lowdown on pulling teeth (the official way)

by

It’s an old saying, but if we get into the serious nature of pulling teeth there are some interesting views to read. As you might expect, this isn’t a two-minute procedure. There’s a whole host of information to dissect and whether you go to Limerick dentists or ones at the other side of the country, the advice stays the same. We’ll now take a look at how you should approach pulling teeth and what you need to take into account to make it as painless as possible. Who may require a tooth extraction? While most people are under the assumption that a tooth extraction should only be carried out if you have suffered some damage in your mouth, this isn’t necessarily the case. In truth, the options are endless and we could pen a dissertation mulling over each of them. … Read more