Using an Eye Massager to Control Anxiety Before Wisdom Tooth Extraction

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An interesting article titled “Massage Therapy to Control Anxiety Before Extraction of an Impacted Tooth,” appears in Cureus in October 4, 2022, written by Kunusoth R, Colvenkar S, Alwala A, et al. (vol. 14, no. 10, pp. 29893). The article discusses a simple technique to manage anxiety during dental visits using an eye massager. Many patients experience anxiety when seeing a dentist, see for example the posts Changes in Dental Anxiety over Time and Dental Anxiety and Fear: Impact on Oral Health. Dental anxiety can be caused by such things as a prior past negative dental experience, fear of needles, and a fear of gagging or choking. These patients are more likely to cancel their appointments and may be more difficult to treat. Various treatment options for dental anxiety exist such as described in the posts Do Wisdom Teeth Surgery … Read more

Orthodontist Sentenced to Prison for Public Corruption Scheme with Former State Senator

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A former Arkansas dentist who served as an orthodontist, who has since resided in Florida, has been sentenced to one year plus one day in prison and a $157,500 fine for Conspiracy to Commit Honest Services Fraud. This was due to the orthodontists involvement in a public corruption scheme that involved a former state senator in the state of Arkansas. The former orthodontist entered into a plea agreement where he plead guility and admitted to hiring the former state senator to influence and request official action to benefit his dental clinics. The orthodontist owned and operated several orthodontic clinics in Arkansas. He found himself in trouble in 2013 when he was accused by state regulators of allowing his dental hygienists to provide services to patients who were not receiving any orthodontic treatment. At the time a state law known as … Read more

What is the norcebo effect and does it matter for dentistry?

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An interesting article titled “What is the nocebo effect and does it apply to dentistry? A narrative review” written by T. Watanabe and et al. appears in the Journal of Oral Rehabilitation (2022). The article discusses the concept of a nocebo which is different than a placebo. A nocebo is where negative expectations lead to the effect of either clinical worsening, suboptimal treatment efficacy, or the occurrence of adverse events. A placebo on the other hand is where postive expectations leads to an effect that causes an improvement in symptoms. In the article the authors sought to explore the norcebo effect in dentistry which they say to date has been given very little attention which only a limited number of articles discussing it. The norcebo effect is real and has been demonstrated in numerous experimental and clinical settings, which hows … Read more

What Dentists Should Say to Patients when Something Doesn’t Go Right

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Unfortunately dentists and oral surgeons don’t always have all procedures go as planned for their patients. For example, when it comes to wisdom tooth surgery, it is possible for the wrong set of wisdom teeth to be removed as is discussed on the wisdom teeth complications page, see https://www.teethremoval.com/complications.html. Since procedures don’t always go as planned, on this site before guidance for patients who want to be very defensive has been provided, see the post The Defensive Patients Guide to Wisdom Teeth Removal. While patients can sometimes be bad actors and deny that certain information was provided to them prior to a procedure (see the post Patient Recall During Informed Consent for Wisdom Teeth Surgery), dentists and oral surgeons also can behavior badly such as by telling patient’s after their procedure that their condition that resulted could not have possibly … Read more

Social Isolation in Old Ages Leads to Fewer Teeth

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An interesting article titled “Social isolation, loneliness and accelerated tooth loss among Chinese older adults: A longitudinal study.” appears in Community Dentistry and Oral Epidemiology in 2022 written by Xiang Qi, Yaolin Pei, Katherine Wang, Shuyu Han, and Bei Wu. The article sought to explore the effects of social isolation and loneliness for older Chinese adults by looking particularly at the number of teeth remaining and the rate of tooth loss over time. In the article the authors analyzed data from 4,268 adults ages 65 and older fromthree different timepoints of the Chinese Longitudinal Healthy Longevity Survey (2011-2012, 2014, 2018). The surveys captured measures of social isolation, loneliness, and tooth loss. In these surversy more than a fourth (27.5%) of the study participants were socially isolated and also more than a fourth (26.5%) reported feeling lonely. The authors found that if … Read more