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

by

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

by

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

by

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

Treating Erectile Dysfunction with Viagra

by

If you suffer from erectile dysfunction (ED), you may be looking for something to help you with this condition. Viagra, a common medication for erectile dysfunction, can help you overcome this condition. Below, is some more information about Viagra’s effectiveness, side effects, and overall safety. Effectiveness Viagra increases blood flow to the penis, which helps men achieve and maintain an erection. The effectiveness of Viagra varies from person to person, but it has been shown to be effective in about 70-80% of men with erectile dysfunction. It is important to note that Viagra does not work for everyone and will not increase sexual desire. Make sure you consult a doctor before taking Viagra, as it can result in serious side effects in some users. How to Take Viagra Viagra is taken orally, usually around 30-60 minutes before sexual activity. The … Read more

Patients Wisdom Teeth Extraction Results in Reactive Arthritis

by

An interesting article titled “Reactive Arthritis Resulting From Postoperative Complications of Third Molar Extraction: A Case Report,” appears in Cureus in August 23, 2022, written by Lauren Maytin and Jeffrey Morrison (vol. 14, no. 8, pp. e28325). The article presents a case report of a 23 year old woman who develped reactive arthritis after wisdom teeth extraction. In the article the authors discuss a 23 year old woman who had a history of lower back and joint pain but developed more severe of symptoms of bilateral shoulder pain, decreased range of motion in her left shoulder, and worsening lower back after having an infected infected wisdom tooth extracted. She was diagnosed with rheumatoid arthritis and and was prescribed adalimumab. Her laboratory results showed elevated indicators of inflammatory activity that were positive for HLA-B27. The woman presented to two weeks after wisdom … Read more