Is Wisdom Teeth Extraction Putting Patients at Risk of Temporomandibular Disorders

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An interesting article titled “The relationship between third molar extractions and TMD: Or is there one?” written by Dennis Marangos appears in Cranio: the Journal of Craniomandibular and Sleep Practice (Volume 41, Issue 4, 2023). The author was prompted to write the article based on patients coming in saying they did not have jaw pain before my wisdom teeth were extracted but, now have jaw pain and clicking. As a result the author did a literature review to examine the possible relationship. One of the most common surgeries in the 20th century is wisdom teeth surgery. Experts have suggested that our face and jaw structure has become smaller due to the introduction of processed foods over generations. This smaller jaw size means underdeveloped cranial structures and that wisdom teeth just do not fit. Temporomandibular disorder (TMD) is a term used … Read more

Do Patients Desire Liposomal Bupivacaine After Wisdom Teeth Surgery

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An interesting article titled “Are Patients Interested in Liposomal Bupivacaine as a Nonopioid Alternative for Postsurgical Analgesia Following Third Molar Extractions?” written by Annie Ho and et. al. appears in the Journal of Oral and Maxillofacial Surgery (online August 9, 2023). The article seeks to determine a patient interest in the use of Liposomal Bupivacaine as an alternative to opioids after wisdom teeth extraction. Studies have shown that patients given opioids after surgery have a 44% increased risk of long-term opioid use. Long lasting local anesthetics like liposomal bupivacaine (LB) were first approved in the U.S by the Food and Drug Administration in2011. Only a single dose to the surgical site is needed for postsurgical analgesia. Research has shown that Liposomal Bupivacaine can lower cumulative pain scores, reduce opioid requirements, and make for faster discharges from the hospital. Although Liposomal … Read more

Ibuprofen-Arginine and Dexamethasone: A Promising Combo for Lower Wisdom Teeth Molar Pain

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A interesting study published in Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology (Edson Luiz Cetira-Filho and et. al. Preemptive vs. Preventive Coadministration of Ibuprofen L-Arginine and Dexamethasone in Lower Third Molar Surgeries: A Randomized Controlled Trial, 2024) suggests that a combination of ibuprofen-arginine (Ib-Ar) and dexamethasone (DX) could be a more effective pain management strategy for patients undergoing lower wisdom teeth surgery. Researchers from the Federal University of Ceará in Brazil conducted a randomized controlled trial involving 48 adult patients who were having lower widomt teeth extracted. Participants were divided into four groups, each receiving a different combination of Ib-Ar and DX or a placebo. The study evaluated various outcomes, including pain intensity, trismus (jaw stiffness), quality of life, pain catastrophizing, and sleep quality. Pain intensity was measured using a 10-cm visual analog scale and quality of life … Read more

High Birth Weight Linked to Early Childhood Tooth Decay

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A recent study has revealed a significant association between high birth weight and the risk of early childhood tooth decay (ECC) (Wang, H., Zhang, H., Zeng, X. et al. Association between high birth weight and dental caries at 4–5 years of age: a birth-cohort study. BMC Oral Health 24, 896 2024). Researchers from the Shanghai Stomatological Hospital & School of Stomatology in China analyzed data from 491 children aged 4 to 5 years old and found that children born weighing 4,000 grams (8.8 pounds) or more were more likely to develop ECC compared to those with normal birth weight. ECC is when there is a presence of one or more decayed, missing, and filled tooth surfaces in any primary tooth in a child less than 71 months old. The study was designed as a retrospective longitudinal register-based cohort study that included pregnant women in … Read more

A Breakthrough in Nerve Repair: Implications for Wisdom Teeth Removal

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Understanding the Risks of Wisdom Teeth Removal Wisdom teeth removal can sometimes lead to complications, including nerve injuries. The nerves that control sensation and movement in the face pass near the wisdom teeth, and damage to these nerves can result in numbness, tingling, or pain. Traditional Approaches and Their Limitations While traditional methods for repairing nerve injuries have improved over time, they can still be invasive and may not always achieve complete nerve function. Autografts, where a nerve from another part of the body is used to replace the damaged nerve, are often the standard of care but can have limitations. A Promising New Approach Researchers at the University of Pennsylvania School of Dental Medicine have made significant progress in developing a novel technique for nerve repair using stem cells derived from gum tissue. This groundbreaking approach offers potential benefits … Read more