Persistent Opioid Use After Wisdom Teeth Removal

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An interesting article titled “Persistent Opioid Use After Wisdom Tooth Extraction” appears in JAMA in August 7, 2018, written by Harbaugh et al. (vol. 320, no. 5 , pp. 504-506). The article sought out to see if opioid painkiller prescriptions that many young adults receive after having wisdom teeth removed could set them on a path to long-term opioid use. The authors explored data from patients 13 to 30 years old who underwent wisdom tooth extraction in the Truven Health MarketScan Commercial and Dental database (from July 1, 2009-December 31, 2015). The MarketScan database contains de-identified data from insurance claims and includes 43 million to 55 million beneficiaries annually from the 50 states in the U.S. Patients were excluded from the data the authors explored if there was a lapse in enrollment, if the patient had an opioid prescription filled within 6 months … Read more

Common Types of Teeth Injuries and Their Solutions

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Although teeth are naturally resilient, they can face some problems like gum disease and tooth decay. These types of dental problems can badly damage your tooth. In the worst case scenario,  you may even lose them! However, there are some external dangers that can injure your teeth as well. Fortunately, there are treatments available which can help fix them and can decrease the chance of losing them. It is best to frequently visit your dentist for a regular checkup. Some of the common dental injuries are as follows: Fractured or Chipped Teeth Your tooth can be fractured easily especially during sports (when receiving an abrupt blow to the face). A report by the National Youth Safety Foundation says that if athletes don’t wear mouth guards for some sports, they have a 60 percent more chance of damaging their teeth. Moreover, … Read more

Using Laser Therapy after Tooth Extraction to Improve Wound Healing

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An interesting article titled “Does laser therapy improve the wound healing process after tooth extraction? A systematic review” written by Lemes et al., was published online on October 15, 2018 in Wound Repair and Regeneration. The authors sought out to review research on using laser therapy after tooth extraction to improve oral wound healing. It is believed that laser therapy could increase the oral wound healing process by stimulating cell regeneration, attenuating pain, and modulating the immune system. The researchers were motivated because using lasers to accelerate wound healing after tooth extraction has remained controversial.  The researchers performed a systematic review to assess the best evidence that could show whether laser therapy was beneficial for wound healing after tooth extraction or if it had no merits. The review was carried out by three researchers who used eight databases including: MedLine (PubMed), The … Read more

Storing Wisdom Teeth Stem Cells

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In recent years there have been articles discussing harvesting stem cells located in wisdom teeth with the hope that one day they could be used to heal damaged cells in the body. Nowadays some oral surgeons will offer patients the option after extracting their wisdom teeth to bank dental stem cells. There are a few extra steps to preserve stem cells from wisdom during surgery. All one has to do is to put the teeth into a packaging kit and then send them off for processing using a shipping service like FedEx, UPS, or USPS. It makes it easy if the oral surgeon or oral surgeons office can assist with the packaging and shipping of wisdom teeth after surgery as someone who just had surgery probably won’t be up for it. However, if the location one has wisdom teeth does … Read more

Long-acting Local Anesthetic After Wisdom Teeth Removal

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A new medication called Exparel produced by Pacira Pharmaceuticals provides an alternative to opioids for use as pain relief following wisdom teeth removal. Exparel is a long-acting local anesthetic that is delivered during the surgery that numbs the site of surgery for up to three days. Exparel is not an opioid and is not habit forming and therefore will not lead to any opioid addiction. Many patients are already familar with local pain analgesics such as lidocaine that are given as a dental injection to numb an area for several hours. Exparel is a long lasting analgesics which seems to share some similarities but lasts much longer. Recently the use of opioids after wisdom teeth removal has been more closely scrutinzed, see for example https://blog.teethremoval.com/opioid-prescriptions-from-dental-clinicians-for-young-adults-and-subsequent-opioid-use-and-abuse/ and https://blog.teethremoval.com/persistent-opioid-use-after-wisdom-teeth-removal. Many are concerned that patients having wisdom teeth surgery are exposed to opioids … Read more