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Iatrogenic Fracture of the Mandibular Angle During Wisdom Tooth Surgery

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An interesting article titled “Iatrogenic Fracture of the Mandibular Angle During Excision of an Impacted Third Molar” appears in Cureus in August 04, 2022, written by Agrawal P, Jadhav A, Bhola N D (vol. 14, no. 8, pp. e27672). The article discusses a case of a 30 year old woman who had atrogenic mandibular angle fracture after having an impacted wisdom tooth removed. In the article, the authors mention of a 30 year old woman visited their outpatient department complaining of pain and swelling over the lower right side of her face with an inability to open her mouth and chew for the last four days. Prior to this, she had her lower right impacted wisdom tooth removed under local anesthesia. On exam, the woman was found to have an asymmetrical face due to swelling over the lower right region … Read more

Lemierre’s Syndrome after Wisdom Teeth Removal

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An interesting article titled “Lemierre’s Syndrome Following Extraction of Wisdom Teeth,” appears in the October 20, 2020 edition of the Cureus Journal of Medical Science (written by A. Keshary and M. Hagan, 12(10): e11061). The article describes a case of an 18 year old man who had his wisdom teeth extracted and then developed Lemierre’s Syndrome which rarely occurs after wisdom tooth removal but is is known to affect young and healthy adults; See Near Death Wisdom Teeth Removal Experience where another case has been discussed on this site in the past. Lemierre’s syndrome is a serious bloodstream infection typically caused by Fusobacterium necrophorum. It has a death rate of around 18% and thus if detected needs to be quickly treated with antibiotics. Very few cases of Lemierre’s syndrome after wisdom teeth surgery have occurred since antibiotics became readily available. In the … Read more

Wisdom Teeth Removal Leads to Persistent Headache and Viral Encephalitis

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A person in Scotland had wisdom teeth removed that resulted in an infection. This lead to a persistent headache that was later diagnosed as viral encephalitis but initially missed. The person who had wisdom teeth removed did not have the proper diagnosis made by both oral and maxillofacial surgeons and when admitted to a hopsital, medics from NHS Fife at the Victoria Hospital in Kirkcaldy, Scotland. None of the people who treated the person suspected an infection and the person was not given an MRI scan. This lead to encephalitis which is an inflammation of the brain typically caused by an infection. A complaint was submitted to the Scottish Public Services Ombudsman for this case and they came out with a decison report that contained a summary of the case and recommendations. The board of NHS Fife where the person was … Read more

Computer Assisted Retrieval of Accidentally Displaced Wisdom Teeth

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An article titled “Use of Computer-Assisted Navigation in the Retrieval of Accidentally Displaced Third Molars,” appears in the 2016 Journal of Oral and Maxilofacial Surgery, written by Yi Guo and et al., vol. 74, pp. 889-894. The article describes using a computer to retrieve accidentally displaced mandibular third molars. A total of 12 patients in the study successfully had their roots retrieved. They all healed successfully without complications. In rare cases when performing wisdom teeth surgery, a tooth or a tooth root can be displaced. When they are displaced into difficult to access areas surgery retrieving the displaced molars should be performed by conventional methods which include extending the original operative exposure or planning a new operative approach and then finding and removing the tooth. This surgery can cause severe tissue injury or complications. The paper discusses computer-assisted navigation in … Read more

The Image Gently Campaign in Dentistry

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If you keep abreast at all with radiation exposure from medical imaging, you may have heard of the Image Wisely campaign. The Imagely Wisely Campaign was designed to have people aware of the fact that certain medical imaging tests such as CT exams are sometimes over used and do not have to be used in certain instances. The goal is to reduce radiation exposure to patients while still providing good medical care, see http://www.imagewisely.org/. The Image Gently campaign is designed to provide information to parents and others to help reduce exposure to radiation for children, see http://imagegently.org/, and has been around since 2007. The campaign is supported by the Alliance for Radiation Safety in Pediatric Imaging, which is a coalition of healthcare organizations dedicated to providing safe and high-quality pediatric imaging. Recently, it has been announced that a new Image Gently campaign in dentistry … Read more