dry socket

Are female patients using oral contraceptives undergoing wisdom teeth removal at higher risk of dry socket?

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An interesting article titled “A higher incidence of dry socket may be related to the use of oral contraceptives after impacted mandibular third-molar extraction” appears in the Oct. 2016 issue of JADA by Yumi Ogata and Yong Hur (Volume 147, Issue 10, pp. 840-842). The article discusses some of the issues surrounding whether in female patients undergoing impacted mandibular wisdom teeth removal, if the use of oral contraceptives increase the incidence of alveolar osteitis (also known as dry socket) when compared with female patients who do not use oral contraceptives. The researchers explore 3 electronic databases (MEDLINE via PubMed, the Cochrane Library, and Elsevier ScienceDirect) for relevant articles published up to April 2014. Two reviewers independently conducted quality assessments of the included studies by using the Newcastle-Ottawa Scale and resolve any disagreements through consensus with a third reviewer. The authors included 12 articles that reported on … Read more

The Effect of a Single Dose of Antibiotics Prior to Wisdom Teeth Surgery

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An interesting article titled “A Systematic Review on Effect of Single-Dose Preoperative Antibiotics at Surgical Osteotomy Extraction of Lower Third Molars” appears in the 2016 Journal of Oral and Maxilofacial Surgery and written by Karoline Brørup Marcussen and et. al. (vol. 74, pp. 693-703). The authors sought to conduct a systematic review of randomized controlled trials to evaluate the effectiveness of a single dose of preoperative antibiotics for preventing infection and alveolar osteitis [dry socket] in lower wisdom tooth surgery performed with osteotomy. Using antibiotic prophylaxis to reduce the incidence and severity of postoperative complications in surgical removal of impacted lower wisdom teeth is controversial. All randomized controlled trials  (RCTs) evaluating the effect of all types of prophylactic antibiotics administered 20 to 120 minutes preoperatively versus no antibiotics or placebo on the incidence of infection after surgical removal of lower impacted wisdom up to 1 week after surgery, were reviewed by the authors. In the search, 196 search hits were found. … Read more

Does the Menstrual Cycle Effect the Possibility of Developing a Dry Socket After Wisdom Teeth Removal?

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An interesting study is described exploring the possibility of the menstrual cycle affecting the possibility of developing a dry socket after wisdom teeth removal. This study is presented in the article titled ” Effect of Menstrual Cycle on Frequency of Alveolar Osteitis in Women Undergoing Surgical Removal of Mandibular Third Molar: A Single-Blind Randomized Clinical Trial,” by Majid Eshghpour, Naser Mohammadzadeh Rezaei, and AmirHossein Nejat, appearing in the Journal of Oral and Maxillofacial Surgery (vol. 71, pp. 1484-1489, 2013). The article explores the association of between the menstrual cycle and the frequency of dry socket (alveolar osteitis). The authors report that various studies have shown a chance ranging from 5-30% of the possibility of developing a dry socket (alveolar osteitis) after wisdom teeth removal. (See the complications page of this website to see more on dry sockets http://www.teethremoval.com/complications.html) In the … Read more

Exploring Giving Antibiotics Before Third Molar Surgery (Wisdom Teeth Removal) in Spain

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An issue that one asks when having third molar surgery (wisdom teeth removal) is one whether should have antibiotics administered before or after surgery (or not at all). See for example http://www.teethremoval.com/antibiotic_resistance.html In a recent article appearing in J Evid Base Dent Pract 2012, issue 12, pp. 149-150, Manal A. Awad, reviewed a study exploring amoxicillin administration to those who were having wisdom teeth extracted. The original study was titled “Efficacy of amoxicillin treatment in preventing postoperative complications in patients undergoing third molar surgery: a prospective, randomized, double-blind controlled study,” by Lopez-Cedrun JL, Pijoan JI, Fernandez S, and Santamaria J, Hernandez G and appeared in the electronic 2011 version pages 5 -14, issue 69, number 6. It is well known that amoxicillin is useful in treating oral infections. In the study 123 healthy patients between the ages of 18 and … Read more

Dentalhealth.org

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I wanted to let everyone know about the site dentalheath.org. It is a site by the British Dental Health Foundation. There is a section for the public, a section for the press, and a section for professionals. Most people will find the Dental Health Information Leaflets section in the for the public part of the website to be useful. There are numerous useful dental related categories such as wisdom teeth, what to do following an extraction, x-rays, and so on. Since the site is from the British Dental Health Foundation, it’s intended audience is for people who live in Britain so this is important to keep in mind. Even so the information can be helpful for everyone. The site is arranged so that frequently asked questions for each category are asked and then answered. For example, in the wisdom teeth … Read more