oral surgeon

Dental extractions and surgeries can lead to endocarditis

by

An interesting study titled “Antibiotic Prophylaxis Against Infective Endocarditis Before Invasive Dental Procedures,” written by Martin H. Thornill and et. al. appears in the Journal of the American College of Cardiology (published online August 17, 2022). The article investigates the association between invasive dental procedures and infective endocarditis, and the effectiveness of antibiotic prophylaxis in reducing this. In the study the authors performed a case-crossover analysis and cohort study using data from 7,951,972 million patients in the U.S. from the Commercial/Medicare Supplemental prescription and dental databases and the IBM MarketScan databases. A total of 3,744 patients in the study were hospitalized with infective endocarditis. From the patients hospitalized, 1,651 (44%) were at low or unknown risk for heart infection, 831 (22%) were at moderate risk of heart infection, and 1,292 (34%) were at high infective endocarditis risk. The overall adjusted infective endocarditis incidence within … Read more

Using Rifamycin for Reducing Complications After Wisdom Teeth Surgery

by

An interesting article titled “Evaluation of the efficacy of topical rifamycin application on postoperative complications after lower impacted wisdom teeth surgery” appears in the Journal of Stomatology, Oral and Maxillofacial Surgery written by Levent Cigerim and et. al. (online 11 May 2023, 101501). The article explores the efficacy of a single-dose of topical rifamycin application to reduce complications after wisdom teeth surgery. Rifamycin has been shown to be effective in the inflammatory phase of wound healing by inhibiting prostaglandins, TNF-α and IL-8. In the study the authors included 35 patients with bilaterally impacted lower wisdom teeth that were removed for orthodontic reasons. The patients were split into two groups where the extraction sockets were irrigated with 3 ml/250 mg of rifamycin or with saline. The patients had their pain intensity measured daily for 7 days using a visual analog scale. Mouth … Read more

Exploration of Postoperative Abscess Formation after Wisdom Tooth Removal

by

An interesting article titled “A Retrospective Analysis of Postoperative Abscess Formation Following Wisdom Tooth Removal and Their Clinical Condition and Localization,” written by Jakob Fehlhofer and et. al. appears in the Journal of Contemporay Dental Practice (vol. 23, n. 11, pp. 1079-1084, 2022). The article conducts a study on deep tissue abscesses after wisdom teeth removal to determine potential associated factors. Specifically the authors conduct a study with 88 patients who had wisdom teeth removed that resulted in a postoperative abscess formation who were treated at the Department of Oral and Maxillofacial Surgery at the FAU in Germany from October 2012 to February 2017. There were 44 male and 38 female patients, who were split into two groups Group A (removal of asymptomatic wisdom teeth) that had 14 male and 19 female patients and Group B (removal of symptomatic wisdom … Read more

How soon can you go swimming after wisdom teeth surgery

by

After having teeth extracted it may be tempting to want to head right back to the pool, especially if one is a competive swimmer. However, if you had teeth extracted, it is possible your dentist or oral surgeon cut part of the gum or even given you stitches to close the hole where your tooth was. Having a tooth extracted can potentially result in an infection. Going in a pool or a lake may cause bacteria to enter the wound. Particulary if one surbmerges their face in the water. Therefore, it’s best it is best to wait until the wound is healed to go back in the water. If you had wisdom teeth surgery, you should wait at least 2 weeks before swimming. For single-tooth non wisdom tooth extractions, 24 to 48 hours may be enough time for the wound … Read more

Dentists increasingly use articaine 

by

An interesting article titled “Survey investigation of articaine use in the United States,” written by Robert D. Bowers and et. al. appears in the the Journal of the American Dental Association (published Oct. 2023). The article conducted a study to expand the knowledge of local anesthesia practices of dentists in the U.S. with a specific focus on influencing factors regarding articaine. The U.S. Food and Drug Administration approved the use of articaine in 2000 and dental use of articaine has grown over the years. In 2017, it was estimated that estimate about 40% of the total U.S. dental local anesthetic market was for articaine. However, articaine has a 4% concentration which has led some to question its safety. Past studies have shown that higher concentrated local anesthetics like articaine can lead to increased risk of dental paresthesia. To study the use … Read more