oral surgeon

Is the Era of Routine Wisdom Tooth Extraction Fading?

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For generations, the removal of wisdom teeth has been near a universal experience for young American adults, a common “rite of passage” in the journey to adulthood. Yet, recent trends suggest this long-held tradition might be shifting. A new analysis by Alexander Rossell Hayes, a Senior Data Scientist at YouGov, see https://today.yougov.com/society/articles/52483-young-american-adults-challenge-the-conventional-wisdom-on-tooth-removal, shows that young American adults are far less likely to have had their wisdom teeth removed compared to their older counterparts. This isn’t just about age and it reflects an evolving understanding of dental health and a challenge to conventional wisdom that has historically dictated widespread extraction. The decline in wisdom tooth removals isn’t a sudden phenomenon. It aligns closely with significant shifts in professional recommendations over the past two decades. As early as 2000, the UK’s National Institute for Clinical Excellence began discouraging routine removal of undiseased … Read more

Wisdom Tooth Gone Wrong: Man Loses Jaw in Hospital Mix-Up

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In a shocking case of medical error, a man in Rome underwent unnecessary jaw removal surgery after a hospital allegedly confused his biopsy results with those of another patient suffering from a serious tumor. The incident, reported by the Daily Mail [https://www.dailymail.co.uk/health/article-14418133/Man-JAW-removed-mistake-hospital-wisdom-tooth.html] in the article titled “Man has his JAW removed by mistake after going to hospital to have wisdom tooth taken out” written by Sabrina Penty, Feb. 20. 2025, has left the man with permanent facial damage and raises serious questions about patient safety and procedural oversight. The 35-year-old man visited the Umberto I Dental Clinic in the Italian capital last May with the goal of having a wisdom tooth extracted and a cyst in his mouth examined. A biopsy was performed on the cyst, a standard procedure to determine its nature. However, it is alleged that the results … Read more

Dentists can help prevent opioid deaths

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An interesting blog post from the California Dental Association titled “Dentists can help prevent fentanyl deaths” News Articles, 2023, Community, Patient Care, Practice Management, Clinical, encouages Californian based dentists to play an active role in community efforts of the opioid/fentanyl crisis and in particular to help toraise awareness and increase access to naloxone. Fentanyl is a highly potent opioid that is estimated to be 50-100 times more powerful than morphine. Naloxone is a lifesaving medication that helps to reverse opioid overdoses.  Narcan used to be limited for access without a prescription. In July 2023, the U.S. FDA approved two naloxone nasal sprays: Narcan and RiVive, which can now be purchased in over the counter at drug stores, grocery stores, and gas stations. Now the the dental board of California requires dentists to take continuing education courses on opioid prescribing to renew their licenses. In partnership … Read more

Transient Bradycardia during Dental Anesthesia: Risk Factors and Mechanisms

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Dental procedures are generally safe; however, transient bradycardia (TB), a temporary slowing of the heart rate, can sometimes occur during local anesthesia administration under sedation. This phenomenon, often linked to the trigeminal cardiac reflex (TCR), can occur during the administration of local anesthesia, particularly in patients undergoing sedation. Understanding the Mechanisms The TCR is a physiological response triggered by stimulation of the trigeminal nerve, which innervates the face and oral cavity. This stimulation can lead to a cascade of events, including a sudden decrease in heart rate and blood pressure, as well as other autonomic responses. Identifying Risk Factors A recent prospective study identified several key risk factors associated with the occurrence of TB during dental anesthesia: Study Findings A study appearing in BMC Oral Health titled “Transient bradycardia during local anaesthesia to the oral cavity under intravenous sedation and … Read more

Wisdom Teeth: A Clash of Perspectives Between Orthodontists and Oral Surgeons

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Wisdom teeth, or third molars, often erupt in late adolescence or early adulthood. While some erupt smoothly, many become impacted, meaning they fail to fully emerge through the gums. This can lead to various complications, including pain, infection, and damage to adjacent teeth. The management of asymptomatic impacted wisdom teeth is a subject of ongoing debate among dental professionals. While there’s consensus on extracting symptomatic teeth, the decision to remove asymptomatic ones remains contentious. A new study titled Prophylactic third molar removal: are oral surgeons and orthodontists aligned in preventive approaches (written by Ipek Necla Guldiken and et. al, BMC Oral Health, 24, Article number: 1072, 2024) aimed to investigate the perspectives of orthodontists and oral surgeons regarding the indications for prophylactic extraction of asymptomatic wisdom teeth. Methods: A web-based survey was conducted among 127 orthodontists and oral surgeons in Turkey. Participants … Read more