Sedative-induced sexual fantasies a risk in dentistry

An intersting article titled “The Impact of Sedative Hypnotic Drugs on Hallucinated Sexual Assault or Sexual Fantasies Involving Health Professionals: A Systematic Review” appears in the 2023 edition of the Journal of clinical pharmacology written by M. White and M. White. The article seeks to conduct a review on the issue of hallucinated sexual assaults caused by drugs used in denstry like midazolam while dental procedures are peformed on patients. This topic has been covered before on this site see for example the post Hallucinations While Taking Anesthesia: Implications for Sexual Assault. In the article discussion is made of how real sexault assaults have occured in the medical setting. An example is made of a 21 year old college woman who was given 10mg of diazepam intravenously while having a procedure performed and her doctor innappropriate touched her. Examples of … Read more

Recreational Marijuana Uses Effect on Vital Signs and Anesthetic Requirements During Oral Surgery

An interesting article titled “Is Recreational Marijuana Use Associated With Changes in the Vital Signs or Anesthetic Requirements During Intravenous Sedation?” appears in the Journal of Oral and Maxillofacial Surgery in January 18, 2023, written by Pooja Gangwani and et. al. The article sough to explore the association of cannabis’ psychoactive element tetrahydrocannabinol (THC) use on the vital signs and anesthetic requirements during sedation procedures. The study was the first to explore this findings on THC and its effects on sedation in the oral and maxillofacial surgery literature. In the article the authors used a retrospective cohort of 53 patients who were treated at an oral and maxillofacial surgery department between July 2018 and May 2022. The patients included in the study had undergone toxicology screening due to their history of recent drug use and received IV sedation. THC status was … Read more

The wisdom behind wisdom teeth extraction

An interesting article titled “The wisdom behind the third molars removal: A prospective study of 106 cases” appears in the August 2021 of the Annals of Medicine and Surgery written by Kerdoud Ouassime and et. al. (vol. 68, pp. 102639). The article seeks evaluate the decision-making of wisdom teeth extractions and the epidemiological profile in a population of 106 cases. In the article the authors mention how debate continues about the beststrategies for the management of wisdom teeth. The majority of oral and maxillofacial surgeons continue to say that that most wisdom teeth are potentially pathological and should be extracted while others argue that only wisdom teeth third with associated pathology should be removed. To investigate the indications for wisdom teethextractions the authors conducted an analysis of 106 patients seem at their hospital between January 1, 2020 and January 1, … Read more

Antibiotic resistance: what should dentists know

An interesting article titled “Antibiotic resistance: The silent pandemia” appears in the International Dental Journal on January 12 2023 written by Angel-Orión Salgad Peralvo and et. al. The article discusses a call to action for dentists worldwide to cut back on their antibiotic prescribing habits arguing that 66% of antiobitics prescibed is not warranted. In the article the authors mention that dentists prescribe 10% of all antibiotics in the world. However, the way they see it, antibiotics being overly prescribed can contribute to the worldwide development of antimicrobial resistance. Antibitoics are used in dentistry for preventive purposes and to avoid systemic bacteraemia in patients at risk or to prevent possible bacterial contamination during surgery. Yet the resistance problem increases medical costs and increases mortality. Therefore they feel that dentists should change the way they prescribe antiobitics as the resistance problem … Read more

Iowa dentist with history of inappropriate conduct faces new charges

An Iowa dentist with a history of alleged sexual misconduct with multiple patients is facing more charges from state regulators. The dentist first faced trouble in July 1993, when was charged with unprofessional conduct in the practice of dentistry and accused of inappropriately touching two female patients, one 17 and one 25 during their dental appointments. The 17 year old was recovering after being sedated during wisdom teeth surgery when the dentist entered and inappropriately touched the patient while she was in the dental chair. The 25 year old at her first appointment was sedated and upon waking found that her clothes were disheveled and had pain in her pubic bone. At her second appointment of the 25 year old, she allegedly awoke and heard the dentist making suggestive remarks while inappropriately touching her. Shortly after the first two patients … Read more