oral surgeon

Risk Factors for Delayed Infection After Wisdom Teeth Surgery

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An interesting article titled “Risk Factors for Delayed-Onset Infection after Mandibular Wisdom Tooth Extractions” written by A.M. Smith et al., appeared in Healthcare in 2023. The article investigated the risk factors for delayed-onset infection (DOI) after lower wisdom teeth extractions. Delayed-onset infection (DOI) is a potential complication of wisdom tooth extraction that occurs one to four weeks after surgery. Even with precautions, such the use of antibiotics and not smoking and following good oral hygiene after surgery delayed-onset infection can occur with a reported incidence from 0.5% to 1.8%. Prior studies have shown that the depth and the tilt of the tooth axis of the lower wisdom tooth are risk factors for local delayed-onset infection and the development of delayed-onset infection is related to the space distal to the second molar. The authors of the current study sought to identify … Read more

Invasive dental procedures linked to heart inflammation

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An interesting study titled “Endocarditis, invasive dental procedures, and antibiotic prophylaxis efficacy in US Medicaid patients” appears in Oral Diseases on April 27, 2023, written by Martin Thornhill and et. al. The study investigates the association between invasive dental procedures and endocarditis, which is inflammation of the inside lining of the heart chambers and heart valves. In the study the authors used the MarketScan multi-state Medicaid database to examine 1.68 million Medicaid patients with linked medical, dental, and prescription data and compared it to 7.95 million individuals with employer-provided Commercial/Medicare-Supplemental health coverage with linked dental and prescription benefits. The authors found that the cohort study showed increased endocarditis incidence within 30 days of invasive dental procedures in those at high risk, particularly after extractions or oral surgery. It was also determined that antibiotic prophylaxis significantly reduced endocarditis incidence following invasive … Read more

Taskforce says teledentistry can help improve global oral health

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An interesting article titled “Taskforce backs the benefits of teledentistry to improve global oral care outcomes” appears in BDJ In Practice in 2023 (volume 36, page 8). The article discusses how a task force that has conveyed has concluded that teledentistry has the ability to give millions more people than currently accross the world access to dental services. Teledentistry has been covered before on this site see for example the posts Cosmetic Dentistry in the Era of COVID-19 and Delivering Dentistry and Counseling to Patients using Telemedicine. The article discusses how the taskforce feels that teledentistry can help to improve education, dental referrals, early detection of disease, treatment planning and treatment viability. Teledentistry can be particulary helpful in areas where there is limited access to dental professionals. The taskforce understands that heping to preventive dental disease is the best option and dental professionals … Read more

Cinematic rendering to visualize teeth segmentation

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An interesting article titled “Cinematic rendering to improve visualization of supplementary and ectopic teeth using CT datasets” written by Ines Willershausen and et. al. appears in Dentomaxillofacial Radiology in 2023 (no. 51, 20230058). The article discusses cinematic rendering (CR) which is a visualization technique that uses physically based volume rendering to create photorealistic images from Digital Imaging and Communications in Medicine (DICOM) data. Specifically the article attempts to tailor pre-existing CR reconstruction parameters for use in dental imaging to create 3D visualization of ectopic, impacted, and supplementary teeth. This image is from Ines Willershausen and et. al., “Cinematic rendering to improve visualization of supplementary and ectopic teeth using CT datasets,” Dentomaxillofacial Radiology, 2023, no. 51, 20230058 and has a Creative Commons license. 7-year-old girl with a horizontally impacted canine (a) A panoramic radiograph. (b) Semi-transparent reconstruction parameters are utilized to … Read more

Sedative-induced sexual fantasies a risk in dentistry

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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