Dental Patients Warned of Possible HIV and Hepatitis Exposure in Pennsylvania

Recently, patients of a long time dentist in Pennsylvania have been warned of possible exposure to HIV and hepatitis B and C. The dental license of the 74 year old dentist has been suspended as state officials investigate. It is suspected that he was not properly sterilizing his instruments. No reports of disease or transmission have occurred. The dentist is a long time dentist of a school district. In an interview with one of the school’s students who was examined by the dentist and her mother, it was stated the dentist didn’t have gloves on when treating patients and didn’t wash his hands between patients. The full interview can be seen over at http://www.nbcnews.com/watch/nbc-news-channel/dirty-dentist-has-town-clenching-its-teeth-282301507827 provided by NBC News. In the past, other cases have occurred where dentists or oral surgeons have been suspected of not following proper procedures to avoid spreading disease. For … Read more

Flesh Eating Bacteria Leads to Death After Wisdom Teeth Removal

Earlier this year (2014) in February, I posted about an Eighteen Year Old Music Student in Portland Dies After Wisdom Teeth Removal. This occurred in Maine. It has been since confirmed by a medical examiner, that the 18 year old man died after his wisdom teeth extraction by developing necrotizing fasciitis. This is a flesh eating bacteria which can ravage muscles and skin tissue. A quote is provided (see source below)  by the infection control expert from the American Dental Association who says he has never heard of necrotizing fasciitis after wisdom teeth extractions. I am not quite sure why he says this as cases have appeared of this in the literature and I have discussed this on the wisdom teeth complications page over at http://www.teethremoval.com/complications.html. Another case of death occurring from necrotizing fasciitis after wisdom teeth extraction occurred to a … Read more

How Evolution Sold Us Short As it Relates to Wisdom Teeth

I came across an interesting article titled “‘Not tonight, I have toothache’: how evolution sold us short” published in February 16, 2013, in the Times in London and written by Hannah Devlin. The article talks about evolution and how it relates to wisdom teeth, which is a topic I don’t usually bring up on this site/blog since it is controversial. The idea goes that wisdom teeth were important for our ancestors because their diets consisted of a lot of tough and chewy foods. As their other teeth wore down, the third molars, played an important back up role as additional teeth to use. In addition, the idea is that as humans evolved their brains became larger and their laws became smaller leaving less room available for teeth to grow. Earlier hominids (our ancestors) had very large back teeth in long … Read more

How to Manage Pain Patients in Dental Practice

An interesting article appears in J Can Dent Assoc 2012;78:c83 titled “Neuropathic Orofacial Pain Patients in Need of Dental Care,” written by Gary D. Klasser and Henry A. Gremillion. It was posted online on August 17, 2012, over at http://www.jcda.ca/article/c83. The abstract of the article states “Dental pain is a common complaint among the general population. Most pain is a result of traumatic injury or bacterial infection in pulpal and periapical tissues, and dental practitioners are successful at diagnosing these conditions and providing prompt relief. However, in some cases, patients continue to complain of persistent pain, which may be categorized as neuropathic. These people may avoid or neglect routine dental treatment or interventions to prevent precipitation, perpetuation or exacerbation of their pain condition, and practitioners may have to modify their procedures when managing the dental needs of this unique population.” … Read more

The Curious Case of a Wisdom Tooth Growing in Old Age

An interesting article titled “Dentist shocked by Mary’s new wisdom,” appears in an article in This is Kent, http://www.thisiskent.co.uk/Dentist-shocked-Mary-s-new-wisdom/story-17958765-detail/story.html, January 25, 2013. The article describes a 75 year old woman who had a wisdom tooth grow in at the age of 75. A picture of the woman with her dentist is provided in the article. The dentist was taken a back by such a finding since it is vary rare. He decided to look up other cases on the internet and did find a case where an 84 year old man in New Zealand where a man had a wisdom tooth come in. In the case of the 75 year old man the dentist and woman have decided to just manage the wisdom tooth and leave it in in order to avoid possible complications.