oral surgeon

Avoiding Nerve Injuries with Lower Wisdom Teeth

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A study (in press) appears in the International Journal of Oral and Maxillofacial Surgery (2012) titled “Early extraction: a silver bullet to avoid nerve injury in lower third molar removal?” by Q. B. Zhang and Z. Q. Zhang. At the beginning of the article the authors discuss how lower third molars show the highest incidence of impaction and are responsible for pathology such as pericoronitis, periodontitis, pain, cysts, tumors, and second molar-tooth crown resorption. I have discussed the risks of keeping wisdom teeth in over here http://www.teethremoval.com/risks_of_keeping_wisdom_teeth.html The authors also discuss the complications associated with removal of third molars which I have elaborated on in great detail here http://www.teethremoval.com/complications.html. In this study two groups of patients from China were grouped: A) those less than 23 and with immature teeth, and B) those greater than 23 and with mature teeth. Group … Read more

Litigation In the National Health Service for Oral and Maxillofacial Surgery

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An article appears in the British Journal of Oral and Maxillofacial Surgery titled “Litigation in National Health Service oral and maxillofacial surgery: review of the last 15 years,” by A. Gulati et. al. (50, pages 385-388, 2012). The authors state: “Published data regarding litigation in other surgical specialties are plentiful, but to our knowledge there is little detailed analysis of claims within the specialty of oral and maxillofacial surgery (OMFS) despite information being freely available from the NHS Litigation Authority (NHSLA) under the Freedom of Information Act.” The authors used data from April 1995 to August 2010 from the NHSLA. A total of 318 claims were registered during this 15 years. Claims have been increasing in recent years. Of these claims 253 were closed. A total of 137 claims (54%) resulted in compensation with the rest not being successful. The … Read more

Oral Surgeon Investigated for Reusing Needles and Syringes

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The Colorado Department of Public Health has released a lengthy document regarding an oral surgeon regarding unsafe injections. The document is from July 20, 2012, and is located over at http://www.cdphe.state.co.us/dc/Epidemiology/dentistFAQs.pdf. The document states: “Between September 1999 and June 2011, syringes and needles were re-used for multiple patients to give intravenous (IV) medications, including sedation. The IV medications were given during oral and facial surgery procedures. Needles and syringes were used repeatedly, often for days at a time. Because there can be a small amount of blood that remains in syringes and needles after an injection through an IV line, there is a risk of spread of bloodborne viruses, such as HIV, hepatitis B, and hepatitis C, between patients.” Patients who saw the oral surgeon in question were sent a mailing if they could be identified via medical records and … Read more

Death and Greed at the Dentist: Is Your Child at Risk?

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A new investigation came out recently by ABC News appearing on both “Nightline” and “World News With Diane Sawyer” looking at sedation deaths from dentistry. The story is located over on the ABC News website which appeared on July 12, 2012 and is titled “Death, Greet at the Dentist: American Children at Risk.” A synopsis of the investigation appeared on drbicuspid.com on July 13, 2012, titled “ABC News spotlights pediatric dental sedation risks.” The story over on ABC News opens up with “American children are being put at risk by inadequately trained dentists who often seek to enhance profits by sedating their young patients for even routine tooth cleaning and cavity treatments.” In the segment on “Nightline” Brian Ross says “…it is a scandal in many cases driven by dentists who are told they can increase their bottom line. Hundreds … Read more

Reconsideration of decision making for third molar extraction

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An article recently appeared in the Journal of the Korean Association of Oral and Maxillofacial Surgery titled “Reconsideration of decision making for third molar extraction, “(vol. 37, pages  343-348, 2011) by Wonse Park and et al. I am unable to read the article since it is in Korean but the abstract is in English. The introduction of the article states “Third molar extraction is one of the most common procedures in oral and maxillofacial surgery. The impacted third molar causes many pathological conditions, such as pericoronitis, caries, periodontitis, resorption of adjacent teeth, and cyst or tumors associated with impacted teeth. Extraction is often considered the treatment of choice for impacted lower third molars. On the other hand, imprudent extraction of deeply impacted third molars can cause permanent complications, such as inferior alveolar nerve damage. Therefore, guidelines for the extraction of … Read more