removal

What are Dental Extractions?

by

Dental extractions are the process of removing teeth. They typically are not painful. Dental extractions can range in difficulty depending on factors including position, anatomy, and density of bone. They can be simple or complicated, requiring a surgical approach. A dental anesthetic is used to freeze the extraction site to prevent pain during dental extraction. Patients usually have mild discomfort following dental extraction that can be relieved with pain killers such as Ibuprofen. What Are Dental Extractions? Teeth are extracted when they aren’t performing their normal functions. These could include teeth that would cost too much to repair or teeth with deep decay which could damage nerves and other healthy teeth in your mouth if they were left untreated. Sometimes dental extractions are necessary for orthodontic purposes. Extractions can range in difficulty depending on factors including position, anatomy, and density … Read more

Lessons from Medical litigation in oral surgery practice

by

I have previously touched on, such as in the post How to Improve Your Chances to Win a Dental Malpractice Lawsuit, some of the issues surrounding medical litigation from a dental and oral surgery standpoint. In the article “Medical litigation in oral surgery practice: Lessons learned from 20 lawsuits,” by Hesham F. Marei, currently in Press at the time I have reviewed this, Journal of Forensic and Legal Medicine, 2012, an investigation into lawsuits occurring in an oral surgery setting over three years (2009-2012) in Saudi Arabia is explored. Over 100 lawsuits were looked at with 20 fitting in the inclusion criteria. Marei states: “The most common cause for litigation was oro-antral communication, followed by neurological deficit associated with the surgical removal of wisdom teeth and placement of dental implants. Bleeding after extraction was the third most common cause for … Read more

The Correlation of Mandibular Incisor Crowding and Third Molars in Brazilians

by

An article written by Lilian-Harumi Karasawa and 4 others titled ” Cross-sectional study of correlation between mandibular incisor crowding and third molars in young Brazilians,” appears in Med Oral Patol Oral Cir Bucal (currently in press the version I have looked at but was accepted in November 2012). The article sets out to examine the correlation between lower incisor crowding and the mandible third molar (lower wisdom tooth).  The ability of a lower wisdom tooth to have lower incisor crowding has been debated and looked at by many researchers over the years. See for example Review of the Wisdom Behind Third Molar Extractions. The possibility that a lower wisdom tooth can cause crowding is often given as a justification for removing a lower wisdom tooth to prevent abnormal orthodontic conditions. In this study the researchers took 300 healthy Brazilian young … Read more

Should you use Sutures when having Wisdom Teeth Out?

by

A study titled “A comparative study of the effect of suture-less and multiple suture techniques on inflammatory complications following third molar surgery” appears in the 2012 (in press) International Journal of Oral and Maxillofacial Surgry by O.D. Osunde, R.A. Adebola, and B. D. Saheeb. The study in Nigeria included 80 patients between the ages of 18 and 30 who had a mandibular third molar extracted. These patients were randomized into 2 treatment groups A: (suture-less – no sitches) and B: multiple sutures. The operation time was found to be roughly 3 minutes longer in the sutures group (statistically significant). In addition, the suture-less group experienced less pain, swelling, and trismus on post-operative days 1 and 2 (statistically significant). In the article the authors state: “The suture-less technique is cheap, saves operative time, minimizes manipulation of soft tissue and hence causes … Read more

Third Molars (aka Wisdom Teeth): Kandasamy vs White and Proffit

by

Like usual there are often heated exchanges over the management of wisdom teeth (third molars). Back in November 2011, in the American Journal of Orthodontics and Dentofacial Orthopedics (vol. 140, issue 5)  there was an exchange regarding two previous articles that had appeared and consequent exchange (White RP Jr, Proffit WR. Evaluation and management of asymptomatic third molars: lack of symptoms does not equate to lack of pathology. Am J Orthod Dentofacial Orthop 2011;140:10-6; and Kandasamy S. Evaluation and management of asymptomatic third molars: watchful monitoring is a low-risk alternative to extraction. Am J Orthod Dentofacial Orthop 2011;140:11-7) The articles in question I am referring to here are “Third molars” by Raymond P. White, Jr, and William R. Proffit in the American Journal of Orthodontics and Dentofacial Orthopedics (vol. 140, issue 5, pages 600-601) and Author’s response by Sanjivan Kandasamy … Read more