risks

How dentists can navigate ethical treatment decisions for patients

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An interesting article titled “How to manage the principal-agent problem in dentistry,” appears in the June 2022 edition of the Journal of the American Dental Association (JADA) written by Ben Balev (no. 153, issue 6, pp. 588-589). The article discusses the principal-agent problem, in which the dentist operates as the agent for the patient who is the principal and there is an imbalance of power between the patient and the dentist in decision making. In the dentist-patient relationship, the dentist has specialized knowledge that the patient lacks, and the patient seeks to make up for their lack of knowledge by having the dentist help in oral health decisions. Such a relationship requires that the patient trusts that the dentist functions in their best interest. However, sometime the patient questions the dentists motives behind their treament recommendations. The patient may wonder … Read more

Treating Erectile Dysfunction with Viagra

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If you suffer from erectile dysfunction (ED), you may be looking for something to help you with this condition. Viagra, a common medication for erectile dysfunction, can help you overcome this condition. Below, is some more information about Viagra’s effectiveness, side effects, and overall safety. Effectiveness Viagra increases blood flow to the penis, which helps men achieve and maintain an erection. The effectiveness of Viagra varies from person to person, but it has been shown to be effective in about 70-80% of men with erectile dysfunction. It is important to note that Viagra does not work for everyone and will not increase sexual desire. Make sure you consult a doctor before taking Viagra, as it can result in serious side effects in some users. How to Take Viagra Viagra is taken orally, usually around 30-60 minutes before sexual activity. The … Read more

Should bilateral inferior alveolar and lingual nerve blocks be given for wisdom teeth surgery?

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An interesting article titled “Should we be giving bilateral inferior alveolar and lingual nerve blocks for third molar surgery,” appears in the British Journal of Oral and Maxillofacial Surgery and written by J. Jabbar and et al. (2014, vol. 52, pp. 16-17). The article discusses how when someone is having their wisdom teeth extracted they are usually given general anesthesia and 2 inferior alveolar nerve blocks or local anesthesia in one or two visits. The authors feel there is controversy over whether 2 inferior alveolar nerve blocks should be given to patients in a single visit. The authors say the most common complications thought to be associated with bilateral inferior alveolar nerve blocks are injury to the tongue during anesthesia, unpleasant effects, loss of control of the tongue, and bilateral anaesthesia of the tongue, which can lead to collection of fluid in the oral cavity and aspiration. The authors mention a few past … Read more

How safe is deep sedation or anesthesia in dentistry?

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An interesting article titled “How safe is deep sedation or general anesthesia while providing dental care?” appears in the Sept. 2015 issue of JADA (volume 146, issue 9, Pages 705–708) and written by Jeffrey D. Bennett and et al. The article discusses how deep sedation and general anesthesia are given daily in dental offices or practices and this is usually done by oral and maxillofacial surgeons and dentist anesthesiologists. Sedation and anesthesia is given to patients to be able to more easily perform procedures and keep the patient safe and comfortable. Unfortunately in rare cases problems can happen and hence the authors were interested in exploring this. The authors state “Using the available data and informational reports, the authors estimate that the incidence of death and brain injury associated with deep sedation or general anesthesia administered by all dentists most likely exceeds 1 … Read more

Osteonecrosis of the Jaw As a Complication After Wisdom Teeth Removal

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Removing wisdom teeth or a wisdom tooth has risks and in some instances complications can occur. I have discussed numerous complications of wisdom teeth over at http://www.teethremoval.com/complications.html. One of the complications discussed is Bisphosphonate Related Osteonecrosis of the Jaw (BRONJ). What happens is that when a patient is on bisphosphonates and has a tooth extracted (any tooth a wisdom tooth or not) bone that is exposed can fail to heal. A case of this occurring is described at the Daily Mail titled “Grandmother in agony for FOUR YEARS after dentist removed wisdom tooth without checking her medical records,” by Steve Robinson, published on March 19, 2013. In this case a 72 year old woman had a problem where she kept catching her teeth with her cheek and noticed blood. She went to her general practitioner who performed a biopsy and … Read more