swelling

Melatonin to Reduce Pain and Swelling Following Wisdom Teeth Removal

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An interesting article titled “The Effect of Local Melatonin Application Following the Removal of an Impacted Mandibular Third Molar” appears in the Journal of Oral and Maxillofacial Surgery written by Shaimaa Mohsen Refahee and et. al. The article seeks to measure the effect of applying melatonin in the socket of an impacted lower wisdom tooth with osteogenic activity, painkilling effect, and anti-inflammatory effect. A prior article exploring the use of melatonin after wisdom teeth extraction has been discussed on this site before see Should Melatonin be Used for Wisdom Teeth Surgery?. In the current article, the authors conducted a prospective, randomized, blinded trial comprised of patients who required removal of the impacted lower wisdom tooth. Melatonin has antioxidant and anti-inflammatory properties and promotes osteoblast differentiation and bone formation, which could potentially limit problems like intrabony defects and bone loss associated … Read more

Laser therapy can reduce pain after wisdom teeth removal

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An interesting article titled “Extraoral low-level laser therapy can decrease pain but not edema and trismus after surgical extraction of impacted mandibular third molars: a randomized, placebo-controlled clinical trial,” appearing in BMC Oral Health is written by Ehsan Momeni and et. al. (September 20, 2022, Vol. 22, 417). The article seeks to explore the impact of using a low-level diode laser on pain, swelling (edema), and jaw opening (trismus) following surgery to remove impacted lower wisdom teeth. This topic has been covered before on this site see for example the articles Laser Therapy to Reduce Pain and Improve Healing After Tooth Removal and Using Laser Therapy after Tooth Extraction to Improve Wound Healing. In the article the authors explore laser therapy as a possible alternative to techniques such as medication, cryotherapy, and surgical closure techniques to minizime complications, pain, and … Read more

Is it Safe to Drink Large Amounts of Pineapple Juice after Wisdom Teeth Surgery that People on TikTok are Doing?

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Recently, several young adults have been trying a remedy prior to having their wisdom teeth removed where they drink a large amount of pineapple juice. This has been shared on TikTok by several people. Mackenzie Fuhrman, who is a 21 year old nursing student, shared on her TikTok a video that shows her with a 46 ounce can of pineapple juice. She also says she has a few smaller cans she will add to it to make 64 ounces. She is doing this based on another TikTok video she saw where a woman named Valeria drank 64 ounces of pineapple juice prior to her wisdom teeth surgery (see https://www.tiktok.com/@valeriagreenz/video/6986417135824145670) as a way to prevent swelling after the procedure and provide nearly instant recovery. Mackenzie said that she further researched about pineapple juice and found scientific proof to back the claims. … Read more

Does Intravaneuous Dexamethasone Reduce Pain and Swelling and Improve Mouth Opening After Wisdom Teeth Surgery?

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An interesting article titled “Efficacy of intravenous dexamethasone administered preoperatively and postoperatively on pain, swelling, and trismus following third molar surgery. A comparative study” written by Giri et al. appears in the 2019 edition of Oral Surgery (vol. 12, pp. 110-117). The article explores if intravenous dexamethasone given either shortly before or after wisdom teeth surgery has any any effect when compared on the time of administration on pain, swelling, and trismus (mouth opening) experienced in the week after surgery. Previously on this site in a post titled Does Intravaneuous Ibuprofen Reduce Pain After Wisdom Teeth Surgery? it was shown that preoperative intravenous ibuprofen administration significantly reduced the pain experienced after surgery. In the article by Giri the authors say that dexamethasone is a type of corticosteroid that has a strong anti-inflammatory action. Dexamethasone has a half-life of 36–54 hours … Read more

Does Bromelain Impact Pain, Swelling, and Mouth Opening after Wisdom Teeth Surgery?

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An interesting article titled “Oral Bromelain for the Control of Facial Swelling, Trismus, and Pain After Mandibular Third Molar Surgery: A Systematic Review and Meta-Analysis,” appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery written by Liu et al. The article seeks to explore if bromelain reduces pain and swelling and improves mouth opening after wisdom teeth removal. Bromelain is believed to decrease swelling by returning interstitial fluid and inflammatory component cells into the bloodstream and provide an anti-inflammatory effect by decreasing pain mediators such as prostaglandin E2 and substance P. Bromelain provides for systemic proteolytic enzyme therapy and is a mixture of proteolytic enzymes found in pineapple plants. The authors state a few articles in the past have explored using bromelain after wisdom teeth removal but with inconsistent results. For example one study showed bromelain … Read more