teeth extraction

Dental Malpractice: Patient Seeks Damages After Wrong Tooth Pulled

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A patient is suing a dental practice for a up to a million dollars after a serious dental error occurred during a routine procedure. According to the lawsuit in Texas, the dentist allegedly mistakenly extracted the wrong tooth and then attempted to improperly reinsert it. Specifically the lawsuit says after the dentist allegedly pulling the wrong tooth the dentist then tried “stuff the tooth into the socket”. As a result of the dental malpractice, the patient claims to be experiencing severe ongoing pain and mental anguish and requires extensive corrective dental work. The lawsuit alleges negligence on the part of the dentist and the dental practice. The lawsuit further asserts the dental practice has negligent hiring practices and creates an unreasonable risk of harm to patients. This case highlights the importance of thorough dental care and patient safety. Dental errors … Read more

Rare Case Highlights Importance of Communication and Follow-up After Dental Procedures

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An interesting article titled “The interplay among a dental procedure, infective endocarditis, and an acute ischemic stroke” appears in the Journal of the American Dental Association by Momodou G. Bah and et. al., published January 24, 2024. The article discusses a case report that shares the importance of communication and follow-up after dental procedures, especially when it comes to potential complications like infective endocarditis and stroke. The Case: A previously healthy 54-year-old woman experienced a cracked tooth while eating, specifically tooth #30 while chewing a popcorn kernel. Her dentist extracted the tooth, but she did not inform the dentist about persistent pain at the site for two weeks, and there were no follow-up calls scheduled. Five weeks later, she developed stroke symptoms and was diagnosed with infective endocarditis, a rare but serious infection of the heart valves. The Connection: Tests … Read more

Dentist suspended after patient died after teeth extraction

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A dentist in the state of Washington has had their dentistry license suspended over allegations of unsafe practices after a patient died while having multiple teeth removed in 2022. The patient had a significant medical history and was having teeth extracted in June 2022 in advance of a scheduled heart valve surgery. The patient was under moderate sedation for abot five minutes before a drop in oxygen-saturation level, heart rate and blood pressure. The patient had hypertensive cardiovascular disease, valvular heart disease, congestive heart failure, pulmonary emphysema, chronic disease, diabetes, and obesity. In advance of the extractions the dentist had received medical clearance from the patient’s primary care provider but the dentist had not talked to any other doctors treating the patient. During the day of the extractions, the patient was given articaine, lidocaine, triazolam, midazolam, decadron, and cefazolin. Roughly … Read more

Nonsteroidal anti-inflammatory drugs better than opioids for pain after dental extractions

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An interesting article titled “Acute Postoperative Pain Due to Dental Extraction in the Adult Population: A Systematic Review and Network Meta-analysis,” written by A. Miroshnychenko and et. al appears in the 2023 edition of the Journal of Dental Research. The article seeks to conduct a systematic review and meta-analysis to assess tto compare the effectiveness of 10 different pharmacological treatments including acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and opioids, to the management of acute pain after dental tooth extractions. Further the article looked at the pain associated with pulpitis or its complications. The authors were motived to conduct the review based on the opioid crisis occuring in North America which has been discussed before on this site, see for example the posts Assessing the Impact of Three Day Opioids Limits for Dentists, Dentists Overprescribing Opioids to Adults in the U.S., and Reducing … Read more

Patient Stress Impact on Tooth Extraction Complications

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An interesting article titled “The potential role of patient stress in rates of dental post-extraction complication” written by McDowall appears in the 2014 edition of Oral Surgery (vol. 7, pp. 162-167). The article explores whether stress, alcohol and tobacco use impacts the complication rate experienced after a tooth extraction. The authors recruited patients for the study who were at least 16 years old and having at least one tooth extracted. The patients were asked to fill out questionnaires incorporating the Global Measure of Perceived Stress Scale (PSS), the Fast Alcohol Screening Test (FAST) and questions related to tobacco use. The PSS consists of fourteen questions designed to determine how stressful the persons life is and higher scores indicated greater perceived stress. The FAST consists of four questions designed to determine the frequency too much alcohol consumption and higher scores indicate … Read more