teeth extraction

Illinois Man Dies From Too Much Anesthesia While Having Teeth Extracted

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A 51 year old man from Illinois died after having five teeth extacted in July 2021. He had has teeth extracted by an oral surgeon in Lake County which is North of Chicago. During the procedure he was given as given a single dose of 200 milligrams propofol. There was no anesthesiologist present and the oral surgeon was the one also administrating the anesthesia. During the tooth extractions, the man stopped breathing and went into cardiac arrest. Emergency responders were called and when they arrived took the man to a hospital where he died the next day. According to statements from the Lake County Coroner there was too high of a dose of propofol given and this dose would cause a person to not breathe. Further, the oral surgeon did not supply supplemental oxygen until the tooth extractions were already … Read more

FDA warns about dental problems from buprenorphine

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The U.S. Food and Drug Administration (FDA) has issued a safety concern regarding the medication buprenorphine which is a medication used to treat opioid use disorder, acute pain, and chronic pain. Buprenorphine is often used to reduce opioid withdrawal symptoms and the desire to use opioids, without causing the cycle of highs and lows associated with abusing opioid. The FDA warning issued on January 12, 2022, states that dental problems have occured when patients take medicines containing buprenorphine that are dissolved in the mouth. In the warning, the FDA said that the dental problems can include those of tooth decay, cavities, loss of teeth, and oral infections, and can occur in those without prior dental issues. As a result of this warning, the risk of dental problems occuring will be added to the prescribing information and the patient Medication Guide … Read more

Should you Delay a Tooth Extraction if you recently had COVID-19 (Coronavirus)?

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An interesting article titled “Cavernous sinus thrombosis and blindness in a recovered (COVID-19) patient post simple tooth extraction: A case report,” is scheduled to appear in the Journal of Oral and Maxillofacial Surgery and currently available in pre-proof form, written by Mohamed Abdelmoiz, Ahmed Nagi Alghandour, and Amr Gibaly (2022). The article discusses a case report the authors document where a man lost vision in one eye after having a tooth extracted after he had recently recovered from COVID-19 (Coronavirus). Based on this article the authors feel that patients who had recently had COVID-19 and also have diabetes should delay having tooth extractions performed for a period of time after recovering from COVID-19. In the article, the authors describe a 69 year old man with well managed diabetes who was admitted to a hospital due having hypoxia and fever. He was … Read more

Flying after Wisdom Teeth Removal

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After having wisdom teeth removal some patients like to know if it is okay for them to fly on an airplane. Depending on whom one turns to for advice it is possible to receive mixed messages regarding if it is safe to fly or not after wisdom teeth surgery. According to one article titled “Cabin crew reveal the one thing you should NEVER do before flying” by Elly Blake appearing in the Express (Feb. 15, 2018) having any sort of dental work 24 to 48 hours prior to a flight could be dangerous according to airplane cabin crew. They said that in horror stories some passengers have reported unimaginable pain caused by changes in air pressure due to altitude changes which impact small pockets of gas trapped in teeth. However, in other cases people have reported feeling just fine flying … Read more

Laser Therapy to Reduce Pain and Improve Healing After Tooth Removal

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An interesting study titled “The effect of the low-level laser therapy on healing and pain after tooth extraction: a systematic review” written by Ribeiro et al. appears in Oral Surgery in 2017 (vol. 10, pp. 174-183). The article attempts to perform a systematic review to determine if lower level laser therapy improves healing and reduces pain after having a tooth extracted. In the past several similar studies that have been conducted have been discussed on this site see for example Using Laser Therapy after Tooth Extraction to Improve Wound Healing and Can you Use Low Level Laser Therapy After Wisdom Teeth Removal to Reduce Pain?. Low level laser therapy aids in the healing process by providing radiation that is absorbed through cytochromes in the mitochondria and then converted into energy by adenosine-50-triphosphate (ATP) which causes protein synthesis and acceleration of … Read more