tooth extraction

New Hope for Faster Jaw Healing After Tooth Extractions: Ozone Therapy Shows Promise

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Getting a tooth pulled is never fun, and for some people, it carries the risk of medication-related osteonecrosis of the jaw (MRONJ). This is when the jawbone doesn’t heal properly after an extraction. MRONJ is primarily associated with the use of bone-modifying agents with antiresorptive and/or antiangiogenic activities, which are administered to cancer and osteometabolic patients  Researchers are looking for ways to improve healing and reduce MRONJ risk. A new study published in Oral Diseases titled “Reduction of MRONJ risk after exodontia by virtue of ozone infiltration: A randomized clinical trial” written by Olga Di Fede and published on May 29, 2024, explores a promising approach: using a gaseous oxygen-ozone mixture after a tooth extraction. Study shows ozone therapy speeds up healing The study involved 117 patients (27 male and 90 female) at risk of MRONJ. Half received standard care … 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

How soon can you go swimming after wisdom teeth surgery

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After having teeth extracted it may be tempting to want to head right back to the pool, especially if one is a competive swimmer. However, if you had teeth extracted, it is possible your dentist or oral surgeon cut part of the gum or even given you stitches to close the hole where your tooth was. Having a tooth extracted can potentially result in an infection. Going in a pool or a lake may cause bacteria to enter the wound. Particulary if one surbmerges their face in the water. Therefore, it’s best it is best to wait until the wound is healed to go back in the water. If you had wisdom teeth surgery, you should wait at least 2 weeks before swimming. For single-tooth non wisdom tooth extractions, 24 to 48 hours may be enough time for the wound … Read more

Invasive dental procedures linked to heart inflammation

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An interesting study titled “Endocarditis, invasive dental procedures, and antibiotic prophylaxis efficacy in US Medicaid patients” appears in Oral Diseases on April 27, 2023, written by Martin Thornhill and et. al. The study investigates the association between invasive dental procedures and endocarditis, which is inflammation of the inside lining of the heart chambers and heart valves. In the study the authors used the MarketScan multi-state Medicaid database to examine 1.68 million Medicaid patients with linked medical, dental, and prescription data and compared it to 7.95 million individuals with employer-provided Commercial/Medicare-Supplemental health coverage with linked dental and prescription benefits. The authors found that the cohort study showed increased endocarditis incidence within 30 days of invasive dental procedures in those at high risk, particularly after extractions or oral surgery. It was also determined that antibiotic prophylaxis significantly reduced endocarditis incidence following invasive … Read more

Articaine versus Bupivacaine Anesthetic Effectiveness for Lower Teeth Extraction

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An interesting article titled “A Comparative Evaluation of Anesthetic Effectiveness of 4% Articaine vs 0.5% Bupivacaine for Lower Molar Tooth Extraction” appears in Cureus in December 16, 2022, written by Tenglikar P, Manas A, Sahoo A, et al. (vol. 14, no. 12, pp. e32611). The article discusses the differences in the effectiveness of two common local anesthesia agents used in dentistry to control pain. The authors set out to explore the the effectiveness of 0.5% bupivacaine with 4% articaine in lower tooth extraction based on duration of anesthesia, onset, and pain perception along with observing blood pressure and heart rate. Today lidocaine (lignocaine) is extensively used as a local anesthestic agent in dentistry to control pain. Other anesthestic agents exists including bupivacaine and articaine. The authors conducted a randomized controlled study of patients having lower teeth extracted from June 2017 to October … Read more