tooth extraction

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

World record set by nine year old’s wisdom tooth extraction

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Recently, a nine year old in Virginia has become the youngest person according to Guinness World Records to have a wisdom tooth extracted. The nine year old boy was 9 years and 327 days old when he had the wisdom tooth extracted. The boy learned that he needed the extraction when his orthondontist in Virginia noticed on a 3D x-ray that he had a wisdom tooth and a molar growing on top of each other. This was in the upper left area of his mouth. The boy said he could not feel the tooth growing but his orthodontist wanted it removed so that the molar could drop in his mouth properly. The boy was referred to an oral surgeon in Virginia. The oral surgeon confirmed wha the orthondotist had said, the wisdom tooth needed to be removed in order to … 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

Loss of Vision After Tooth Extraction

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An interesting article titled “A case report on loss of vision secondary to odontogenic orbital cellulitis” appears in Advances in Oral and Maxillofacial Surgery written by A. Ghaesemi and H. Jones (vol. 4, 2021). The article discusses a case of a woman who lost vision after having a tooth extracted. In the article a discussion is made of a 54 year old woman who went to the hopsital after experiencing three days of left-sided periorbital swelling, nasal discharge, and increasing facial pain. She began to experience these symptoms after having a symptomatic tooth removed. When she arrived at the emergency department she had a left eye that was protruding with extensive conjunctival hyperemia, had restricted eye movements, had a rapid heartbeat, and said that she was increasingly having bluriness in her left eye. A few hours later she lost her … Read more