Dental Extraction Complications in Patients on Double Antiplatelet Therapy

An interesting article titled “Hemorrhagic Complications of Dental Extractions in 181 Patients Undergoing Double Antiplatelet Therapy” written by Olga Olmos-Carrasco and et al. appears in the 2015 Journal of Oral and Maxilofacial Surgery (vol. 73, pp. 203-210). The study sought to explore if dental extractions can be done safely on patients with double antiplatelet therapy. Double antiplatelet therapy is the combination of 100 mg per day of acetylsalicylic acid and a second antiplatelet agent. This type of therapy is done to prevent blood cells from forming a clot in certain types of patients who have a history of coronary artery disease, or have had a heart attack or stroke. A total of 181 patients with a mean age of roughly 67 were included in the study.  Most of the patients (76.8%) were male. A total of 217 teeth were extracted … Read more

How Effective is Antimicrobial Prophylaxis in Oral Procedures

An interesting article titled “Effectiveness of Antimicrobial Prophylaxis in Preventing the Spread of Infection as a Result of Oral Procedures: A Systematic Review and Meta-Analysis” appears in the 2016 Journal of Oral and Maxilofacial Surgery written by J. A. Moreno-Drada and H. A. Garcia-Perdomo (vol. 74, pp. 1313-1321). The article seeks to explore the effectiveness of prophylactic antibiotics (such as amoxicillin) for preventing localized infections of the oral cavity, neck, and thoracic cavity in patients undergoing oral procedures. Bacteremia is well known to occur after dental procedures. Severe complications as a result of infections from bacteremia have been reported. Based on expert opinions, it has been recommended that prophylaxis be given to patients at high risk before manipulation of the gingiva or periapical region of the teeth and before perforation of the oral mucosa during dental procedures. However the use of prophylactic antibiotics is controversial. In some cases this could lead to antiobiotic resistance. In the face of bacterial … Read more

What Makes the Best Dentists?

There’s plenty of dentists to choose from and we know that finding the best one can be quite difficult. Dental health is not a matter that can be taken for granted and you need to know that your dentist will efficiently see to your needs. A good dentist will be concerned for his patients well being and will focus on it. A good dentist is also honest and won’t try and get you to buy all unnecessary dental treatments and products. After all he’s a dentist, not a salesman. You Should Feel Safe In Your Dentist’s Office: In a dentist office, it’s easy to feel vulnerable. Dentists see everything in your mouth, and regardless of what you’ve told them, they can tell how often you’re brushing, flossing and rinsing with mouthwash. When you have to undergo a procedure, from tooth extractions … Read more

Dentist Pulls Out Wrong Tooth

For anyone who has looked carefully at the complications that can happen from wisdom teeth removal page I have put together one of the complications is that the wrong tooth and even the wrong teeth can be mistakenly extracted. An unfortunate additional instance of a wrong tooth being pulled is discussed over at http://www.dailymail.co.uk/news/article-2035988/Dentist-retrieved-tooth-bin-sewed-hours-later-pulling-wrong-one.html#ixzz1Xguo9Q2tin a post titled “Dentist retrieved my tooth from bin and sewed it back two hours after pulling out wrong one” written by Stephen Moyes and Nick Constabled and published on September 11, 2011. Now for this specific case that occurs I have not heard quite anything like it. A 44 year old women in the U.K. went to see a dentist over a throbbing tooth. The dentist x-rayed her mouth and for some reason did not look at the x-ray instead extracting the tooth that the … Read more

Awareness Campaign to Prevent Unnecessary Tooth Extractions

The Saving Teeth Awareness Campaign has been launched in the United Kingdom to provide information to those patients in need who have a tooth infection as this will lead to bone loss and potential loss of that tooth. http://www.savingteeth.co.uk/index.htm The campaign’s goal boils down to “If a tooth can be saved, it is the best choice.” The campaign wants to make those aware that root canal treatment is the first choice when a tooth is infected. Many will instead have the tooth extracted and replaced with a bridge or dental implant but they want to try to save as many teeth from extractions as possible. An endodontist is a specialist that will often perform root canal therapy The Root Canal Awareness Week will occur in the United States from March 27 to April 2, 2011. http://www.aae.org/rcaw/ The poster from The … Read more