wisdom teeth complications

Pseudoaneurysm after wisdom teeth extraction

by

An interesting article titled “Pseudoaneurysm following “routine” third molar extraction: a case report and review of the literature” appears in the March 2022 edition of Oral and Maxillofacial Surgery Cases written by J. J. Heifetz-Li and S. Abdelsamie (vol. 8, no. 1,100249). The article presents a case of unusual bleeding following wisdom teeth surgery in a healthy 17 year-old. In the article discussion is made of a 17 year old teenage woman who has her complete bony impacted wisdom teeth extracted at an Oral and Maxillofacial Surgery outpatient clinic. She had no known signficant past medical history. The removal of her wisdom teeth was considered to be a routine extraction that involved a distal “hockey stick” incision, to raise the full-thickness mucoperiosteal flap to get to the crowns. The teeth were removed without damaging any nerves nearby and no excessive … Read more

Most Cost Effective Way to Treat Persistent Trigeminal Neuropathy

by

An interesting article titled “Is Surgical Repair With Nerve Allograft More Cost-Effective Than Non-Surgical Management for Persistent Trigeminal Neuropathy? Initial Assessment With Q1 Markov Model,” written by Benjamin Palla and et. al. appears in the Journal of Oral an Maxillofacial Surgery published online February 17, 2023. The article explores if surgical repair with allogeneic nerve graft a more cost-effectivetreatment option than no surgery. The article explores patients who suffer from trigeminal nerve injuries and how in some patients that show no signs of improvement after 3 months they are considered to have persistent trigeminal neuropathy (PTN). This condition can result as a complication of wisdom teeth removal. This condition can affect aspects of daily life including tooth brushing, flossing, talking, eating, drinking, chewing, smiling, kissing, and sleeping. A total of 36% of patients with trigeminal neuropathy have depression and many … Read more

Lemierre’s Syndrome After Wisdom Teeth Extraction

by

One possible complicaton after wisdom teeth extraction is known as Lemierre’s Syndrome. Lemierre’s Syndrome is a rare complication with limited cases being reported that can happen after having wisdom teeth extracted. Since antibiotics have been introduced it is also referred to as “the forgotten disease.” It has been covered on this site before, and is listed as a complication of wisdom teeth removal at http://www.teethremoval.com/complications.html. Lemierre’s Syndrome starts with an infection in the head and neck region and presents with swelling, a high fever, neck pain, and a sore throat. It has a high mortality rate of 18% and thus imaging and antibiotic treatment are of the upmost importance if it presents. Diagnosis involves laboratory results including blood cultures and radiological scans such as CT imaging. Particularly, a CT scan with contrast can identify a thrombosed vein, such as the … Read more

Treating dentigerous cyst by extracting wisdom teeth

by

An interesting article titled “Marsupialization of Dentigerous Cysts Followed by Enucleation and Extraction of Deeply Impacted Third Molars: A Report of Two Cases” appears in Cureus in April 02, 2022 written by Nedal Abu-Mostafa (vol. 14, no. 4, pp. e23772). The article discusses two cases of a dentigerous cyst (DC) that involves the crown or a portion of the crown of an unerupted or impacted tooth that more commonly affect mandibular or lower impacted wisdom teeth. In the article discussion is made of dentigerous cysts being the second most common odontogenic cysts. Dentigerous cysts are caused by an alteration of the reduced enamel epithelium and results in fluid accumulation between it and the enamel of the crown. The progression of dentigerous cystsis are slow and often do not present any symptoms and the patient learns about them through an x-ray or … Read more

The wisdom behind wisdom teeth extraction

by

An interesting article titled “The wisdom behind the third molars removal: A prospective study of 106 cases” appears in the August 2021 of the Annals of Medicine and Surgery written by Kerdoud Ouassime and et. al. (vol. 68, pp. 102639). The article seeks evaluate the decision-making of wisdom teeth extractions and the epidemiological profile in a population of 106 cases. In the article the authors mention how debate continues about the beststrategies for the management of wisdom teeth. The majority of oral and maxillofacial surgeons continue to say that that most wisdom teeth are potentially pathological and should be extracted while others argue that only wisdom teeth third with associated pathology should be removed. To investigate the indications for wisdom teethextractions the authors conducted an analysis of 106 patients seem at their hospital between January 1, 2020 and January 1, … Read more