wisdom teeth complications

Lemierre’s Syndrome After Wisdom Teeth Extraction

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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

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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

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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

Antibiotic resistance: what should dentists know

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An interesting article titled “Antibiotic resistance: The silent pandemia” appears in the International Dental Journal on January 12 2023 written by Angel-Orión Salgad Peralvo and et. al. The article discusses a call to action for dentists worldwide to cut back on their antibiotic prescribing habits arguing that 66% of antiobitics prescibed is not warranted. In the article the authors mention that dentists prescribe 10% of all antibiotics in the world. However, the way they see it, antibiotics being overly prescribed can contribute to the worldwide development of antimicrobial resistance. Antibitoics are used in dentistry for preventive purposes and to avoid systemic bacteraemia in patients at risk or to prevent possible bacterial contamination during surgery. Yet the resistance problem increases medical costs and increases mortality. Therefore they feel that dentists should change the way they prescribe antiobitics as the resistance problem … Read more

Iowa dentist with history of inappropriate conduct faces new charges

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An Iowa dentist with a history of alleged sexual misconduct with multiple patients is facing more charges from state regulators. The dentist first faced trouble in July 1993, when was charged with unprofessional conduct in the practice of dentistry and accused of inappropriately touching two female patients, one 17 and one 25 during their dental appointments. The 17 year old was recovering after being sedated during wisdom teeth surgery when the dentist entered and inappropriately touched the patient while she was in the dental chair. The 25 year old at her first appointment was sedated and upon waking found that her clothes were disheveled and had pain in her pubic bone. At her second appointment of the 25 year old, she allegedly awoke and heard the dentist making suggestive remarks while inappropriately touching her. Shortly after the first two patients … Read more