wisdom teeth extraction

Out of Court Settlement in Wisdom Teeth Removal Death Case

by

Previously I have discussed the case where a 17 year old female died unexpectedly after having wisdom teeth removed. She was a junior in high school and died on April 6, 2011, 10 days after the surgery due to suffering a severe brain injury. The autopsy report showed that she died due to lack of oxygen to her brain during the extractions. This is discussed in the blog post 17 Year Old Female Dies After  Wisdom Teeth Removal. Recently, it appears that this case was settled out of court on March 28, 2013. The parents of the female sued both the oral surgeon and anesthesiologist in the case claiming they had shown negligence in failing to revive her after her heart rate slowed to a dangerous level and thereby causing a lack of oxygen to her brain. Unfortunately the conditions … Read more

24 Year Old Man Dies After Wisdom Teeth Removal

by

Recently, another unfortunate case has occurred where a 24 year old man has died after having his wisdom teeth removed in California. See this page for some additional information on death from wisdom teeth removal. Also see other blog posts such as this one 14 Year old Boy Dies Within 24 Hours of Having Wisdom Teeth Removed. In this recent case the 24 year old man saw an oral surgeon in California to have wisdom teeth extracted on March 21, 2013. He was given 6 different sedatives including propofol. During the surgery he began to cough and went into cardiac arrest. He was then taken to a hospital and was found to have two pieces of gauze in his airway. He then died three days later. It is not clear if the gauze contributed to his death. An autopsy report … Read more

Propofol-Remifentanil Versus Propofol-Ketamine for Third Molar Surgery

by

A study titled “Comparison of Propofol-Remifentanil Versus Propofol-Ketamine Deep Sedation for Third Molar Surgery” appears in the 2012 Anesthesia Progress journal. The authors of the study set out to better determine what anesthetic to provide during third molar (aka wisdom teeth) surgery. In the study, two drug combinations for use as deep sedation during oral surgery were evaluated. Patients in a control group received a continuous intravenous infusion of propofol-remifentanil,  and patients in an experimental group received a continuous intravenous infusion of propofol-ketamine. This study was double blind in that neither patients nor surgeons were aware of which treatment was given. In this study, 37 patients  were monitored while sedated for respiratory, heart rate, and blood pressure stability. Emergence from the effects of anesthesia and total recovery time were recorded. In addition, patients and surgeons were both asked to rate … Read more

Some New Wisdom Teeth and Dental Information Websites

by

Recently I have come across a few new websites in the dental space and wisdom teeth space on the internet. Update as of June 2019 both of these websites are dead and no longer exist. 1) One of these websites is http://www.teethcenter.com. This site says  “TeethCenter is an organization committed to providing consumers and dentists with an online resource for dental related and news and information. There are many “health” sites on the web, but, not a prominent site dedicated to dental news and information.” The website looks quite nice but it’s articles in terms of quality are the typical. For example, on the page “Should I Have my Wisdom Teeth Pulled,” discussion is made of some reasons for and against wisdom teeth removal but not statistics/data to help aid the reader is presented.  I have provided a lot of … Read more

The Evidence Base for Third Molar (Wisdom Teeth) Decisions

by

An excellent editorial appears in the Journal of Oral and Maxillofacial Surgery in the August 2012 edition titled “Those Who Ignore the Evidence Are Doomed to Misuse It” by Dr. Thomas B. Dodson (70, pages 1765-1767). Dr. Dodson explains how the debate regarding whether or not to either 1) remove asymptomatic, disease-free third molars, or 2) retain asymptomatic, disease-free third molars has become highly controversial. He argues that there are an assortment of viewpoints that play a role here. A) Payer-based clinical decision making: “The payer is the invisible hand in the operatory, influencing the treatment plan with a bold line that determines whether a service is covered or not. With PBCD, there is little regard or sympathy for what the OMS perceives about the individual patients and their circumstances. Thus, PBCD risks moral hazard by pre-empting services that the … Read more