Combining ibuprofen and acetaminophen for wisdom teeth surgery pain management

Before on this site the hazards of opioids prescribed for surgeries like wisdom teeth extraction has been discussed. Instead of taking an opioid like Vicodin which contains hydrocodone or another opioid that contains oxycodone an alternative patients may have if their oral surgeon is willing is to take a combination of ibuprofen and acetaminophen. This combination has been discussed in many articles on the past on this site such as Reducing Opioids in Oral and Maxillofacial Surgery, New Research Being Conducted at Rutgers for Opioid Alternatives Could Lead to Less Potential Drug Abuse for those Having Wisdom Teeth Surgery, and Oral and Maxillofacial Surgeons Current Perspectives on Opioid Prescribing. Patients may have questions about the right dosage level, there side effects, and if they work as well as opioids. According to a white paper by the American Association of Oral … Read more

Using Bupivacaine with Wisdom Teeth Removal Results in Less Opioids Prescribed

An interesting article titled “A Retrospective Cross-Sectional Study of the Effect of Liposomal Bupivacaine on Postoperative Opioid Prescribing After Third Molar Extraction,” written by Stuart E. Lieblich and et al. appears in the Journal of Oral and Maxillofacial Surgery (vol. 79, pp. 1401-1408, 2021). The study seeks to explore if patients who have lower wisdom teeth removed using liposomal bupivacaine need less opioids than those wo do not have liposomal bupivacaine. In the study the authors performed a retrospective study of patients who had undergone wisdom teeth extraction at 2 outpatient oral surgery centers in the United States. Patients had to have been at least 18 years of age and undergoing an elective wisdom tooth removal with 1 partial bony or full bony lower impacted wisdom tooth. A total of 600 patients who underwent wisdom teeth extracted were included in … Read more

Taking etoricoxib before Wisdom Teeth Surgery to Help Relieve Pain

An interesting article titled “Does low dose of etoricoxib play pre-emptive analgesic efect in third molar surgery? A randomized clinical trial” written by Long Xie and et al. appears in BMC Oral Health (vol. 21, no. 462, 2021). The article discusses the results of a randomized clinical trial that explored if a preemptive low dose of the nonsteroidal anti-inflammatory drug (NSAID) etoricoxib may reduce the need for analgesics after wisdom teeth extraction. The study the authors conducted was designed as randomized, parallel, double-blinded and placebo-controlled and occurred between August 2019 and July 2020. A total of 56 patients were included in the study that met the inclusion criteria and scheduled to have impacted horizontal mandibular wisdom teeth extracted. The authors found that the mean VAS pain score in the etoricoxib group was significantly lower than that in the placebo group … Read more

Oral surgeon must pay 2.75 million in malpractice case for dental surgery gone wrong

An oral surgeon has been ordered to pay $2.75 million in a medical malpractice case that nearly killed a 32 year old man. The trial had been delayed numerous times due to the COVID-19 pandemic. Further, the oral surgeon refused to negiotiate any type of settlement with the patient. In 2018, the man was refered to the oral surgeon for removal of his lower left wisdom tooth. During the his first appointment, the man had a panoramic x-ray of his mouth. When the oral surgeon reviewed the x-ray he noticied a radiolucency near the man’s lower left wisdom tooth. The oral surgeon then had the man undergo a cone-beam computed tomography (CBCT) scan and suggested a biopsy to determine whether the lesion was cancerous. When a radiologist reviewed the CBCT san he said it was suboptical because IV contrast had … Read more

Man destroys dental office after dentist refuses to remove suspected electronic eavesdropping device

In the past on this site it has been described how there may be a wisdom teeth conspiracy where dentists or oral surgeons implant an electronic eavesdropping device also known as a microchip inside patients mouths after wisdom teeth removal. This is described in the post Wisdom Teeth Conspiracy: Electronic Eavesdropping Device although no concrete proof of such a conspiracy is provided. It was however speculated that it could be possible to place a radio-frequency identification (RFID) microchip with potential for Global Positioning System (GPS) tracking capabilities inside a patients mouth. If this was done it may be possible for someone to observe and hear everything the person says and also know their exact location. Recently, it has been reported that a man in Brazil and his wife believed that the woman had a microchip secretely implanted in her mouth … Read more