Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal?

An interesting article titled “Do Oral and Maxillofacial Surgeons Over-Prescribe Opioids After Extraction of Asymptomatic Third Molars?” written by Resnick et al. appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The authors perform a study using patients at Boston Children’s Hospital in Boston, Massachusetts to determine how many opioids (taken as oxycodone) they take after having wisdom teeth extracted. This study was motivated by some recent studies that has shown that patients given opioids for dealing with pain after wisdom teeth surgery can go on to abuse opioids, see for example the posts Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse and Persistent Opioid Use After Wisdom Teeth Removal. In the article the authors devised a study to determine how many narcotic and non-narcotic pain relief pills are taken … Read more

Staying Upbeat when Facing Teeth Removal

For those who are deciding to retain or to extract healthy impacted wisdom teeth or for those who have a tooth or teeth that has a clear indication for removal, you may find yourself at times feeling sad or experiencing sadness. Perhaps this sadness is from thinking about the costs and expenses needed to have great dental health and thinking about how people in other countries might have cheaper health care yet still have good outcomes. Perhaps this sadness is from looking over what seems to be countless complications occurring from wisdom teeth such as on the wisdom teeth complications page on this site and thinking about the negative effect it had on those lives. Perhaps this sadness is from thinking about all the time and effort that is required with a dental malpractice lawsuit and feeling sorry for those … Read more

Persistent Opioid Use After Wisdom Teeth Removal

An interesting article titled “Persistent Opioid Use After Wisdom Tooth Extraction” appears in JAMA in August 7, 2018, written by Harbaugh et al. (vol. 320, no. 5 , pp. 504-506). The article sought out to see if opioid painkiller prescriptions that many young adults receive after having wisdom teeth removed could set them on a path to long-term opioid use. The authors explored data from patients 13 to 30 years old who underwent wisdom tooth extraction in the Truven Health MarketScan Commercial and Dental database (from July 1, 2009-December 31, 2015). The MarketScan database contains de-identified data from insurance claims and includes 43 million to 55 million beneficiaries annually from the 50 states in the U.S. Patients were excluded from the data the authors explored if there was a lapse in enrollment, if the patient had an opioid prescription filled within 6 months … Read more

Wisdom Teeth Removal Death in 2016 in Florida: Settlement Reached

A 17-year-old man died after having wisdom teeth removed in April 2016 in Florida. The man had the procedure performed under conscious sedation. During the surgery the man stopped breathing which led to irreversible brain damage and he suffered cardiopulmonary arrest during administration of the anesthesia. He was in a coma for two days before his parents made the painful decision to pull the plug on life support and then he died. There was no known medical history that might have contributed. Further, there was no anesthesia record that could be found to show the man’s blood pressure, heart rate and oxygen were being during the surgery. An attorney for the dentist who performed the surgery said that vital signs were recorded on an anesthesia record which was given to the EMS personnel when the man was transported to a hospital. A … Read more

Twenty one year old woman improving after wisdom teeth removal caused brain injury

A young woman from Kansas is improving after spending months recovering from brain injury that occurred after having wisdom teeth removed in March 2018. The woman was finishing up her senior year of college and planning a wedding prior to going into cardiac arrest and suffering brain injury from wisdom teeth surgery. She spent a month in intensive care and then moved to a rehabilitation center for seven months. While at the rehabilitation center, the woman learned to walk again with the help of a robotic exoskeleton. She now uses sign language to communicate and has regained some lost vision. Some members of the woman’s community helped to set up an online raffle to help chip in for expenses now that the woman is attending physical therapy three times a week to continue to improve. Originally the doctors thought the … Read more