Seventeen Year Old Teenager Due for Lung Transplant after Wisdom Teeth Removal

An unfortunate story appears in KRDO describing a seventeen year old man who had two impacted wisdom teeth extracted in October 2022 in Colorado. Seven days after the procedure the man started coughing up blood and ever since then his health has deteriorated. Prior to the surgery the teenager was in good health regularily lifting weights and playing with his siblings in his home state of Colorado. As reported in March 2023, now the man over four months later is an inpatient at a hospital and struggles to walk from a hospital bed to a bathroom that is five feet away. Two days after he started coughting up blood he went into septic shock where he was placed on a ventilator and moved into the intensive care unit of a hospital. His family is in a constant state of fear … Read more

Using an Eye Massager to Control Anxiety Before Wisdom Tooth Extraction

An interesting article titled “Massage Therapy to Control Anxiety Before Extraction of an Impacted Tooth,” appears in Cureus in October 4, 2022, written by Kunusoth R, Colvenkar S, Alwala A, et al. (vol. 14, no. 10, pp. 29893). The article discusses a simple technique to manage anxiety during dental visits using an eye massager. Many patients experience anxiety when seeing a dentist, see for example the posts Changes in Dental Anxiety over Time and Dental Anxiety and Fear: Impact on Oral Health. Dental anxiety can be caused by such things as a prior past negative dental experience, fear of needles, and a fear of gagging or choking. These patients are more likely to cancel their appointments and may be more difficult to treat. Various treatment options for dental anxiety exist such as described in the posts Do Wisdom Teeth Surgery … Read more

What is the norcebo effect and does it matter for dentistry?

An interesting article titled “What is the nocebo effect and does it apply to dentistry? A narrative review” written by T. Watanabe and et al. appears in the Journal of Oral Rehabilitation (2022). The article discusses the concept of a nocebo which is different than a placebo. A nocebo is where negative expectations lead to the effect of either clinical worsening, suboptimal treatment efficacy, or the occurrence of adverse events. A placebo on the other hand is where postive expectations leads to an effect that causes an improvement in symptoms. In the article the authors sought to explore the norcebo effect in dentistry which they say to date has been given very little attention which only a limited number of articles discussing it. The norcebo effect is real and has been demonstrated in numerous experimental and clinical settings, which hows … Read more

What Dentists Should Say to Patients when Something Doesn’t Go Right

Unfortunately dentists and oral surgeons don’t always have all procedures go as planned for their patients. For example, when it comes to wisdom tooth surgery, it is possible for the wrong set of wisdom teeth to be removed as is discussed on the wisdom teeth complications page, see https://www.teethremoval.com/complications.html. Since procedures don’t always go as planned, on this site before guidance for patients who want to be very defensive has been provided, see the post The Defensive Patients Guide to Wisdom Teeth Removal. While patients can sometimes be bad actors and deny that certain information was provided to them prior to a procedure (see the post Patient Recall During Informed Consent for Wisdom Teeth Surgery), dentists and oral surgeons also can behavior badly such as by telling patient’s after their procedure that their condition that resulted could not have possibly … Read more

Womans toothache that led to Wisdom Teeth Removal Turns out to be Cancer

A 29 year old woman in Scotland began to experience pain in her mouth in September 2020 and also felt a pea-sized lump on her jawline. She thought the pain and problems were due to not having wisdom teeth extracted and that an infection had developed. She later had four wisdom teeth extracted Glasgow Dental Hospital in Glasgow, Scotland, and then spent 12 months on antibiotics. After the wisdom teeth were removed she continued to have a swollen gland or lymph node and she continued to feel something was not quite right. In January 2021, he went in for a biopsy and CT scan. Four days after these tests were done she was told she had a cancerous lump and was diagnosed with osteosarcoma cancer. She started chemotherpay in early March 2021. She later had to have bone reconstruction, skin grafts … Read more