Prompts to reduce opioid prescribing

An interesting study with a potential technique to reduce opioid prescribing is published in Nature Communications by Doctor, J.N., Kelley, M.A., Goldstein, N.J. et al. titled A randomized trial looking at planning prompts to reduce opioid prescribing (vol.15, no. 263, 2024). The article suggests informing doctors about patients who died from overdoses, combined with specific guidance on safer prescribing practices, may be an effective way to reduce risky prescriptions of opioids and benzodiazepines. Despite efforts in the U.S. to reduce opioid addiction and related fatalities, it is believed too many opioids are still prescribed. Some evidence has shown that notifying doctors about an overdose death of a patient may be effective. Researchers from the University of Southern California investigated this approach by sending personalized letters to clinicians in Los Angeles County. Some received letters simply notifying them about a patient’s overdose death, while others received … Read more

Using Rifamycin for Reducing Complications After Wisdom Teeth Surgery

An interesting article titled “Evaluation of the efficacy of topical rifamycin application on postoperative complications after lower impacted wisdom teeth surgery” appears in the Journal of Stomatology, Oral and Maxillofacial Surgery written by Levent Cigerim and et. al. (online 11 May 2023, 101501). The article explores the efficacy of a single-dose of topical rifamycin application to reduce complications after wisdom teeth surgery. Rifamycin has been shown to be effective in the inflammatory phase of wound healing by inhibiting prostaglandins, TNF-α and IL-8. In the study the authors included 35 patients with bilaterally impacted lower wisdom teeth that were removed for orthodontic reasons. The patients were split into two groups where the extraction sockets were irrigated with 3 ml/250 mg of rifamycin or with saline. The patients had their pain intensity measured daily for 7 days using a visual analog scale. Mouth … Read more

Exploration of Postoperative Abscess Formation after Wisdom Tooth Removal

An interesting article titled “A Retrospective Analysis of Postoperative Abscess Formation Following Wisdom Tooth Removal and Their Clinical Condition and Localization,” written by Jakob Fehlhofer and et. al. appears in the Journal of Contemporay Dental Practice (vol. 23, n. 11, pp. 1079-1084, 2022). The article conducts a study on deep tissue abscesses after wisdom teeth removal to determine potential associated factors. Specifically the authors conduct a study with 88 patients who had wisdom teeth removed that resulted in a postoperative abscess formation who were treated at the Department of Oral and Maxillofacial Surgery at the FAU in Germany from October 2012 to February 2017. There were 44 male and 38 female patients, who were split into two groups Group A (removal of asymptomatic wisdom teeth) that had 14 male and 19 female patients and Group B (removal of symptomatic wisdom … Read more

How soon can you go swimming after wisdom teeth surgery

After having teeth extracted it may be tempting to want to head right back to the pool, especially if one is a competive swimmer. However, if you had teeth extracted, it is possible your dentist or oral surgeon cut part of the gum or even given you stitches to close the hole where your tooth was. Having a tooth extracted can potentially result in an infection. Going in a pool or a lake may cause bacteria to enter the wound. Particulary if one surbmerges their face in the water. Therefore, it’s best it is best to wait until the wound is healed to go back in the water. If you had wisdom teeth surgery, you should wait at least 2 weeks before swimming. For single-tooth non wisdom tooth extractions, 24 to 48 hours may be enough time for the wound … Read more

Family of Teen who Died During Wisdom Teeth Removal in Washington State Files Lawsuit

What should have been a routine wisdom tooth removal tragically ended in the death of 17-year-old male. The oral surgeon, allegedly failed to recognize and properly respond to a common anesthesia-related complication, leading to the teens death in June of 2024 . On December 9th 2024, the parents of the deceased teen filed a lawsuit against the oral surgeon in Washington state, alleging medical malpractice and negligence. “Double Duty” Surgery Raises Concerns: The lawsuit claims that the oral surgeon acted as both the surgeon and the anesthesiologist during the procedure, a practice that increases the risk of complications. “With almost all surgeries, it is standard practice for anesthesia to be administered by someone devoting their full attention to the patient,” stated one of the lawyers, representing the family. “When a surgeon splits their jobs to double their profits, it opens … Read more