The Effect of Acne Medication on Wisdom Teeth Removal

In a research letter in the October 2012 issue of J AM ACAD DERMATOL titled “The effects of isotretinoin on wisdom tooth extraction,” by Jyoti Sharma, Diane M. Thiboutot, and Andrea L. Zaenglein (pp. 794-795), a discussion is made of of the medicine more commonly known as Accutane. Accutane has since be removed from use in the U.S. due to legal issues but the generic form of isotretinoin remains available. See more discussion on the Wikipedia page http://en.wikipedia.org/wiki/Isotretinoin. In the study, 328 patients between 12 and 27 were contacted who were on isotretinoin. 26 of these patients had wisdom teeth extraction, with all but 1 of the patients still being on isotretinoin at the time of the surgery. 3 patients suffered from a dry socket but none of the other patients had a complication after wisdom teeth removal. One of these … Read more

Out of Court Settlement in Wisdom Teeth Removal Death Case

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

Propofol-Remifentanil Versus Propofol-Ketamine for Third Molar Surgery

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

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

One Star Yelp Reviews on Wisdom Teeth

In this post I will examine some recent 1 star reviews of a dental and/or oral surgery practice on Yelp and some of the comments received. At an office in Seattle, Washington, a women writes in her review on Yelp ” I am still upset about what happened. It is a very long and disturbing story. Basically – [the doctor] performed the surgery in a very cold room [on my 19 year old daughter] and seriously damaged a muscle in her jaw. Within 24 hours after surgery she could not open her mouth more than a quarter inch….the doctors determined that she had a massive infection in her jaw and immediately put her on IV antibiotics….it took FOUR months for the damage to heal & for her to be able to open her mouth normally!” At a dental center in Virginia … Read more