wisdom teeth surgery

Is it Safe to Not use Suture or Stitches When Removing Wisdom Teeth?

by

An interesting article titled “Sutureless socket technique after removalof third molars: a multicentric, open, randomized controlled trial” appears in BMC Oral Health written by Sarah Takadoum and et. al. (vol. 22, Article number: 256, 2022). The article conducted a clinical trial to compare pain following removal of impacted wisdom teeth with and without sutures also known as stiches. In the article the authors mentioned how questions remain regarding the best operative techniques during wisdom teeth surgery particularly the mucosal closure stage on impacted mandibular (lower) wisdom teeth. There are some who recommend suturing sockets after extraction, justfying this by saying that it limits bleeding and contamination of the postoperative site to thus improve the quality and speed of healing. There are others who prefer natural healing while the site is closed via cheek pressure. The authors set out to compare postoperative pain … Read more

Relationship between Body Mass Index and Wisdom Teeth Eruption

by

An interesting article titled “Relationship Between the Eruption of Third Molar Teeth and the Growing Status of the Assamese Inhabitants of a North-Eastern State of India” appears in Cureus in January 09, 2022, written by Putul Mahanta Sr. and et. al. The article seeks to evaluate the relationship between wisdom teeth eruption and a possible association with body mass index which can be used to monitor growth in children. The authors mention that teeth eruption is related to physical growth and is used to gauge child maturity as a biological marker. Factors such as hereditary, gender, nutrition and geographic location are known to influence teeth eruption. The authors set out to take into account that factors like BMI, genetic, nutritional, and geographical factors on wisdom teeth eruption. They conducted a cross sectional study of 1,060 patients with ages between 14 and … Read more

The wisdom behind wisdom teeth extraction

by

An interesting article titled “The wisdom behind the third molars removal: A prospective study of 106 cases” appears in the August 2021 of the Annals of Medicine and Surgery written by Kerdoud Ouassime and et. al. (vol. 68, pp. 102639). The article seeks evaluate the decision-making of wisdom teeth extractions and the epidemiological profile in a population of 106 cases. In the article the authors mention how debate continues about the beststrategies for the management of wisdom teeth. The majority of oral and maxillofacial surgeons continue to say that that most wisdom teeth are potentially pathological and should be extracted while others argue that only wisdom teeth third with associated pathology should be removed. To investigate the indications for wisdom teethextractions the authors conducted an analysis of 106 patients seem at their hospital between January 1, 2020 and January 1, … Read more

Articaine versus Bupivacaine Anesthetic Effectiveness for Lower Teeth Extraction

by

An interesting article titled “A Comparative Evaluation of Anesthetic Effectiveness of 4% Articaine vs 0.5% Bupivacaine for Lower Molar Tooth Extraction” appears in Cureus in December 16, 2022, written by Tenglikar P, Manas A, Sahoo A, et al. (vol. 14, no. 12, pp. e32611). The article discusses the differences in the effectiveness of two common local anesthesia agents used in dentistry to control pain. The authors set out to explore the the effectiveness of 0.5% bupivacaine with 4% articaine in lower tooth extraction based on duration of anesthesia, onset, and pain perception along with observing blood pressure and heart rate. Today lidocaine (lignocaine) is extensively used as a local anesthestic agent in dentistry to control pain. Other anesthestic agents exists including bupivacaine and articaine. The authors conducted a randomized controlled study of patients having lower teeth extracted from June 2017 to October … Read more

A case of bilateral kissing molars

by

An interesting article titled “Bilateral ‘kissing’ molars: A case report” appears in Clinical Case Reports written by Bilal Aslam- Pervez and Emma Carr (2022;10:e06407). The article discusses a case of a 20 year old man who had a very rare bilateral kissing molars impaction. Kissing molars occur the occlusal surfaces of impacted molars are united by the same follicular space and the roots point in the opposite direction. This typically occurs between wisdom teeth and second molars, but can also occur between wisdom teeth and the fourth molar. In the article discussion is made of the 20 year old man who went to a hospital in Scotland complaining of a dull ache for the last year. The patient was healthy but did smoke around 10 cigarettes a day for the last few years. Upon examination a total of 7 teeth … Read more