wisdom teeth surgery

Laser therapy can reduce pain after wisdom teeth removal

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An interesting article titled “Extraoral low-level laser therapy can decrease pain but not edema and trismus after surgical extraction of impacted mandibular third molars: a randomized, placebo-controlled clinical trial,” appearing in BMC Oral Health is written by Ehsan Momeni and et. al. (September 20, 2022, Vol. 22, 417). The article seeks to explore the impact of using a low-level diode laser on pain, swelling (edema), and jaw opening (trismus) following surgery to remove impacted lower wisdom teeth. This topic has been covered before on this site see for example the articles Laser Therapy to Reduce Pain and Improve Healing After Tooth Removal and Using Laser Therapy after Tooth Extraction to Improve Wound Healing. In the article the authors explore laser therapy as a possible alternative to techniques such as medication, cryotherapy, and surgical closure techniques to minizime complications, pain, and … Read more

Woman in Singapore Dies After Wisdom Tooth Removal

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A 24 year old woman in Singapore died after having four wisdom teeth extracted in 2019. The woman had visited the National Dental Centre Singapore first in August 2018. At another visit in April 2019 she complained of severe pain in the upper and lower right side of her mouth. While at the appointment, it was determined that the pain could be due to her four impacted wisdom teeth. The woman decided to have wisdom teeth surgery under general anaesthesia. The woman had no known drug allergies and had previously been given general anaesthesia without any side effects. In May 2019, the woman was admitted to a hospital where she was given a pre-anaesthetic assessment where nothing out of the ordinary was noted. However it was noted the woman was obsese and had a skin condition known as hidradenitis suppurativa. … Read more

Oral Surgeon Opioid Prescribing Habits in the US during 2016 to 2019

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An interesting article titled “Opioid prescribing by oral and maxillofacial surgeons in the United States, 2016–2019” written by Tumader Khouj, Deborah E. Polk, and Katie J. Suda, appears in the October 9th, 2022, issue of the Journal of Public Health Dentistry. The article describes opioid prescribing trends among oral and maxillofacial surgeons (OMFS) in the United States during 2016 to 2019. In the past on this site several articles have covered opioid prescribing habits, see for example Assessing the Impact of Three Day Opioids Limits for Dentists, Insurance Companies Limiting Access to Opioids After Wisdom Teeth Surgery, Reducing Opioids in Oral and Maxillofacial Surgery, and Dentists Overprescribing Opioids to Adults in the U.S.. In the article, the authors conducted a retrospective analysis of IQVIA Longitudinal Prescription Dataset (LRx) from January 1, 2016, to December 31, 2019, that includes 92% of … Read more

Dentist suspended after patient died after teeth extraction

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A dentist in the state of Washington has had their dentistry license suspended over allegations of unsafe practices after a patient died while having multiple teeth removed in 2022. The patient had a significant medical history and was having teeth extracted in June 2022 in advance of a scheduled heart valve surgery. The patient was under moderate sedation for abot five minutes before a drop in oxygen-saturation level, heart rate and blood pressure. The patient had hypertensive cardiovascular disease, valvular heart disease, congestive heart failure, pulmonary emphysema, chronic disease, diabetes, and obesity. In advance of the extractions the dentist had received medical clearance from the patient’s primary care provider but the dentist had not talked to any other doctors treating the patient. During the day of the extractions, the patient was given articaine, lidocaine, triazolam, midazolam, decadron, and cefazolin. Roughly … Read more

Man with infected wisdom tooth dies several weeks later

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In early 2021, a man 44 years of age living in Auckland in New Zealand, died a few weeks after being aware of having an infected wisdom tooth. He first complained of having pain in his lower right wisdom tooth on Christmas Eve in 2020. He went to see a doctor about it several times over many days for swelling and pain and was given antibiotics. He was unable to swallow the pills so was given liquid antibiotics instead but nothing seemed to help with the infection. Later the pain and swelling in his face and neck became progressively worse. He went to the hospital on January 4, 2021. While in the hospital he had x-rays taken and was later discharged. The family was shocked to hear that the man was able to get discharged that soon. He was sent … Read more