Surgery Free Wisdom Tooth Bud Ablation Treatment To One Day Replace Surgery?

An interesting article titled “Fully Guided Tooth Bud Ablation in Pigs Results in Complete Tooth Bud Removal and Molar Agenesis” appears in the Journal of Oral and Maxillofacial Surgery written by Leigh E. Colby and David P. Watson, Vol. 81, Issue 4, pp. 456-466, Apr. 2023, Published Dec. 16, 2022. The article seems to be a follow-up to a prior article discussed on this site in the post “Tooth bud abalation of wisdom teeth may be alternative to surgery in the future“. That study had shown that fully guided microwave tooth bud ablation (3TBA) could be used to successfully remove wisdom tooth tooth buds without damaging surrounding tissues in a study with 5 pigs. The most recent study used a 28-day longitudinal characterization study to determine if healing response following fully guided microwave ablation of tooth buds in pigs would result in … Read more

Iatrogenic Fracture of the Mandibular Angle During Wisdom Tooth Surgery

An interesting article titled “Iatrogenic Fracture of the Mandibular Angle During Excision of an Impacted Third Molar” appears in Cureus in August 04, 2022, written by Agrawal P, Jadhav A, Bhola N D (vol. 14, no. 8, pp. e27672). The article discusses a case of a 30 year old woman who had atrogenic mandibular angle fracture after having an impacted wisdom tooth removed. In the article, the authors mention of a 30 year old woman visited their outpatient department complaining of pain and swelling over the lower right side of her face with an inability to open her mouth and chew for the last four days. Prior to this, she had her lower right impacted wisdom tooth removed under local anesthesia. On exam, the woman was found to have an asymmetrical face due to swelling over the lower right region … Read more

What is the Estimated Amount of Wisdom Teeth Extractions in the US

An interesting article titled “Estimated Cumulative Incidence of Wisdom Tooth Extractions in Privately Insured US Patients,” written by Alan R. Schroeder and et. al. appears in Frontiers in Dental Medicine (July 2022, vol. 3, article 937165). The article sought to determine the cumulative incidence and predictors of wisdom teeth extractions in the US. The article was motived by some of the controversy around wisdom teeth extractions and to better provide frequency estimates of the procedure to help inform future quality improvement initiatives and/or clinical trials. The authors used a national dental insurance claims database of privately insured patients (IBM MarketScan Dental Database), to help estimate the incidence of wisdom teeth extractions in the US and to determine variation by sex and geographic region. The authors included all patients in the database for their study who were under 60 years of … Read more

Tramadol dexketoprofen combination effective for relieving wisdom teeth surgery pain

Effective pain control for wisdom teeth surgery continues to be an area of much interest. In an article titled “ANALGESIC EFFICACY OF TRAMADOL/DEXKETOPROFEN VSIBUPROFEN AFTER IMPACTED LOWER THIRD MOLAR EXTRACTION: A RANDOMIZED CONTROLLED CLINICAL TRIAL,” appearing in the Journal of Evidence Based Dental Practice written by C. Vallecillo and et al. (volume 21, issue 4, December 2021, 101618) the authors explore ibuprofen or tramadol-dexketoprofen as pain control after wisdom teeth surgery. In the article the researchers explored the effectiveness of Enanplus a capsule consisting of 75 mg tramadol hydrochloride and 25 mg dexketoprofen that is sold outside the U.S. Tramadol is an opioid class medication that inhibits the reuptake of noradrenaline and serotonin. Dexketoprofen is a non-steroidal anti-inflammatory drug (NSAID) that has with fewer adverse effects than other more common NSAIDs. The authors conducted adouble-blind, parallel-group, randomized controlled clinical trial … Read more

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