Wisdom Teeth

Antibiotics After Wisdom Teeth Removal Can Lead to Life Threatening Infection

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One subject of debate regarding those who have wisdom teeth removed is whether or not to take antibiotics and if so should you take them before or after surgery. This has been covered on this site before in such posts as 1) Antibiotics for Dental Use Contributing to SuperBugs, 2) The Effect of a Single Dose of Antibiotics Prior to Wisdom Teeth Surgery, and 3) Patient’s Perception of Antibiotic Need After Teeth Removal. Some guidance seems to indicate that a single antibiotic before dental surgery should be given to high risk patients for postoperative infections but in other patients that are healthy an antibiotic is not needed. Some may question this approach, but antibiotics can contribute the development of Clostridium difficile (C. diff or C. difficile), a serious and possibly deadly infection that is accompanied by severe diarrhea. In one case a man … Read more

Practice Approaches of British Oral Surgeons for Wisdom Teeth Surgery

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An interesting article titled “Current practice in mandibular third molar surgery. A national survey of British Association of Oral Surgeons membership,” written by Devine et al. appears in Oral Surgery in 2017 (vol. 10, pp. 11-19). The article discuss the current practices among member of the British Association of Oral Surgeons (BAOS) for wisdom teeth surgery. The authors conducted a survey of members of the British Association of Oral Surgeons from March to June 2015 where 250 of the 520 total members (48.1%) responded. The most common grade of the respondents was specialty dentist (25.2%), primary care oral surgeon (18.4%), associate specialist (18.0%) and oral surgery consultant (13.4%). About 17% of those who responded said that wisdom teeth removal comprises 75% of their workload and about 36% of those who responded said that wisdom teeth removal comprises between 50 and … Read more

Laser Therapy to Reduce Pain and Improve Healing After Tooth Removal

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An interesting study titled “The effect of the low-level laser therapy on healing and pain after tooth extraction: a systematic review” written by Ribeiro et al. appears in Oral Surgery in 2017 (vol. 10, pp. 174-183). The article attempts to perform a systematic review to determine if lower level laser therapy improves healing and reduces pain after having a tooth extracted. In the past several similar studies that have been conducted have been discussed on this site see for example Using Laser Therapy after Tooth Extraction to Improve Wound Healing and Can you Use Low Level Laser Therapy After Wisdom Teeth Removal to Reduce Pain?. Low level laser therapy aids in the healing process by providing radiation that is absorbed through cytochromes in the mitochondria and then converted into energy by adenosine-50-triphosphate (ATP) which causes protein synthesis and acceleration of … Read more

Pandemic Precautions: How Safe is a Visit to the Dentist for Removing Your Wisdom Tooth?

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The pandemic has made regular life difficult, and even something as important as going to the local dentist for a regular checkup has not been exempted from that effect. This brings us to a very real and tricky question: is it really safe to go to a dentist when COVID-19 is running rampant everywhere? Even more importantly, how safe is it to get your wisdom teeth removed right now? The Answer is Highly Variable There isn’t a singular “yes” or “no” answer to this question, which could be taken as applicable across all dental clinics in the US. It depends on multiple factors and variables that we cannot control. Fortunately, there are also multiple other factors that we can control to keep ourselves relatively safe in any environment, including the dentist’s clinic. As to the question of whether removing a wisdom … Read more

Comparison of Bupivacaine and Lidocaine for Wisdom Teeth Surgery

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An interesting article titled “Comparison of anaesthetic regime in patients undergoing third molar extraction” written by McCarthy et al. appears in Oral Surgery in 2018 (vol. 11, pp. 33-40). The article seeks to explore the use of lidocaine and bupivacaine which are two different anesthetic agents for wisdom teeth removal to see if there is any difference on patient pain, preference, and satisfaction. The authors state that using local anesthesia for removing wisdom teeth when also using general anesthesia is still controversial. They thus designed a double blind split-mouth randomized clinical trial where both an anesthetic and control were used on a patient at the same time. The authors conducted the study in two parts. In the first part 52 patients were given 2% lidocaine with 1: 80,000 epinepherine on one side and nothing given on the other side. In … Read more