Wisdom Teeth

Do Patients Desire Liposomal Bupivacaine After Wisdom Teeth Surgery

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An interesting article titled “Are Patients Interested in Liposomal Bupivacaine as a Nonopioid Alternative for Postsurgical Analgesia Following Third Molar Extractions?” written by Annie Ho and et. al. appears in the Journal of Oral and Maxillofacial Surgery (online August 9, 2023). The article seeks to determine a patient interest in the use of Liposomal Bupivacaine as an alternative to opioids after wisdom teeth extraction. Studies have shown that patients given opioids after surgery have a 44% increased risk of long-term opioid use. Long lasting local anesthetics like liposomal bupivacaine (LB) were first approved in the U.S by the Food and Drug Administration in2011. Only a single dose to the surgical site is needed for postsurgical analgesia. Research has shown that Liposomal Bupivacaine can lower cumulative pain scores, reduce opioid requirements, and make for faster discharges from the hospital. Although Liposomal … Read more

Ibuprofen-Arginine and Dexamethasone: A Promising Combo for Lower Wisdom Teeth Molar Pain

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A interesting study published in Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology (Edson Luiz Cetira-Filho and et. al. Preemptive vs. Preventive Coadministration of Ibuprofen L-Arginine and Dexamethasone in Lower Third Molar Surgeries: A Randomized Controlled Trial, 2024) suggests that a combination of ibuprofen-arginine (Ib-Ar) and dexamethasone (DX) could be a more effective pain management strategy for patients undergoing lower wisdom teeth surgery. Researchers from the Federal University of Ceará in Brazil conducted a randomized controlled trial involving 48 adult patients who were having lower widomt teeth extracted. Participants were divided into four groups, each receiving a different combination of Ib-Ar and DX or a placebo. The study evaluated various outcomes, including pain intensity, trismus (jaw stiffness), quality of life, pain catastrophizing, and sleep quality. Pain intensity was measured using a 10-cm visual analog scale and quality of life … Read more

Missing Front Teeth? Wisdom Teeth to the Rescue: A Case for Autotransplantation

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Losing a front tooth can send shivers down your spine. But what if there was a way to replace a missing tooth using your own wisdom tooth? That’s the power of wisdom tooth autotransplantation, a procedure gaining traction in dental surgery. A very interesting case study published in Cureus, titled Wisdom Tooth Autotransplantation for the Missing Maxillary Central Incisors Using a 3D-Printed Replica: A Case Report written by Haneda Y, Murayama T, Nikawa H, et al. (May 29, 2024, vol. 16, no. 5) describes how a 19-year-old man received a wisdom tooth transplant to replace his two missing front teeth. Traditional Solutions and a Patient’s Preference When a tooth goes missing, especially a prominent front tooth, replacing it becomes a priority. Traditional options include dental implants and fixed partial dentures. Implants are artificial tooth roots surgically placed in the jawbone, … Read more

Sweeten dental injections to reduce pain for kids

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A new article titled “Efficacy of administering a sugar-free flavor before dental injections on pain perception in children: A split-mouth randomized crossover clinical trial” appears in International Journal of Paediatric Dentistry written by Ola B. Al-Batayneh and et. al. (April 16, 2024). Getting a shot at the dentist can be scary for kids, but a this study suggests a simple trick might help: sugar-free flavoring. Researchers compared giving kids a sugar-free flavor before a dental injection to giving them plain water. The study included 84 children ages 4 to 9 who needed injections on both sides of their mouths. One side received injections after a sugar-free flavor was applied, and the other side received water. Image by Jenny Friedrichs from Pixabay The kids had their heart rates measured as an objective indicator of pain using a fingertip pulse oximeter. Further … Read more

Family of Teen who Died During Wisdom Teeth Removal in Washington State Files Lawsuit

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What should have been a routine wisdom tooth removal tragically ended in the death of 17-year-old male. The oral surgeon, allegedly failed to recognize and properly respond to a common anesthesia-related complication, leading to the teens death in June of 2024 . On December 9th 2024, the parents of the deceased teen filed a lawsuit against the oral surgeon in Washington state, alleging medical malpractice and negligence. “Double Duty” Surgery Raises Concerns: The lawsuit claims that the oral surgeon acted as both the surgeon and the anesthesiologist during the procedure, a practice that increases the risk of complications. “With almost all surgeries, it is standard practice for anesthesia to be administered by someone devoting their full attention to the patient,” stated one of the lawyers, representing the family. “When a surgeon splits their jobs to double their profits, it opens … Read more