Treating with Platelet Rich Fibrin After Wisdom Teeth Removal

An interesting article titled “Evaluation of Treatment Outcome After Impacted Mandibular Third Molar Surgery With the Use of Autologous Platelet-Rich Fibrin: A Randomized Controlled Clinical Study,” appears in the Journal of Oral and Maxilofacial Surgery written by Nilima Kumar and et al. (vol 73, pp. 1042-1049). The article sets out to explore the effect of platelet-rich fibrin (PRF) on postoperative pain, swelling, trismus, periodontal healing near the second molar, and progress of bone regeneration in upper wisdom teeth extraction sockets. Clinicians have identified a subpopulation of patients having wisdom teeth removed that are at ‘‘high risk’’ for periodontal defects after wisdom teeth removal Las Vegas (such as greater than 26 years old, pre-existing periodontal defects [attachment level, >3 mm; probing depth, >5 mm]; and horizontal or mesioangular impaction). The authors studied a patient sample that consisted of 31 patients with … Read more

Filing Billing for Dentists to Help Patients

An interesting article titled “You want me to do what?” written by Douglas Auld appears in the March 2016 issue of JADA. The article discusses a patient who has an an abscess on a mandibular right third molar which requires extraction. The treatment was done in December and the patient had already used their full benefits from their dental insurance for the year. So the patient suggested to the dentist to bill for the extraction in January and also suggested to file it as a surgical extraction and apply the difference to his balance. The article asks if it is ethical for dentists to do any of this. The article states that a dentist has a duty to communicate truthfully with third parties. It says “A dentist who submits a claim form to a third party reporting incorrect treatment dates for the purpose of … Read more

Wisdom Teeth Facts – From Symptoms & Occurrence to Extractions & Precautions

What are Third Molars? A permanent dentition typically consists of 32 teeth and third molars or wisdom teeth are the most posterior teeth present on each quadrant. They are located the farthest in a dental arch and are usually the last ones to erupt. The third molars are formed due to evolutionary factors but with modern lifestyle and eating habits, they are no longer necessary. This is why smaller jaws have inadequate space to accommodate the eruption of third molars and all they do is cause pain, infection and discomfort. When Do Wisdom Teeth Erupt & Why? Wisdom teeth usually erupt between the ages of 16 to 25 but they may also erupt at a later stage for some. According to popular belief, wisdom teeth were used by ancestors for grinding plant tissues. Since our ancestors had a huge mouth … Read more

Can Science Solve Our Problems?

An interesting article titled “Science and Conscience” appears in the 2015 Journal of Oral and Maxilofacial Surgery written by Thomas Dodson (vol. 73, pp. 2255-2256). The article opens by discussing a study by the NIH seeking to explore the differences in people with a systolic blood pressure of 140 mm Hg versus that of 120 mm Hg. The study was aborted with a year left in its duration. The study concluded achieving a target systolic blood pressure of 120 mm Hg reduced cardiovascular events by almost 33% and death by almost 25% compared with a group with a target systolic pressure of 140 mm Hg. The authors question why such a study was ever needed to be done because it seems so intuitive but later explains that our society today relies on science to achieve it’s high standards. The author then goes on to discuss how there … Read more

Can Providing Audiovisual Information Help Relieve Anxiety in Patients Having Wisdom Teeth Removed?

An interesting article titled “Effect of Audiovisual Treatment Information on Relieving Anxiety in Patients Undergoing Impacted Mandibular Third Molar Removal” written by Sung-Hwan Choi and et al. appears in the 2015 Journal and Oral and Maxilofacial Sugery (vol. 73, pp. 2087-2092). The authors set out to explore if providing patients undergoing wisdom teeth removal an audiovisual slide presentation that provided treatment information could improve patient knowledge of postoperative complications and decrease anxiety. It is well known that patients having wisdom teeth surgery can have anxiety due to the needles and drills involved. Studies have shown that a lack of information about surgery and complications can lead to increased anxiety. Typically a written informed consent document is provided to patients prior to surgery. However, it is not clear how well patients can understand this information. The authors of the article designed a study to provide treatment information using an … Read more