Wisdom Teeth

Should we Remove Wisdom Teeth Before Bone Disease Therapy?

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An interesting article titled “Pediatric-Antiresorptive Use: Should We Intervene on Third Molars Early?” written by Michael J. Cimba and et al. appears in the Journal of Oral and Maxillofacial Surgery (vol. 79, pp. 1817−1818, 2021). The article seeks to address if oral surgeons should consider preventatively extracting wisdom teeth in children before they start bone disease therapy to prevent jawbone destruction. In the article the authors discuss how removing wisdom teeth that have not yet fully developed in children before they begin antiresorptive therapies may prevent them from developing medication-related osteonecrosis of the jaw (MRONJ). MRONJ, a progressive death of the jawbone, is a side effect of antiresorptive therapy such as bisphosphonates and denosumab, which are drugs used to treat bone (osseous) diseases and cancer-related conditions. It is well known that dental extractions like removing wisdom teeth can increase the risk … Read more

Change in Taste After Wisdom Teeth Surgery

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An interesting article titled “Short-Term Evaluation of Gustatory Changes After Surgical Removal of Mandibular Third Molar—A Prospective Randomized Control Trial,” appears in the 2018 edition of the Journal of Oral and Maxillofacial Surgery (vol. 76, pp. 258-266). The article sought to explore if changes in taste occur after removing wisdom teeth. In the article the authors discuss how damage to the lingual nerve and the loss of the ability to sense taste are complications that can occur after wisdom teeth surgery. The authors devised a study using 60 patients who had impacted wisdom teeth surgically removed. They selected 15 patients in each category of mesioangular, distoangular, horizontal, and vertical impacted wisdom teeth. The patients were evaluated with regards to taste testing before surgery and again 10 days after surgery. In the study each patient was given a sweet, salty, sour, … Read more

Wisdom Teeth Removal Leads to Persistent Headache and Viral Encephalitis

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A person in Scotland had wisdom teeth removed that resulted in an infection. This lead to a persistent headache that was later diagnosed as viral encephalitis but initially missed. The person who had wisdom teeth removed did not have the proper diagnosis made by both oral and maxillofacial surgeons and when admitted to a hopsital, medics from NHS Fife at the Victoria Hospital in Kirkcaldy, Scotland. None of the people who treated the person suspected an infection and the person was not given an MRI scan. This lead to encephalitis which is an inflammation of the brain typically caused by an infection. A complaint was submitted to the Scottish Public Services Ombudsman for this case and they came out with a decison report that contained a summary of the case and recommendations. The board of NHS Fife where the person was … Read more

Low-Dose Naltrexone as An Alternative to Opioids for Wisdom Teeth Removal

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Before on this site numerous posts have discussed how many feel dentists and oral surgeons prescribe (or in the past have prescribed) too many opioids for their patients to help manage pain of dental procedures like wisdom teeth removal, see for example the post Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal?. In recent years there have been investigations into alternatives to opioids for dental procedures and also for chronic pain management when opioids in the past were more regularly prescribed for as well. One such approach is to prescribe a combination of ibuprofen and acetaminophen as discussed in the articles New Research Being Conducted at Rutgers for Opioid Alternatives Could Lead to Less Potential Drug Abuse for those Having Wisdom Teeth Surgery and Reducing Opioids in Oral and Maxillofacial Surgery. Recently, there have been articles and … Read more

Turning Wisdom Teeth into Gold Necklaces

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Nicola Peltz is an American actress known for her roles in the A&E TV drama series Bates Motel and in the movie Transformers: Age of Extinction. She is engaged to Brooklyn Beckham who is the son of English former football (soccer) player David Beckham and English fashion designer Victoria Beckham who by many is best known as the singer Posh Spice in the group Spice Girls. Earlier in 2021, both Nicola and Brooklyn had their extracted wisdom teeth encased in a gold mold and made into a matching necklaces. This was shared by Nicola Petlz on her Instagram. In a March 25, 2021, Intagram story, Nicola wrote, “I got our wisdom teeth made into necklaces @brooklynbeckham you’re my best friend.” On the same day Brooklyn wrote on his Instgram in an Instagram story, “The best gift from my best friend and the … Read more