wisdom tooth

Slit Throat During Wisdom Teeth Extraction

by

A recent story has appeared in ABC Action News (Tampa, Florida, U.S.) titled “Patient says dentist accidentally slit throat while pulling wisdom teeth: Patient expected refund after accident” by Jackie Callaway, July 9, 2013. The story described a man who had three wisdom teeth extracted earlier this year. The man had the first two wisdom teeth removed successfully. According to the man, on the third wisdom tooth, the dentist slipped and came down to near his tonsil and cut his throat. The man says the swelling and pain was unbearable and he lost 12 pounds. The man was interested in getting a refund for the $180 he paid for the dental visit; however, the refund was not made. In addition, the man’s wife had an upcoming appointment with the dentist office, which they canceled and were charged a $25 cancellation … Read more

The Costs Associated with Third Molars (Wisdom Teeth)

by

An interesting articled by George M. Koumaras titled “What Costs Are Associated With the Management of Third Molars?” appears in the 2012 J Oral Maxillofac Surg vol. 70, pp. 8-10, supp. 1. The article attempts to look at the costs associated with asymptomatic, disease-free, third molars (wisdom teeth). Three scenarios were explored by the author: scenario 1 (nonoperative management): retention of asymptomatic, disease-free third molars and monitoring for 20 years from age 18 to 38 years scenario 2 (operative management): removal of 2 asymptomatic, disease-free, bony impacted third molars for 18-year-old patients using general anesthesia (30 minutes) in an office-based ambulatory setting scenario 3 (failure of nonoperative management): removal of 1 previously asymptomatic, disease-free, bony impacted third molar after 10 years of follow-up in a now 28-year-old patient using general anesthesia (30 minutes) in an office-based ambulatory setting.” The author … Read more

Biostatistical Knowledge of Oral and Maxillofacial Surgery Residents

by

I found an interesting and critical study titled “Oral and Maxillofacial Surgery Residents Have Poor Understanding of Biostatistics,” by Al M. Best and Daniel M. Laskin appearing in the J Oral Maxillofac Surg vol. 71, pp. 227-234, 2013. The article discuss how the three main oral and maxillofacial surgery (OMS) journals have low quality evidence and how some of the articles can’t be taken at face value. Hence, the purpose of this study was to evaluate residents’ understanding of biostatistics and the interpretation of research results to see if the curricula of training programs should be changed to better prepare clinicians to practice evidence-based dentistry. In the study a 6 question survey was developed for OMS residents and compared to results for a similar survey of medical residents. Further, questions looking into demographic characteristics, the methodologic courses residents may have … Read more

The Effect of Acne Medication on Wisdom Teeth Removal

by

In a research letter in the October 2012 issue of J AM ACAD DERMATOL titled “The effects of isotretinoin on wisdom tooth extraction,” by Jyoti Sharma, Diane M. Thiboutot, and Andrea L. Zaenglein (pp. 794-795), a discussion is made of of the medicine more commonly known as Accutane. Accutane has since be removed from use in the U.S. due to legal issues but the generic form of isotretinoin remains available. See more discussion on the Wikipedia page http://en.wikipedia.org/wiki/Isotretinoin. In the study, 328 patients between 12 and 27 were contacted who were on isotretinoin. 26 of these patients had wisdom teeth extraction, with all but 1 of the patients still being on isotretinoin at the time of the surgery. 3 patients suffered from a dry socket but none of the other patients had a complication after wisdom teeth removal. One of these … Read more

Exploring Giving Antibiotics Before Third Molar Surgery (Wisdom Teeth Removal) in Spain

by

An issue that one asks when having third molar surgery (wisdom teeth removal) is one whether should have antibiotics administered before or after surgery (or not at all). See for example http://www.teethremoval.com/antibiotic_resistance.html In a recent article appearing in J Evid Base Dent Pract 2012, issue 12, pp. 149-150, Manal A. Awad, reviewed a study exploring amoxicillin administration to those who were having wisdom teeth extracted. The original study was titled “Efficacy of amoxicillin treatment in preventing postoperative complications in patients undergoing third molar surgery: a prospective, randomized, double-blind controlled study,” by Lopez-Cedrun JL, Pijoan JI, Fernandez S, and Santamaria J, Hernandez G and appeared in the electronic 2011 version pages 5 -14, issue 69, number 6. It is well known that amoxicillin is useful in treating oral infections. In the study 123 healthy patients between the ages of 18 and … Read more