wisdom tooth

The Effect of Acne Medication on Wisdom Teeth Removal

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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

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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

Dental Anesthesia May Stop the Development of Wisdom Teeth

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An interesting study appears in the April 2013, JADA which looks at whether dentists giving inferior alveolar nerve blocks to young children may be stopping wisdom teeth from later developing. The article is titled “Inferior alveolar nerve block and third-molar agenesis: A retrospective clinical study,” and by Jerry Swee and et al., JADA, April 2013, vol. 144, issue 4, pp. 389-395. In the study the researchers looked at children who had received inferior alveolar nerve block (a local anesthesia) between the years of 2 and 6 at the Tufts dental clinic and also had a dental x-ray taken 3 years or after of being initially treated. The researchers arrived at 439 potential wisdom tooth sites from 220 patient records for their analysis. The control group consisted of 376 potential wisdom tooth sites where it was clear that the child never … Read more

Out of Court Settlement in Wisdom Teeth Removal Death Case

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Previously I have discussed the case where a 17 year old female died unexpectedly after having wisdom teeth removed. She was a junior in high school and died on April 6, 2011, 10 days after the surgery due to suffering a severe brain injury. The autopsy report showed that she died due to lack of oxygen to her brain during the extractions. This is discussed in the blog post 17 Year Old Female Dies After  Wisdom Teeth Removal. Recently, it appears that this case was settled out of court on March 28, 2013. The parents of the female sued both the oral surgeon and anesthesiologist in the case claiming they had shown negligence in failing to revive her after her heart rate slowed to a dangerous level and thereby causing a lack of oxygen to her brain. Unfortunately the conditions … Read more

24 Year Old Man Dies After Wisdom Teeth Removal

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Recently, another unfortunate case has occurred where a 24 year old man has died after having his wisdom teeth removed in California. See this page for some additional information on death from wisdom teeth removal. Also see other blog posts such as this one 14 Year old Boy Dies Within 24 Hours of Having Wisdom Teeth Removed. In this recent case the 24 year old man saw an oral surgeon in California to have wisdom teeth extracted on March 21, 2013. He was given 6 different sedatives including propofol. During the surgery he began to cough and went into cardiac arrest. He was then taken to a hospital and was found to have two pieces of gauze in his airway. He then died three days later. It is not clear if the gauze contributed to his death. An autopsy report … Read more