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Pain—Acute
Published in Charles Theisler, Adjuvant Medical Care, 2023
Wisdom Teeth: Taking bromelain by mouth during the perioperative period for surgical removal of wisdom teeth reduced complications after third molar extraction, including pain, swelling, and limited mouth opening.25, 26, 27 Patients were given oral bromelain enteric-coated capsules (30,000 units) on the day of the surgery, three times/day and continued for three days. Clove oil contains eugenol which acts as an anesthetic and antibacterial agent. Applied by cotton swab or cotton ball over the gums, clove oil may be as effective as benzocaine, the numbing ingredient in over-the-counter toothache gels.28
Data and Picture Interpretation Stations: Cases 1–45
Published in Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar, ENT OSCEs, 2023
Peter Kullar, Joseph Manjaly, Livy Kenyon, Joseph Manjaly, Peter Kullar, Joseph Manjaly, Peter Kullar
Dental procedures or periodontal/periapical disease in the maxillary molar teeth can breach the mucoperiosteum of the maxillary sinus (the Schneiderian membrane), which consequently impairs the mucocilary function and causes bacterial infection and inflammation.
Nanopharmaceuticals in Alveolar Bone and Periodontal Regeneration
Published in Harishkumar Madhyastha, Durgesh Nandini Chauhan, Nanopharmaceuticals in Regenerative Medicine, 2022
Mark A. Reynolds, Zeqing Zhao, Michael D. Weir, Tao Ma, Jin Liu, Hockin H. K. Xu, Abraham Schneider
These studies underscore the potential of using hPDLSCs for periodontal regeneration. Healthy teeth are extracted for various reasons, including partially erupted or impacted third molars (aka. wisdom teeth) and orthodontic crowding. Therefore, there is an ongoing availability of extracted teeth from which hPDLSCs can be obtained, without performing an additional secondary medical procedure, such as in the case of harvesting bone marrow stem cells. The use of hPDLSCs also avoids the controversy associated with the use of embryonic and foetal stem cells. Hence, exciting research is underway to investigate the use of hPDLSCs for alveolar bone and periodontal tissue regeneration. Further studies are needed to investigate the formation of the cementum-PDL-bone structure in periodontal defects in animal models.
Provider-directed analgesia for dental pain
Published in Expert Review of Clinical Pharmacology, 2023
One of the most common tasks carried out in dental clinics is the extraction of impacted third molars (wisdom teeth) [1]. Estimates suggest that ten million third molars are extracted from approximately 5 million people in the US each year [2]. In addition to bruising and swelling, postoperative pain is a common complication following mandibular dentoalveolar surgery and can influence the patient’s quality of life. In fact, the pain following these surgeries is severe enough that the United States Food and Drug Administration (FDA) considers this procedure one of the several fundamental models for testing analgesics prior to approval [3,4]. Therefore, dentists often treat post-surgical pain with pharmacological agents. When mismanaged, postoperative pain leads to further oral and systemic health morbidities (e.g. progression of pain, anxiety, sleep disturbances, chronic pain, wound infections, avoidance of future dental treatment) [5–7]. Despite advances in medical knowledge and pharmacological interventions, a considerable challenge still remains for dentists and other clinicians to efficaciously manage pain while minimizing adverse effects of these medications [8].
A hypnotic turbo-induction technique for wisdom tooth extraction
Published in American Journal of Clinical Hypnosis, 2023
Albrecht Schmierer, Leonardo De Col, Thomas Stöcker, Thomas G. Wolf
In this dental treatment, wisdom teeth of a 48-year-old of the upper jaw were extracted due to medical reasons, both maxillary third molars at the same appointment (Universal Numbering System 1 and 16; FDI World Dental Federation System: 18 and 28). The patient was instructed to mentally prepare himself for the extraction of his teeth and give them names or define them as bad habits, which will then leave the patient with the extraction. This metaphoric guidance should help the patient with the process of getting rid of his teeth. The patient was then informed that hypnosis is a change of the perception from the outside to the inside. Subsequently, the patient was reclined in the contoured dental chair and the turbo-induction was initiated. The therapist holds a flashlight over the patient’s eyes with his right hand and the middle finger of his left hand he presses the patient’s forehead, while the patient is in the lying position (Figure 1).
Is the third molar erupting at a younger age than before?
Published in Acta Odontologica Scandinavica, 2022
Eveliina Tuovinen, Marja Ekholm, Irja Ventä
A few parts of the estimation of states of eruption in DPTs turned out to be challenging. As expected, the estimation between alveolar and gingival emergence of vertical teeth (stages B and C) was difficult in some cases because of poor visibility of soft tissues in DPTs. Despite the contrasting tools of the Digora software, the soft tissues were not always discernible. In such cases, the location of the gingiva was estimated to be 2–3 mm above the alveolar cortex based on Gargiulo et al. [34]. Secondly, maxillary third molars often tend to erupt buccally, which cannot be seen in DPTs. Thus, the gingival emergence in maxillary third molars likely occurs at an earlier age than the present results indicate. In these difficult cases, a clinical examination would have offered more accurate results, as was done in the study by Rantanen [1] in which the age of eruption for subjects ≥18 years was determined with clinical examination alone. The precise age for gingival emergence could be determined by using both clinical and radiographic examinations [19]. Thirdly, in a recent systematic review on agreement between Demirjian’s [35] developmental stages of third molars and chronological age, a concern about sample sizes was raised [36]. According to the review, in most studies the material is biased because of unequal numbers of cases in each analysed stage. In our Figures 2–5, the number of third molars in each age group varied between 16 and 66. However, similar variation in sample size occurred in the study of Rantanen [1] as well as in several other studies using the method of Olze.