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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
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.
Rights and responsibilities in dentistry
Published in Paul Lambden, Dental Law and Ethics, 2018
What is accepted by the profession as good practice may not remain static but is subject to change. For instance, case law is an important source of law in the United Kingdom and can have a considerable impact on professional standards. The management of impacted wisdom teeth illustrates how changes in clinical practice can come about as a result. In the 1980s a number of court cases concerned residual numbness following the extraction of wisdom teeth.11,12 The result of the debate within the profession is that dentists now recognise the importance of warning people about the possibility of numbness and fewer symptom-free wisdom teeth are extracted.
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).
Editorial
Published in American Journal of Clinical Hypnosis, 2023
Dental surgeons have multiple concerns for their patients that extend beyond oral health and the medical procedures designed to achieve it. They are always concerned with their patients’ physical and psychological comfort. If those factors were not enough, they are also concerned with several other environmental factors, not the least of which is time. Doctors Albrecht Schmierer, Leonardo De Col, Thomas Stöcke, and Thomas G. Wolf represent both child and adult, university instructors, and private practitioners involved in dental surgery from Germany and Switzerland collaborated to provide a paper titled, “A Hypnotic Turbo-Induction Technique for Wisdom Tooth Extraction.” In it, they give a step-by-step description of their induction technique. They have used the turbo-induction technique for more than 3 years. Here, they present a case of double wisdom teeth extractions that was performed in only 15 minutes. The case illustrates the successful use of the technique, not only for the patient’s comfort during the procedure but also for reduction of anxiety and pain following the surgery. Finally, the follow ups with the patient indicated rapid wound healing for which the authors encourage further research to determine if it can also be attributed to the procedure.
Translation and validation of the English-language instrument Orthognathic Quality of Life Questionair into Swedish
Published in Acta Odontologica Scandinavica, 2021
Magnus Ahl, Agneta Marcusson, Martin Ulander, Anders Magnusson, Carina Cardemil, Pernilla Larsson
One hundred and twenty-one consecutive patients in the following four groups were recruited for a field test.Orthognathic: Patients scheduled for orthognathic surgery, 2–4 weeks prior to surgery (n = 26). Exclusion criteria: congenital syndrome including cleft lip and palate.Wisdom teeth: Patients referred for operative extraction of wisdom teeth (n = 31). Exclusion criteria: ongoing orthodontic treatment.General dentistry: Healthy recall patients in general dentistry (n = 31). Exclusion criteria: ongoing orthodontic treatment.Orthodontics: Patients treated with conventional orthodontics at the time for retention control (n = 33).