Overview of the Effectiveness of Aspirin, Ibuprofen, Acetaminophen On Teeth

The usage of medications like aspirin, ibuprofen and acetaminophen is well-accepted as pain relieving agents worldwide. Aspirin is a medication that is used not only for relieving pain but also for decreasing the risk of heart attack. Acetaminophen and ibuprofen have a significant role in decreasing chronic pain and inflammation. There is a deep connection between the dental procedures and the patients medicine intake. These effects can be known as side effects and damage the natural structure of the tooth or can be any disturbance in dental procedures especially in surgery and tooth extractions. Recognition of common medications and their effects is an important aspect not only for physicians but also for dentists and oral surgeons. The database of this article was derived from valid sources such as PubMed, Google scholar and Web of Science. The search method included the primary keywords like “aspirin”, “ibuprofen” and “acetaminophen” combined with “teeth”, “tooth extraction”, “oral cavity”, “dental procedures'', and/or “bleeding time”. Our results illustrated that a long-term application of aspirin favorably affects the patients who are suffering from angina, stroke or myocardial infarctions. Other findings confirmed that ibuprofen has antipyretic, analgesic and anti – inflammatory features. Effective characteristics of paracetamol as the medicine of choice for the treatment of post-exodontia pain was demonstrated according to several studies. In this review article we provide details about the effects of the three aforementioned medications, their usage in the dental field and any adverse effects on healthy tooth structures.

Influence of Preventive Tooth Extractions on Quality of Life in Patients with Antiresorptive Intake—A Prospective Longitudinal Study

Background: To find out whether preventive tooth extractions in patients on antiresorptive therapy have a direct impact on the patients’ overall quality of life (QoL); Methods: QoL using the five-level version of the EuroQol Group’s EQ-5D instrument (EQ-5D-5L) was longitudinally assessed in N = 114 prospectively enrolled patients with indication of preventive tooth extraction over a period of 12 months. Patients were stratified as high-risk (malignant disease with bone metastasis or multiple myeloma, with monthly high-dose antiresorptive therapy delivered intravenously [bisphosphonate] or subcutaneously [denosumab]) and low-risk/osteoporosis patients (weekly low-dose antiresorptive therapy administered orally [bisphosphonate] or half-yearly subcutaneously [denosumab]). The measurement time points were 4 weeks preoperatively (T0), 2 months (T1) and 1 year postoperatively (T2), respectively. Results: EQ-5D-5L index scores fell in a range from −0.21 to 1.00 in the low-risk group to 0.15 to 1.00 in the high-risk group. The t-test comparing the baseline index scores of both groups showed EQ-5D-5L index score in the low-risk group (0.708 ± 0.292) to be significantly smaller (p = 0.037) than in the high-risk group (0.807 ± 0.19). ANCOVA showed no significant differences in EQ-5D-5L index scores between the groups at T1 and T2. Conclusions: Preventive tooth extractions in patients undergoing antiresorptive treatment have no negative effect on QoL. Therefore, if indicated, preventive tooth extraction should not be omitted. Patient-oriented outcome measures are important to obtain a good risk–benefit balance for patient-specific treatment.

Classic Maya Dental Interventions

Tooth extractions are among the most common dental procedures performed globally today; however, archaeological evidence for such procedures in the past is relatively scant and largely limited to the Classical world. We present a case of therapeutic dental extractions of pathological teeth at the ancient Maya site of Piedras Negras, Guatemala, during the Late Classic period (A.D. 600–800). The evidence comes from an assemblage of fractured, pathological teeth (n = 127) recovered from the marketplace at Piedras Negras during excavations in 2016 and 2017. We compare the Piedras Negras marketplace teeth to the broader Late Classic period mortuary population at the site along three lines of analysis: (1) distribution of teeth by type (incisors, canines, premolars, and molars), (2) pathologies, including dental caries and calculus, and (3) dental wear. We also explore in detail the fracture patterns apparent in the marketplace assemblage. Our results indicate that the marketplace teeth display a significantly greater caries rate than the broader mortuary population and that posterior teeth (premolars and molars) are overrepresented in the marketplace sample. These findings point toward therapeutic extractions intended to ameliorate pain associated with oral pathologies. This article presents one of the fewcase studies of ancient health care in the Americas and situates these practices within the market, an important, urban space across much of precolonial Mesoamerica. Las extracciones dentales se encuentran entre los procedimientos dentales más comunes realizados a nivel mundial en la actualidad. Sin embargo, la evidencia arqueológica para tales procedimientos es relativamente escasa en el pasado y se limita en gran medida al mundo Clásico. En este artículo, se presenta un caso de extracciones dentales terapéuticas de dientes patológicos en el antiguo sitio maya de Piedras Negras, Guatemala, durante el periodo Clásico Tardío (600-800 d.C.). La evidencia de este caso proviene de una colección de dientes patológicos y fracturados (n = 127) recolectados en el mercado de Piedras Negras durante las excavaciones realizadas en los años de 2016 y 2017. Estos dientes fueron comparados con otros dientes recolectados alrededor del sitio en contextos mortuorios del periodo Clásico Tardío a lo largo de tres líneas de análisis: (1) la distribución de los dientes por tipo (incisivos, caninos, premolares y molares), (2) las patologías, incluyendo caries dentales y cálculo y (3) el desgaste dental. Asimismo, se exploró en detalle los patrones de fractura aparentes en la colección del mercado. Los resultados de este análisis indican que los dientes del mercado muestran una tasa de caries significativamente mayor que los dientes recolectados en contextos mortuorios y que los dientes posteriores (premolares y molares) se encuentran sobrerrepresentados en la muestra proveniente del mercado. Estos hallazgos demuestran el uso de extracciones terapéuticas designadas a aliviar el dolor asociado a las patologías bucales. Este artículo presenta uno de los pocos estudios de caso de atención médica en el pasado en las Américas y sitúa estas prácticas dentro del mercado, un importante espacio urbano que se encuentra a través de la Mesoamérica precolombina.

Prevention of Complications Arising after Tooth Extraction

The study involved 67 patients with acute odontogenic inflammatory diseases of the jaws were examined. All examined patients underwent tooth extraction, which caused the development of an acute inflammatory process. We have determined the effectiveness of treatment of patients with the drug “Givalex,” which was used to prevent inflammatory post-extraction complications in patients with acute odontogenic inflammatory diseases. Based on the examinations of patients, it was proved that the multicomponent preparation “Givalex” used for oral baths after tooth extractions has an expressed antiseptic, anti-inflammatory and analgesic effect, as well as a deodorizing effect.

Frequency, Pattern and Rationale of Tooth Extractions Among Orthodontic Patients: A 10-year Tertiary Institution Experience

Background and objectives: Tooth extractions are a vital aspect of orthodontic management that enables the orthodontist to achieve good aesthetics and function as well as long term treatment stability for the patient. Extractions may be necessary for various reasons among which are tooth size arch length discrepancy (TSALD), increased overjet and facial profile. The aim of this study was to determine the prevalence, pattern and rationale of tooth extraction among orthodontic patients attending the Orthodontic Unit of the Department of Child Dental Health, University of Port Harcourt Teaching Hospital. Methods. A retrospective study of a cohort of patients who attended one of the outpatient Orthodontic Clinics in the Department of Child Dental Health, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria between 2011 and 2021. Data was collected from the patients’ records. Results. A total of 175 patients comprising 70(40%) males and 105(60%) females were included in the study. 67(38.3%) patients had at least one extraction. Twenty-eight (41.8%) extraction cases had extraction of the first premolars. Two-unit extractions of the maxillary first premolars (13, 46.4%) was the most frequent extraction pattern. Eight (29.6%) had extraction of primary canines only. Twenty-seven (40.3%) participants had extractions due to increased overjet. Over a third of the patients had extraction of at least one tooth. Conclusion. Two-unit extractions of maxillary first premolar was the commonest extraction pattern. Increased overjet was the commonest reason for extraction.

Effect of Propolis Paste and Mouthwash Formulation on Healing after Teeth Extraction in Periodontal Disease

This study investigated the antimicrobial effects of a mouthwash containing propolis and the effect of a propolis paste formulation on dental healing after teeth extraction in patients with periodontal disease. In the mouthwash experience, the population comprised 40 patients, which were divided as follows: the control mouthwash, 0.2% chlorhexidine (v/v) mouthwash, 2% (w/v) propolis mouthwash, and propolis + chlorhexidine mouthwash. The study of the propolis paste comprised a population of 60 patients with periodontal disease, and a total of 120 symmetric tooth extractions were performed. Propolis showed antimicrobial activity by itself, and especially with the chlorhexidine association. Three days after surgery in the teeth treated with control paste, only 13.4% had completely healed; however, with propolis paste, in 90% of the periodontal sockets, healing was complete. In addition, a reduction in Mutans Streptococci and Lactobacilli cfu was observed with propolis, and especially with the association of chlorhexidine + propolis. Propolis mouthwash reduced bacterial proliferation, especially in association with chlorhexidine. Propolis paste is a viable alternative for socket healing after dental extraction. The knowledge gained from these findings will provide a foundation for similar propolis therapies in order to improve the healing process after dental surgery.

Prevalence of Postoperative Infection after Tooth Extraction: A Retrospective Study

The aim of the study was to identify the postoperative infection rates after tooth extraction in a university dental clinic and to identify the factors associated with an increased risk for postoperative infection. A retrospective study of case records of patients who underwent tooth extractions at the International Medical University’s Oral Health Centre (IMU-OHC) over a span of 6 years was conducted. Data on demography, patient-related factors, and treatment-related factors were extracted from the case records. A binary logistic regression analysis was performed to assess the odds ratio of a patient having a postoperative infection or not, comparing it with each variable. A total of 1821 extractions, including simple and complex extractions, were performed over 6 years. Only 25 (1.4%) of the cases were reported to have a postoperative infection. The complexity of the extraction was the only variable that significantly affected the occurrence of postoperative infection after extraction; more complex extractions were reported with higher rates of infection (binary logistic regression, OR = 2.03, p = 0.004). None of the other factors, including antibiotic prescription, had a significant influence on the occurrence of postoperative infection. The prevalence of postoperative infection after dental extractions was low in IMU-OHC, and prescribing antibiotics had no added advantage in the prevention of postoperative infection.