Scientists at Tampere University analyzed the cerebral emboli (blood clots) of stroke patients’ brains and made an astonishing discovery. For the first time, they discovered DNA from oral pathogens in the cerebral clots.
The findings of the research were published in the May 2019 issue of the prestigious Journal of American Heart Association, reported Science Daily.
When stroke patients came into Emergency Rooms for treatment, neurointerventional radiologists removed the pesky clots known as thrombus aspirates from 75 of these stroke patients. The thrombus aspirates samples were analyzed by the scientists who discovered that 79% of the aspirates contained oral bacterial DNA in them. The samples were analyzed following the duplication of the bacterial DNA.
Tampere University is involved in the study of the consequences of bacterial infection in the development of cardiovascular diseases over the past ten years. Their study is a part of this research project. An older study discovered the same odontogenic bacteria in the coronary artery stenoses of patients who seemed to have suddenly died.
These bacteria were also present in samples taken from:
- Blood clot blockages and arterial blood of myocardial infarction patients
- Ruptured weak cerebral blood vessels and blood clot blockages of patients with lower limb arterial and venous thrombosis
Most of these blood clots (thrombi) originate in the carotid artery stenoses of the circulatory system. As blood circulates all the time, the clots break off and travel to block circulation in delicate cerebral arteries. In fact, 87 % of the strokes are caused due to cerebral artery thrombosis.
The new study has discovered a copious amount of viridans streptococcus DNA in cerebral thrombi when compared against normal blood samples taken from the same patient. Viridans Streptococcus is a commonly found oral bacteria. It is completely harmless when present in the oral cavity. However, when streptococci enter the circulatory system, they may cause infection in the cardiac valves, among other things. The bacterium also tends to directly bind with various platelet receptors, thereby enabling more blood clots to form in the bloodstream.
If this research doesn’t encourage you to maintain your oral health and practice good dental hygiene, nothing else will. Untreated dental infections can have a severe effect on your overall health and even cause loss of life. Get your dental problems addressed as soon as possible to lead a healthier and longer life.
Dr. Steven Paul, DDS Oral Surgeon Murrieta
Four Types of Oral Surgery Anesthesia For Dental Patients
It’s not uncommon for a dental patient to feel anxious thinking about an upcoming dental procedure. At our clinic, we are always responsive to easing your nervousness or anxiety about dental treatment. We talk to you, understand your dental and personal profile and then suggest the right kind of oral surgery anesthesia to address the expected pain—nothing more, or less.
Giving anesthesia is about controlling the temporary loss of awareness or sensation. It provides relief from pain and brings down levels of anxiety during a dental procedure. The patient becomes numb to pain and stays relaxed while the dentist carries out the treatment in your mouth.
The type of dental treatment determines the degree of numbness to be attained. A simple procedure will probably need just the numbing of the area being treated. Sometimes, you may be required to be wholly unaware of events during a procedure, in which case you may need to be sedated.
Four Types of Oral Surgery Anesthesia Used By Dentists
- Using Local Anesthetic
A local anesthetic alone is utilized when managing a simple and minimally invasive dental procedure. The anesthetic numbs only a part of your mouth, and you remain awake for the duration of the procedure.
Your dentist may use Lidocaine, which is a common local anesthetic medicine. It is injected in and surrounding the surgery area.
Explain How Local Anesthetics Work?
The first step involves the dentist drying the area with air or cotton or both. Usually, a gel is utilized to numb the skin. Your dentist will then gradually inject the local anesthetic. While most patients don’t feel pain due to the inserting needle, some may feel a bit of a sting.
The effect of an injection of local anesthesia can last up to a few hours. Following the procedure, the patient may find it challenging to eat, drink, or even speak clearly. It is normal to be awkward while using a straw while drinking, and you may need some towels after the procedure.
You will be cautioned not to bite on the numb area as you can hurt yourself without realizing it.
- Nitrous Oxide Sedation With Local Anesthetic
You may be aware of the term “laughing gas” that is used on people during dental procedures. Nitrous oxide, or laughing gas, is an odorless and colorless breathable gas. It acts as a sedative and helps you stay calm. It will relax you by the pleasurable feelings it gives. It functions as an analgesic, and helps relieve pain.
Nitrous oxide is used for simple oral procedures as well as more complex dental procedures. It works quickly, and its effects are reversible. That’s why nitrous oxide is considered to be a safe sedation method.
If you’re about to have a wisdom tooth removed or dental implant insertion, call our office to find out if nitrous oxide sedation is best for you.
Even when nitrous oxide is used, a local anesthetic is still going to be used around the part in the mouth affected by the procedure.
What’s ‘Laughing Gas’ Or Nitrous Oxide And How Does It Work?
You will be given a mix of oxygen and nitrous oxide through a breathing apparatus before and during the procedure, and the gas will enable you to stay conscious and at ease.
The gas has a known side effect: mild amnesia, and till the time its effect goes away, you will not remember much of the procedure.
- Clinic-Based Intravenous Anesthesia Using Local Anesthetic
I.V. or intravenous anesthesia triggers sedation. You will feel calm and relaxed state and not remember the dental procedure that’s usually discomforting.
Some dental patients stay asleep during the entire procedure. Some move in and out of “twilight sleep,” though they remain quite relaxed.
I.V. Anesthesia Eliminates Pain
A dental patient who is significantly anxious about dental procedures may request I.V. anesthesia even for a simple procedure.
Most patients choose I.V. anesthesia for wisdom teeth extraction or dental implants.
Skill Criteria For Dentist To Administer Anesthesia
Oral surgeons must fulfill conditions to offer general anesthesia during in-office dental procedures:
- A minimum of 3 months of hospital-based anesthesia training
- Passed in-office assessment carried out by state dental board examiner
- Performed oral surgery utilizing general anesthesia under examiner’s oversight
- Houses tested monitoring and emergency equipment
- Experienced anesthesia-related emergencies
A state dental board will provide the oral surgeon a license to administer general anesthesia only after successful training and evaluation.
How Does A Dentist Use Intravenous Anesthesia?
A small intravenous needle is inserted into your arm vein. The dentist or staff places an I.V. tube that will drip the anesthetic through the needle and into your vein, and you will soon relax.
Call our office if you have questions about intravenous anesthesia. We will be happy to assist you with your concerns or questions.
- General Anesthesia In Hospital
A hospital offers inpatient general anesthesia to patients who require extensive surgery such as TMJ surgery, and face and jaw reconstruction. An anesthesiologist administers the general anesthesia.
You are encouraged to speak with our dentist or dental office to clarify your doubt about general anesthesia.
Know Dr. Steven Paul, MD, DDS
It is Dr. Steven Paul’s top priority to keep you safe and comfortable, and oral surgery anesthesia helps our clinic to achieve relaxation during procedures.
Once you schedule a consultation for any dental procedure, Dr. Paul and his staff interact with you comprehensively about the most appropriate type of anesthesia. Dr. Paul takes extra care in addressing any concerns you may have and will not move forward until you are satisfied with the answers.
A member of the American Association of Oral & Maxillofacial Surgeons, Dr. Paul has more than 20 years of experience in all areas of oral surgery. He specializes in the treatment and restoration of missing teeth via dental implant procedures including full mouth rehabilitation (All-on-4), restoring both aesthetics and function, bone and soft tissue grafting, associated tumors and cysts in the oral cavity, and wisdom teeth removal.
Every anesthetic technique is customized for the individual patient at our dental clinic.
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