An Index to Assess Surgical Difficulty of Impacted Wisdom Teeth

An interesting article titled “Development of a New Index to Assess the Difficulty Level of Surgical Removal of Impacted Mandibular Third Molars in an Asian Population,” written by Zhang et al. appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery. The article discusses development of an index to determine the surgical difficulty of impacted lower wisdom teeth. The authors discuss how historically the Pell and Gregory classification and the Winter classification provide a simple judgment on the difficulty level of tooth extraction. They also discuss the Pederson scoring system which assesses the difficulty of extracting impacted wisdom teeth using three factors using the position of the wisdom tooth, the relative depth, and the relation with the ramus. The Pederson scoring system calculates a score from 3 to 10 based on these three factors and then assigns … Read more

Reoperation in Wisdom Teeth Having Coronectomy

An interesting article titled “What Are the Parameters for Reoperation in Mandibular Third Molars Submitted to Coronectomy? A Systematic Review,” appears in the 2019 edition of the Journal of Oral and Maxillofacial Surgery written by Barcellos et al. The article seeks to identify factors that are associated with needing a reoperation after having a lower wisdom tooth coronectomy. Coronectomy is often suggested to treat wisdom teeth where their is a belief their is a high chance of damage to the inferior alveolar nerve with their removal see for example Do People Know about Coronectomy For Management of Wisdom Teeth? and Coronectomy Five Year Follow Up. Typically such risk is assessed using panoramic radiography and cone-beam computed tomography. In the article the authors implemented a systematic review exploring articles on wisdom teeth coronectomy up until June 2018. A total of 362 studies … Read more

Cosmetic Dentistry in the Era of COVID-19

With coronavirus (COVID-19) cases in the U.S. continuing to reach record highs – averaging over 100,000 cases this past week in the U.S., as shown for example by the New York Times, you may be surprised to hear that many dentists are reporting a boom in interest in cosmetic dentistry. As has been discussed before on this site, this is because of widespread adoption of teledentistry, see the prior post Delivering Dentistry and Counseling to Patients using Telemedicine. This is also known as the Zoom boom, due to the popularly of software made by the company Zoom Video Communications, Inc., although many other video conferencing platforms exist such as WhatsApp, Microsoft Teams, Cisco WebEx, and Skype. Patients also have extra money to spend, that may have been used in the past to spend on travel and leisure activities that now … Read more

4 Serious Infections You Can Pick Up in Hospital

A common concern from patients who are undergoing surgery is the risk of infection at the site of their surgery, particularly caused by bacteria that are commonly found in hospitals. While hospitals and operating theatres are kept spotlessly clean to an obsessive level and the risk of these infections is very low and made even lower by proper post-operative wound care, knowing about the common ones and how to spot them can be beneficial. Even if you do happen to pick up a bacterial infection, they are almost always easily treatable, apart from these few which might mean a longer hospital stay. Royalty Free Photo Staphylococcus Aureus The staph infection is one of, if not the most notorious hospital-acquired infections on this list. You might be surprised to learn that about one-third of us actually carry the Staphylococcus Aureus bacteria … Read more

Do People Know about Coronectomy For Management of Wisdom Teeth?

An interesting article titled “Coronectomy: a recognised procedure?” appears in the 2018 edition of Oral Surgery written by Dhanrajani and Smith (vol. 11, pp. 273-281). The article discusses a review of the literature on coronectomy to treat wisdom teeth along with a retrospective study. Coronectomy is often suggested to treat wisdom teeth when there is a high risk of nerve damage and is associated with a low rate of complications, see for example the past posts Care Guidelines for Wisdom Teeth: 2014 Finnish Guidelines, A Study of 185 Coronectomy Procedures of Wisdom Teeth, and Complications Associated with Coronectomy. In the article by Dhanrajani and Smith the authors discuss how the inferior alveolar nerve or lingual nerve can be damaged during wisdom teeth removal and that patients seek to avoid such a complication. Coronectomy is a procedure that removes only the … Read more