Indications for Removal of Wisdom Teeth

These days in 2019 the American Association of Oral and Maxillofacial Surgeons (AAOMS) has a page on their website titled “Third Molar Research News” that contains information on how to manage wisdom teeth, see https://www.aaoms.org/media/third-molar-research-news. How to manage wisdom teeth continues to be contested when wisdom teeth are healthy and not causing symptoms, see for example http://www.teethremoval.com/controversy.html. One of the documents AAOMS provides is titled “The Management of Impacted Third Molar Teeth” and contains a long list of what they consider as medically necessary and valid reasons for surgical removal of wisdom teeth, see https://www.aaoms.org/docs/practice_resources/clinical_resources/impacted_third_molars.pdf. However at least two of these reasons seem to be unsupported by current scientific evidence and thinking. The first reason in doubt given by AAOMS as a valid reason which seems to lack evidence is insufficient space to accommodate erupting tooth or teeth. This reason … Read more

Reasons Why You Should Look Into Cosmetic Dentistry

Aesthetic dentistry has many advantages to offer. That is why it’s so popular. Smile fillings are so affordable nowadays that almost anyone can improve their smile one way or another through aesthetic dentistry. You no longer have to be born with perfect teeth. A cosmetic dentist can create the smile you want when nature has not given it. It’s essential to point out that not everyone is the right candidate for aesthetic dentistry. Those who do not adequately care for their teeth and whose oral care is lacking may not be healthy enough to accept specific procedures successfully. In other words, you must have a certain amount of healthy tissue to work with. For example, the affordable dental in three locations will not compromise the function or health of your mouth for cosmetic procedures. On the other hand, if you … Read more

Changes in Dental Anxiety over Time

An interesting article titled “Changes in dental anxiety among 15‐ to 21‐year‐olds. A 2‐year longitudinal analysis based on the Tromsø study: Fit futures” written by Nermo et al. appears in Community Dentistry and Oral Epidemiology (vol. 47, 2019, pp. 127-133). The article sought to explore the continuation of high dental anxiety over 2 years. In the article the authors explored data from The Tromsø Study conducted in Norway. The authors explored data from participants who were under the age of 18 at baseline data collection and also had data collected two years later. This lead to 685 participants with 377 females and 308 males. Corah’s Dental Anxiety Scale was used to measure dental anxiety on a score from 4 to 20 with higher scores indicating more anxiety. Those scores that were 13 and higher were determined to be in dentally … Read more

The Real Truth About Dentistry

An intriguing long form piece appears in the May 2019 issue in Atlantic titled “The Truth About Dentistry: It’s much less scientific—and more prone to gratuitous procedures—than you may think,” written by Ferris Jabr, see https://www.theatlantic.com/magazine/archive/2019/05/the-trouble-with-dentistry/586039/. This article has a lot of people talking including dentists, physicians, and patients who have experience with dentists throughout the Internet on forums and Twitter (see https://www.whitecoatinvestor.com/forums/topic/the-truth-about-dentistry-critical-longform-piece-in-the-atlantic/). The main shortcoming with this article in the Atlantic is it relies on an anecdotal story which forms the basis of the entire article. There are several themes to the article that will be discussed below along with additional themes not mentioned that are involved to form the real truth about dentistry. 1. Dentistry is a Business and some Dentists, just like in other Professions, are Bad Apples. The article describes a dentist Lund who overtreats patients … Read more

Important Studies on Opioid Prescribing: Implications for Dentistry

Recently on this site several articles have appeared discussing opioid prescribing after wisdom teeth removal see for example the posts Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? and Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse. Very recently several interesting studies regarding opioid prescribing have published. The first study is titled “Trends in Opioid Prescribing for Adolescents and Young Adults in Ambulatory Care Settings” written by Hudgins et al. appearing in Pediatrics in June 2019 (vol.143, no. 6, e20181578). The article explored opioid prescribing for adolescents (ages 13 to 17) and young adults (ages 18 to 22) receiving care in emergency departments and outpatient clinics. Data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) and National Ambulatory Medical Care Survey (NAMCS) over the time period from January 1, 2005, … Read more