An interesting article titled “Dentist shocked by Mary’s new wisdom,” appears in an article in This is Kent, http://www.thisiskent.co.uk/Dentist-shocked-Mary-s-new-wisdom/story-17958765-detail/story.html, January 25, 2013. The article describes a 75 year old woman who had a wisdom tooth grow in at the age of 75. A picture of the woman with her dentist is provided in the article. The dentist was taken a back by such a finding since it is vary rare. He decided to look up other cases on the internet and did find a case where an 84 year old man in New Zealand where a man had a wisdom tooth come in. In the case of the 75 year old man the dentist and woman have decided to just manage the wisdom tooth and leave it in in order to avoid possible complications.
An interesting article explored the prevalence of caries experience and periodontal pathology on asymptomatic wisdom teeth in young adults appears in a 2012 issue of the Journal of Oral and Maxillofacial Surgery by Rachel N. Garaas and et al. titled “Prevalence of third molars with caries or periodontal pathology in young adults” (J Oral Maxillofac Surg. vol. 70, pages 507-513, 2012). The article seeks to help inform young adults who are seeking advice about the extraction or retention of wisdom teeth about if these teeth can remain symptom free or not. The study includes 409 patients with an average age of 25. The authors define a periodontal probing depth of at least 4 mm as indicative of periodontal inflammatory disease. The authors found that a periodontal probing depth of at least 4 mm was detected more often on a mandibular … Read more
An interesting article titled “How Many Patients Have Third Molars and How Many Have One or More Asymptomatic, Disease-Free Third Molars?” appears in the September 2012, supplement 1. (vol. 70, issue 9) of the Journal of Oral and Maxillofacial Surgery written by Thomas B. Dodson, DMD, MPH (pg. S4-S7). The article seems to attempt to arrive at an answer to the question of how many patients really have a wisdom tooth (third molar) that is not causing problems and that has no disease. In the article Dr. Dodson recommends that patients are divided into 4 different categories when having their wisdom teeth evaluated. symptomatic, disease present (based on history and radiological examination) symptomatic, disease absent (includes teething and vague pain symptoms unrelated to wisdom tooth) asymptomatic, disease present (disease is evident from radiological findings or clinical exam but not patient … Read more
I came across an interesting article that appeared over a year ago in the Washington Post. The article is titled “A man’s persistent headache proves hard to diagnose and harder to treat,” by Sandra G. Boodman, and published on March 19, 2012. Article Link: http://articles.washingtonpost.com/2012-03-19/national/35448791_1_headache-sinus-pain-relievers The article discusses a 41 year old man who developed a constant headache in November of 2008. Over the course of many months the man consulted many neurologists, ear nose and throat doctors, ophthalmologist, and others but none could explain what was causing him the headache. The man is quoted as saying “I’d been chasing this for more than six months. No one could tell me what it was. I just remember thinking, ‘How am I going to be able to function if it never goes away?” Over the course of the treatment the man … Read more
An interesting articled by George M. Koumaras titled “What Costs Are Associated With the Management of Third Molars?” appears in the 2012 J Oral Maxillofac Surg vol. 70, pp. 8-10, supp. 1. The article attempts to look at the costs associated with asymptomatic, disease-free, third molars (wisdom teeth). Three scenarios were explored by the author: scenario 1 (nonoperative management): retention of asymptomatic, disease-free third molars and monitoring for 20 years from age 18 to 38 years scenario 2 (operative management): removal of 2 asymptomatic, disease-free, bony impacted third molars for 18-year-old patients using general anesthesia (30 minutes) in an office-based ambulatory setting scenario 3 (failure of nonoperative management): removal of 1 previously asymptomatic, disease-free, bony impacted third molar after 10 years of follow-up in a now 28-year-old patient using general anesthesia (30 minutes) in an office-based ambulatory setting.” The author … Read more