Tag Archives | extraction

Dental Care in Japan

I found an interesting piece by Kevin Rafferty in The Japan Times Online from June 15, 2011, titled “A dentist need not be a masked demon.” The article is located here http://search.japantimes.co.jp/cgi-bin/eo20110615a1.html The article gives an inside look into recent developments in dentistry with a particular focus on Japan but the principals and message apply globally. The main focus on the article centers around a report soon to be published in both English and Japanese titled “Guideline for treating caries following a minimal intervention policy, an evidence and consensus based study.” The report was conducted by Mikako Hayashi of Osaka University Graduate School of Dentistry and her committee in which 18 months was spent conducting research. Some notabled quotes from the article by Kevin Rafferty include “Recent advances in dentistry include recognition that teeth, if properly treated, regularly cleaned and cared for with a healthy diet, have self-healing properties, so that drilling and filling of teeth showing signs of decay should be a last, rather than a first, resort.” Mikako Hayashi adds “…I tell my students to pretend they are feathers when using drills: Be gentle and avoid deep digging…By the same token, deep drilling of teeth and filling with […]

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The American Association of Oral and Maxillofacial Surgeons Fails to Use Basic Statistics in Research on Wisdom Teeth

I have previously reported how the American Association of Oral and Maxillofacial Surgeons (AAOMS) recently had a press conference on wisdom teeth in Washington, D.C. See http://blog.teethremoval.com/third-molar-multidisciplinary-press-conference/ for more information. Shortly after the press conference they issued a press release available at http://www.aaoms.org/docs/media/third_molars/press_release.pdf which is titled “Conventional Wisdom about Wisdom teeth Confirmed: Evidence Shows Keeping Wisdom teeth May be More Harmful than Previously Thought.” One of the additional key findings listed in this press release  is “Most patients (60 percent) with asymptomatic wisdom teeth prefer extraction to retention.” This finding comes from a recent article in the Journal of Oral and Maxillofacial Surgery, titled “Most Patients With Asymptomatic, Disease-Free Third Molars Elect Extraction Over Retention as Their Their Preferred Treatment.”  The article is by Brian E. Kinard, BS and Thomas B. Dodson, DMD, MPH.  It appears in the December 2010 issue in volume 68, issue 12, on pages 2935-2942. The article uses a study sample from patients presenting to the Department of Oral and Maxillofacial Surgery at Massachusetts General Hospital between November 2008 and August 2009 for the evaluation and management of their third molars (wisdom teeth) by Thomas B. Dodson.  In the article on Table 8 it is presented […]

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Dentalhealth.org

I wanted to let everyone know about the site dentalheath.org. It is a site by the British Dental Health Foundation. There is a section for the public, a section for the press, and a section for professionals. Most people will find the Dental Health Information Leaflets section in the for the public part of the website to be useful. There are numerous useful dental related categories such as wisdom teeth, what to do following an extraction, x-rays, and so on. Since the site is from the British Dental Health Foundation, it’s intended audience is for people who live in Britain so this is important to keep in mind. Even so the information can be helpful for everyone. The site is arranged so that frequently asked questions for each category are asked and then answered. For example, in the wisdom teeth category, a question is “What are the main reasons for taking wisdom teeth out?” The answer is Far fewer wisdom teeth are now taken out than in the past. If the tooth is not causing problems, your dentist will not want to remove it. They will only remove wisdom teeth: – when it is clear that they will not be […]

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Wisdom Teeth and Dentist Culture

I found an interesting article today on how the “Culture of research led to changes in extraction of wisdom teeth.” The article addressed wisdom teeth removal surgery in the United Kingdom (UK) and how this has changed over time. An interesting tidbit is there were 130,000 surgical extraction procedures conducted in England and Wales in 1995.  By 2002, this number had fallen to less than 60,000. The reason was because of research and learning from evidence. There is no benefit to extracting  healthy impacted wisdom teeth since the procedure caries the risk of damage to facial nerves. It is unfortunate that a similar policy has not been implemented in the United States. On a lighter note, another website discusses deranged dentist names. It is not exactly clear were some of the readers are from, however, some of them are amusing. For example, The guy who pulled my wisdom teeth (to create more room in my mouth) was named  Dr. Widner (pronounced “widener”). And I had a dentist a few years ago named Dr. Roach.

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