nice

Should the NICE Guidelines for Management of Wisdom Teeth (Third Molars) be Reevaulated?

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An article titled “Changes in Demographics of Patients Undergoing Third Molar Surgery in a Hospital Setting Between 1994 and 2012 and the Influence of the National Institute for Health and Care Excellence Guidelines,” written by Vahe Petrosyan and Phillip Ameerally appears in the February 2014 issue of the Journal of Oral and Maxillofacial Surgery, pp. 254-258. The article discusses how National Institute for Health and Care Excellence (NICE) and the Scottish Intercollegiate Guidelines Network (SIGN) were published around 2000 recommending against prophylactic removal of wisdom teeth. This led to a reduction in surgeries performed. In the article the authors question whether or not the NICE guidelines on wisdom teeth should be updated. They mentioned a 2009 study which said 27% of previously symptom free wisdom teeth can become symptomatic after 1 year, especially those that are distoangularly impacted. In the … Read more

American Dental Association’s New Position on Dental Visits

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A few months ago the ADA (American Dental Association) released a press release regarding the frequency that patients should be seeing a dentist. This is located over at http://ada.org/8700.aspx. I meant to comment on this earlier, but didn’t get a chance. In a previous blog post earlier this year, located over at http://blog.teethremoval.com/looking-at-the-concept-of-prevention-in-dentistry/I mentioned an article by retired dentist Jay W. Friedman, DDS, MPH. I also provide a quote from the article where he says that semiannual cleanings are unnecessary in some patients. In the risks of keeping wisdom teeth page, when updated in 2011, I added a section discussing dental examination intervals. This was because I had reviewed National Institute for Health and Care Excellence (note NICE was renamed in early 2013), policy over at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/215663/dh_126005.pdf which states “The actual interval should be a clinical decision by the dentist … Read more

Unnecessary Medical Care and Over Used Tests: The Choosing Wisely Campaign

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The Choosing Wisely Campaign is an initiative which I believe I first heard about in late 2010 launched by the ACR (American College of Radiation as the Imaging Wisely Campaign) The Imagely Wisely Campaign was designed to have people aware of the fact that certain medical imaging tests such as CT exams were sometimes over used and did not always have to be used in some instances. It seems that the Choosing Wisely Campaign was launched by the ABIM Foundation which is an organization designed to advance medical professionalism to improve patient care. In April 2012 the Choosing Wisely Campaign released some lists of tests and procedures commonly done in 9 medical professions that should be questioned.  In February 2013 an additional 18 lists of tests or procedures were released. The press release is located at http://www.choosingwisely.org/wp-content/uploads/2013/02/021513_CW-Phase-II-Press-Release-FINAL.pdf On the website … Read more