The Risk of Future Extraction of Wisdom Teeth

An interesting study titled “What is the Risk of Future Extraction of Asymptomatic Third Molars? A Systematic Review,” written by Gary F. Bouloux and et al., appears in the May 2015 issue of the Journal of Oral and Maxilofacial Surgery (vol. 73, issue 5). The study attempts to determine the annual and cumulative rate of when asymptomatic wisdom teeth become necessary to remove. The authors state that the management of asymptomatic wisdom teeth is controversial and unresolved. They performed a systematic review of past studies using PubMed, Google Scholar, and the Cochrane Central Register of Controlled Trials on retained wisdom teeth. The authors had several criteria necessary for the study to be included in their analysis. The studies were included if they were an English language publication, were a prospective study design, had more than 50 subjects, had recorded the … Read more

Periodontal Disease and Cardiovascular Risk

In a post many years ago I discussed Patients With Moderate To Severe Periodontitis Need to Be Evaluated For Cardiovascular Problems. In a new study, periodontal disease has again been looked at as a risk factor for cardiovascular disease. In the study conducted, more than 15,000 patients with chronic coronary heart disease gave information on their dental health with results showing periodontal disease indicators were common. The study included self reported dental health information from the STABILITY trial, a clinical trial with 15,828 participants from 39 countries all with chronic coronary heart disease and a risk of cardiovascular disease.  All study participants had a physical exam and blood work up, and completed a lifestyle questionnaire. They reported their remaining number of teeth and frequency of gum bleeding. The results indicated a high prevalence of tooth loss with 16% reporting having no … Read more

Periodontal Disease and Pregnancy Risks

An often disagreed point in the literature is whether or not periodontal disease is associated with adverse pregnancy outcomes such as preterm births and low birth weight. I have discussed this some more on the risks of keeping wisdom teeth page over at I discussed how in a meta-analysis of 10 randomized trials in January 2011 found no evidence in favor of periodontal disease being associated with preterm births and low birth weight. The source for this study is Mariana Fampa Fogacci and et al. The Effect of Periodontal Therapy on Preterm Low Birth Weight: A Meta-Analysis. Obstetrics & Gynecology. vol. 117. issue 1. pages 153-165. January 2011. In a letter in J Can Dent Assoc 2012; 78: c120 there is an articled titled “Periodontal Disease and Pregnancy Risks,” which was published on on September 24, 2012 over at … Read more

The Optional Alternative to Medical Injury Claims

Previously on this blog I have discussed some of the issues with medical malpractice in the United States and some potential alternatives. In this post Potential Alternatives to the Current Medico-Legal System in the United States I talk about some possible alternatives such as having some agreement directly with the physician and hence avoiding trial lawyers. In this provocative post How to Improve Your Chances to Win a Dental Malpractice Lawsuit I discuss the 4 elements you need to win a malpractice suit in the U.S. and a possible suggestion to help improve your chances of doing so. Last year, Kevin Pho known as “social media’s leading physician voice” discussed in a post written on July 16, 2012, titled “The New York medical malpractice crisis: Who’s to blame?,” how some financially struggling hospitals are going without medical malpractice insurance and just … Read more

The Correlation of Mandibular Incisor Crowding and Third Molars in Brazilians

An article written by Lilian-Harumi Karasawa and 4 others titled ” Cross-sectional study of correlation between mandibular incisor crowding and third molars in young Brazilians,” appears in Med Oral Patol Oral Cir Bucal (currently in press the version I have looked at but was accepted in November 2012). The article sets out to examine the correlation between lower incisor crowding and the mandible third molar (lower wisdom tooth).  The ability of a lower wisdom tooth to have lower incisor crowding has been debated and looked at by many researchers over the years. See for example Review of the Wisdom Behind Third Molar Extractions. The possibility that a lower wisdom tooth can cause crowding is often given as a justification for removing a lower wisdom tooth to prevent abnormal orthodontic conditions. In this study the researchers took 300 healthy Brazilian young … Read more