Tag Archives | wisdom teeth removal

Wisdom Teeth Surgery: A Patient’s View

Many who come to this blog and website are of course interested in learning more about wisdom teeth removal. In the past I have posted some successful and positive wisdom teeth extraction experiences see http://blog.teethremoval.com/successful-and-positive-wisdom-teeth-removal-experiences/. Even so this site has more negative experiences. For those who want a more detailed positive experience from the surgery an article by Laura Pacey in the May 2014, British Dental Journal titled “Third Molar Surgery” is helpful (vol. 216, issue 9, pp. 490). The article is written by the assistant editor of the British Dental Journal and describes her experience with having three wisdom teeth extracted. As someone who works in the dental field of course she may be more knowledgeable than the average patient. She describes how she feared that she would become another ill-fated statistic concerning complications following wisdom teeth removal. Prior to surgery, she had a CBCT scan performed which revealed that the roots of her lower right wisdom teeth were connected to the nerve below and her lower left wisdom tooth was close to the inferior alveolar nerve. As such she had her upper right wisdom tooth extracted and coronectomy performed on both lower wisdom teeth. She also describes having […]

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Using Povidone Iodine After Wisdom Teeth Removal

The article titled “Effect of Low-Concentration Povidone Iodine on Postoperative Complications After Third Molar Surgery: A Pilot Split-Mouth Study” written by Hamid Mahmoud Hashemi and et. al. appears in the January 2015 issue of the Journal of Oral and Maxillofacial Surgery (vol. 73, issue 1). The article discusses polyvinylpyrrolidone iodine which is a highly potent antiseptic solution known for its bactericidal activity. The authors performed a prospective randomized split mouth study of patients undergoing surgical removal of impacted mandibular wisdom teeth to evaluate whether diluted povidone iodine can be used as an irrigant and coolant and if it has any effect on common postoperative sequelae, including swelling, pain, and trismus. A total of 30 healthy patients (18 to 25 yr old) with bilateral impacted mandibular wisdom with similar position and degree of impaction were recruited at Tehran University in Iran between March 2012 and September 2012. One impacted mandibular wisdom teeth in the first patient was randomly allocated to the study side by using a coin and the other side served as the control. In the subsequent patient, the opposite sides were allocated to the study and control groups. The teeth were removed under local anesthesia with 2% lidocaine and […]

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Monitoring the Periodontal Status of Wisdom Teeth

An interesting article titled “Monitoring for Periodontal Inflammatory Disease in the Third Molar Region,” appears in the April 2015, issue of the Journal of Oral and Maxilofacial Surgery written by Brent A. Golden and et. al. (vol. 73, issue 4). The study looked at participants who had asymptomatic wisdom teeth and sought to assess the periodontal status of those wisdom teeth at 2 year intervals for 6 years. The participants in the study were taken to have healthy periodontal status of their wisdom teeth if the probing depths were less than 4 mm. A total of 129 such patients were included in the study. In actuality the study participants were a subsample of another larger study were patients had 4 asymptomatic wisdom teeth. The subsample included all participants with a healthy periodontal status (all probing depths less than 4 mm) in the wisdom teeth region, defined as distal of second molars and around adjacent third molars, with clinical data collected at three 2-year intervals. Eighty-nine percent of those in the study visited a dentist at least occasionally, all of them brushed their teeth at least daily, and 67% used dental floss. After 6 years of the study, one-fourth of the […]

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A Study of 185 Coronectomy Procedures of Wisdom Teeth

An interesting article titled “Coronectomy of the Mandibular Third Molar: A Retrospective Study of 185 Procedures and the Decision to Repeat the Coronectomy in Cases of Failure,” appears in the April 2015 issue of the Journal of Oral and Maxillofacial Surgery written by Boaz Frenkel and et. al. (vol. 73, issue 4). The article seeks to evaluate the success rate of coronectomy and if failure occurs, retreatment. Coronectomy is an alternative extraction technique of wisdom teeth to prevent inferior alveolar nerve (IAN) injury in cases of root proximity to the IAN or complicated root anatomy of the mandibular wisdom teeth. The technique seeks to extract the crown of the mandibular wisdom teeth and leave the roots intact. Coronectomy is not without risks and complications and things such as infection, dry socket, and pain can occur in addition to healing that doesn’t fully resolve and root eruption. Coronectomy failure can be treated with reoperation (removal of the residual roots) or in some cases repeat coronectomy can occur. The study included 173 patients undergoing 185 coronectomy procedures between December, 2008, and October,  2012, at Sheba Medical Center in Israel.  Coronectomy was performed when orthopantographic imaging indicated close proximity of the roots of […]

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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 number of subjects or wisdom teeth requiring extraction during the study period, and had a follow-up duration of 1 year or more. Additional criteria were patients aged 18 years old or older, at least 1 wisdom teeth present at enrollment, and only asymptomatic wisdom teeth at enrollment. The authors started with 65 studies and narrowed it down to 7 studies […]

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