dentist

The Risk of Future Extraction of Wisdom Teeth

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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

Does Not Treating Asymptomatic Wisdom Teeth Cause Harm?

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An interesting article appears in the July 2015, British Dental Journal, titled “Revolution vs status quo? Non-intervention strategy of asymptomatic third molars causes harm” written by V. Toedtling and J. M. Yates (vol. 219, no. 1, pp. 11-12.) The article addresses how the Faculty of Dental Surgery of the Royal College of Surgeons of England has asked the National Institute for Health Care Excellence (NICE) to re-assess their guidance on wisdom teeth extractions. This is because the group and doctors feel that there is an increasing amount of distal-cervical caries (cavities) in lower second molar teeth (teeth right next to wisdom teeth) when associated with asymptomatic partially erupted mesial or horizontally impacted lower wisdom teeth (mandibular third molars). The authors say that NICE has been reluctant to re-appraise their 2000 guidance and guidelines on wisdom teeth removal. The authors point … Read more

Measuring Lingual Position of Lower Wisdom Teeth

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An interesting study titled “Measurement of the Lingual Position of the Lower Third Molar Roots Using Cone-Beam Computed Tomography,” appears in the January 2015 issue of the Journal of Oral and Maxilofacial Surgery (vol. 73, issue 1) and written by Yusuf Emes and et al. The authors set out to use Cone-beam computed tomography (CBCT) to evaluate the proximity of lower wisdom teeth roots to the lingual cortex, which can be used to determine the potential risk of root displacement during lower wisdom teeth removal. The study used CBCT images of 32 impacted lower wisdom teeth of 31 patients (5 men and 26 women). The images were collected for reasons not related to surgery including impacted teeth, dental implants, and cysts of the jaws. An evaluation was performed independently by 2 trained oral and maxillofacial surgeons who were experienced in … Read more

Can Graphene Be Used to Treat Gum Disease and Fight Cavities?

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When bacteria invade the mouth dental disease can form. This can lead to tooth decay or gum disease. Traditionally, antibiotics are prescribed to kill the bacteria if it is found. However, antibiotic resistance has been an issue in recent years where the antibiotics no longer work as effectively to kill the bacteria. Thus new methods to eliminate bacteria are need. Scientists have discovered a material called graphene oxide is effective at eliminating this type of bacteria even if it has developed antibiotic resistance.  Previous studies have shown that graphene oxide which are carbon nanosheets studded with oxygen groups, is a promising material in biomedical applications. Graphene oxide can inhibit the growth of some bacterial strains with minimal harm to mammalian cells. Researchers were interested to see if graphene oxide is effective at elminating bacteria responsible for dental disease. They tested … Read more

Case Reports Serve a Place in Dentistry

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An interesting article titled “CASE REPORTS HAILED” appears in JADA in September 2014, written by Enihomo Obadan, Elsbeth Kalenderian, and Rachel B. Ramoni. The article discusses an article in an earlier 2014 JADA article that featured an interesting case report. The authors state “Almost becoming a lost art in the biomedical literature, case reports still hold tremendous opportunities for learning in dentistry. In addition to the obvious learning potential for the individual dental professional, the entire professional body advances in giant strides when there is cross-organizational learning among dental clinics through information sharing.” The authors then discuss how adverse dental events being reported by dentists would help make dental treatments safer for all. The authors feels this helps promote a culture of safety, as long as there is no fear of retribution when the report occurs by the dentists. The … Read more