Management of Wisdom Teeth without Symptoms

An article by Raymond P. White and William R. Proffit titled “Evaluation and management of asymptomatic third molars: Lack of symptoms does not equate to lack of pathology” appeared in the July 2011 issue of the American Journal of Orthodontics and Dentofacial Orthopedics (Vol 140, Issue 1). The article states “Some patients have third molars that are “symptom free and pathology free.” More often, however, third molars are “symptom free, and pathology exists,” requiring a clinical or radiographic examination for confirmation.” The authors state that a recent report suggests that limited periodontal examination in the United States in the National Health and Nutrition Estimates Survey…”underestimated the prevalence of periodontal disease.” A study carried out at the University of North Carolina and the University of Kentucky is mentioned which included 409 healthy young adults who averaged 25 years old and had … Read more

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 https://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 … Read more