wisdom teeth extraction

Exploring Mandibular Wisdom Teeth Roots after Coronectomy

by

Coronectomy involves the removal of part of the mandibular wisdom teeth but retention of the root. It is believed to cause less risk to the inferior alveolar nerve than extraction. An article on this topic titled “Histological evaluation of mandibular third molars roots retrieved after coronectomy,” appears in the 2015 British Journal of Oral and Maxilofacial Surgery and written by Vinod Patel and et. al (vol. 52, pp. 415-419). In the article the authors sought to find out the pulpal and periradicular status of retained roots of mandibular wisdom teeth and histologically evaluated coronectomy roots that were removed because of persistent symptoms. It is possible the roots had become infected. A total of 21 patients (with 26 roots) were included in their study with persistent symptoms after the roots had been retrieved. Of the 26 symptomatic roots, radiographic assessments showed coronectomy had been sufficient in … Read more

Painkiller Overdose in Michigan: Are Wisdom Teeth Extractions Contributing?

by

Before on this blog I have talked about how oral surgeons prescribe powerful painkillers for use after wisdom teeth removal. It is possible some of these painkillers are instead used for non-medical use. See the posts https://blog.teethremoval.com/comparing-narcotic-prescribing-habits-for-oral-surgeons-in-the-u-s-and-canada/ and https://blog.teethremoval.com/do-oral-surgeons-prescribe-too-many-narcotics-for-use-after-wisdom-teeth-removal/. An interesting article titled “Synder officials take on painkiller overdose ‘epidemic’” located at  http://www.detroitnews.com/story/life/wellness/2015/10/12/prescriptions/73798342/ and written by Gary Heinlein and Joel Kurth, discusses a surge in overdose deaths in Michigan linked to the abuse of pain and anxiety medications (Oct. 12, 2015). One of the cases describe how a man’s addiction to painkillers was aided by a 30-day prescription for Vicodin after his wisdom teeth extraction. The article states “The state’s health department has said overdose deaths linked to opioids were increasing at a faster rate than for illegal drugs such as heroin — also on the rise — and cocaine. A state report also noted that … Read more

Wisdom Teeth Surgery: A Patient’s View

by

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 https://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 … Read more

A Study of 185 Coronectomy Procedures of Wisdom Teeth

by

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 … Read more

An Australian perspective of removing or retaining wisdom teeth (third molars)

by

An article titled “Cost effectiveness modelling of a ‘watchful monitoring strategy’ for impacted third molars vs prophylactic removal under GA: an Australian perspective” appeared in the July 2015, British Dental Journal and written by A.A. Anjrini, E. Kruger, and M. Tennant (issue 219, pp. 19-23). The article discusses the direct and indirect costs associated with removing impacted wisdom teeth in Australia. A news article appearing on the Australian ABC Science (http://www.abc.net.au/science/articles/2015/08/17/4283895.htm) titled “Wisdom teeth: are we removing them more often than needed?” by Anna Salleh and written on August 17, 2015, discusses some of the points made in the journal article. The authors were interested in determining if a watchful waiting monitoring strategy should be used for impacted wisdom teeth or if a prophylactic strategy should be used. They looked at hospitalization data for impacted wisdom teeth removal for 2008 … Read more