wisdom teeth removal

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

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

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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

Exploring the Risk Factors for Injury To Nerves During Wisdom Teeth Removal

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An interesting article titled “Risk Factors for Permanent Injury of Inferior Alveolar and Lingual Nerves During Third Molar Surgery,” appears in The Journal of Oral and Maxillofacial Surgery, vol. 72, issue 12, and written by Edward Nguyen and et al. The article assesses the incidence of and risk factors for permanent neurologic injuries to the inferior alveolar nerve (IAN) or lingual nerve (LN) after wisdom teeth removal. The article states “It has been well documented in the literature that the risk factors for IAN and LN injuries include increasing age, unerupted teeth, deep impaction, distoangular impaction, irregular root morphology, lack of clinician experience, lingual flap and retraction, and radiographic signs of proximity of the third molar to the IAN canal. The main forms of altered sensation that can occur include paraesthesia, anesthesia, or dysesthesia, which may be temporary or permanent. The … Read more

Practice Based Wisdom Teeth Removal Study

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An interesting article titled “Recommendations for Third Molar Removal: A Practice-Based Cohort Study,” appears in the April 2014, issue of the American Journal of Public Health (Vol. 104, No. 4, pp. 728-734), by Joana Cunha-Cruz and et. al. In the article a dental practice based research network Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT) is used. A total of 50 general dentists enrolled patients from May 2009 to September 2010.  In the study a total of 797 patients who had wisdom teeth (third molar) recommendations from their general dentist were used who were aged 16 to 22. However, the patients were asked to take a survey every 8 months and then a clinical visit 24 months later.  From this sample of 797 patients only 516 completed at least one follow up questionnaire. In the study the general dentists reported that … Read more

Flesh Eating Bacteria Leads to Death After Wisdom Teeth Removal

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Earlier this year (2014) in February, I posted about an Eighteen Year Old Music Student in Portland Dies After Wisdom Teeth Removal. This occurred in Maine. It has been since confirmed by a medical examiner, that the 18 year old man died after his wisdom teeth extraction by developing necrotizing fasciitis. This is a flesh eating bacteria which can ravage muscles and skin tissue. A quote is provided (see source below)  by the infection control expert from the American Dental Association who says he has never heard of necrotizing fasciitis after wisdom teeth extractions. I am not quite sure why he says this as cases have appeared of this in the literature and I have discussed this on the wisdom teeth complications page over at http://www.teethremoval.com/complications.html. Another case of death occurring from necrotizing fasciitis after wisdom teeth extraction occurred to a … Read more