Association Between Partially Erupted Mandibular Third Molar and Caries in Distal Second Molar

An interesting article titled “Association between the presence of a partially erupted mandibular third molar and the existence of caries in the distal of the second molars,” appears in the International Journal of Oral and Maxilofacial Surgery by S. G. M. Falci and et. al. (October 2012, pp. 1270-1274). The article mentions how previous studies have shown that caries on the mandibular second molar due to the presence of partially erupted third molars has varied between 7% and 32%. The article criticizes prior work where studies based their prevalence data on panoramic radiographs which is not as good as periapical radiographs when diagnosing caries. The authors state “The lack of sample characterization, the absence of sample calculation, the deficient or inadequate statistical analysis and the absence of a description of the eligibility criteria, discredits the scientific evidence of these previous … Read more

The Costs Associated with Third Molars (Wisdom Teeth)

An interesting articled by George M. Koumaras titled “What Costs Are Associated With the Management of Third Molars?” appears in the 2012 J Oral Maxillofac Surg vol. 70, pp. 8-10, supp. 1. The article attempts to look at the costs associated with asymptomatic, disease-free, third molars (wisdom teeth). Three scenarios were explored by the author: scenario 1 (nonoperative management): retention of asymptomatic, disease-free third molars and monitoring for 20 years from age 18 to 38 years scenario 2 (operative management): removal of 2 asymptomatic, disease-free, bony impacted third molars for 18-year-old patients using general anesthesia (30 minutes) in an office-based ambulatory setting scenario 3 (failure of nonoperative management): removal of 1 previously asymptomatic, disease-free, bony impacted third molar after 10 years of follow-up in a now 28-year-old patient using general anesthesia (30 minutes) in an office-based ambulatory setting.” The author … Read more

Videos Related to Oral and Maxillofacial Surgery

For those who are contemplating having oral and maxillofacial surgery or are in urgent need of health treatment they may want to consider viewing some educational videos. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has recently uploaded many of their videos to their YouTube page over at http://www.youtube.com/user/aaomsvideo. They also have a Vimeo page that contains many of the same videos over at http://vimeo.com/aaoms/videos. I have previously commented on a video on Anesthesia in the Oral and Maxillofacial Surgeons Office. I was critical of the video as I pointed out in my prior blog post. A newer video on third molars (wisdom teeth) has been made available. This video is made in partnership with the American Association of Orthodontists.  The video describes how a wisdom tooth can be impacted and how surgery can be performed to remove a … Read more

The Effect of Acne Medication on Wisdom Teeth Removal

In a research letter in the October 2012 issue of J AM ACAD DERMATOL titled “The effects of isotretinoin on wisdom tooth extraction,” by Jyoti Sharma, Diane M. Thiboutot, and Andrea L. Zaenglein (pp. 794-795), a discussion is made of of the medicine more commonly known as Accutane. Accutane has since be removed from use in the U.S. due to legal issues but the generic form of isotretinoin remains available. See more discussion on the Wikipedia page http://en.wikipedia.org/wiki/Isotretinoin. In the study, 328 patients between 12 and 27 were contacted who were on isotretinoin. 26 of these patients had wisdom teeth extraction, with all but 1 of the patients still being on isotretinoin at the time of the surgery. 3 patients suffered from a dry socket but none of the other patients had a complication after wisdom teeth removal. One of these … Read more

Taking Advantage of a Discount Dental Plan For Wisdom Teeth Extraction: Aetna Dental Access

Wisdom teeth removal can be expensive for many patients. On top of this many people do not have dental insurance, with many people also not having health insurance. Even if you have both dental insurance and medical (health) insurance many of the costs associated with surgery to remove wisdom teeth will not be covered and you will be responsible for the bill. X-rays and anesthesia can also add to the cost of the surgery. The actual costs of wisdom teeth extraction surgery vary and depend on numerous different factors. I have previously discussed this over at http://www.teethremoval.com/wisdom_teeth_extraction_cost.html. In this post I talk about how an impacted wisdom tooth can cost between $100 to $878 to be removed. Some of this cost depends on the location you live in and the skills and experience of the surgeon. In addition, the cost … Read more