Rogue Dentist’s Crusade

An interesting article appears recently over on Yahoo by Liz Goodwin, December 3, 2012, titled “Rouge dentist’s 30-year crusade against wisdom teeth removal extracts results,” located over at http://news.yahoo.com/blogs/lookout/rogue-dentist-30-crusade-against-wisdom-teeth-removal-105243007.html. The article discusses 86 year old (retired) dentist and public health advocate Jay Friedman. I have talked about Dr. Friedman before such as on this post https://blog.teethremoval.com/american-journal-of-public-health-author-jay-w-friedman-is-2009-author-of-the-year/. The article on Yahoo states “Friedman has argued for more than 30 years that removing a young person’s healthy wisdom teeth — called “third molars” by professionals — is an unnecessary and irresponsible practice. …Many dentists and oral surgeons have dismissed him as a traitor and a zealot…” The article discusses how oral surgeons have been angered by Dr. Friedman and have questioned his qualifications. Some say he is biased against wisdom teeth extractions because his aim is to save the insurance industry money. … Read more

Music To Listen to After Wisdom Teeth Removal: Gangnam Style

I have previously made several posts with some recommendations for some music you can listen to if you are recovering from wisdom teeth removal surgery. See the posts Music to Listen to After Wisdom Teeth Removal: Christian Music, Music to Listen to After Wisdom Teeth Removal: Jazz Songs, Music to Listen to After Wisdom Teeth Removal: Rock and Roll Songs, and Music To Listen to After Wisdom Teeth Removal: YouTube Musicians. Now I wanted to make another post about some things you can do after having  your wisdom teeth extraction and this time make it Gangnam Style! PSY – Gangnam Style If you haven’t heard about this video yet, it is now the most watched video on YouTube and has over 800 million views. It recently surpassed Justin Bieber’s “Baby” which was previously the most watched video on YouTube. PSY’s … Read more

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 Evidence Base for Third Molar (Wisdom Teeth) Decisions

An excellent editorial appears in the Journal of Oral and Maxillofacial Surgery in the August 2012 edition titled “Those Who Ignore the Evidence Are Doomed to Misuse It” by Dr. Thomas B. Dodson (70, pages 1765-1767). Dr. Dodson explains how the debate regarding whether or not to either 1) remove asymptomatic, disease-free third molars, or 2) retain asymptomatic, disease-free third molars has become highly controversial. He argues that there are an assortment of viewpoints that play a role here. A) Payer-based clinical decision making: “The payer is the invisible hand in the operatory, influencing the treatment plan with a bold line that determines whether a service is covered or not. With PBCD, there is little regard or sympathy for what the OMS perceives about the individual patients and their circumstances. Thus, PBCD risks moral hazard by pre-empting services that the … Read more

Reconsideration of decision making for third molar extraction

An article recently appeared in the Journal of the Korean Association of Oral and Maxillofacial Surgery titled “Reconsideration of decision making for third molar extraction, “(vol. 37, pages  343-348, 2011) by Wonse Park and et al. I am unable to read the article since it is in Korean but the abstract is in English. The introduction of the article states “Third molar extraction is one of the most common procedures in oral and maxillofacial surgery. The impacted third molar causes many pathological conditions, such as pericoronitis, caries, periodontitis, resorption of adjacent teeth, and cyst or tumors associated with impacted teeth. Extraction is often considered the treatment of choice for impacted lower third molars. On the other hand, imprudent extraction of deeply impacted third molars can cause permanent complications, such as inferior alveolar nerve damage. Therefore, guidelines for the extraction of … Read more