Wisdom Teeth: A Clash of Perspectives Between Orthodontists and Oral Surgeons

Wisdom teeth, or third molars, often erupt in late adolescence or early adulthood. While some erupt smoothly, many become impacted, meaning they fail to fully emerge through the gums. This can lead to various complications, including pain, infection, and damage to adjacent teeth. The management of asymptomatic impacted wisdom teeth is a subject of ongoing debate among dental professionals. While there’s consensus on extracting symptomatic teeth, the decision to remove asymptomatic ones remains contentious. A new study titled Prophylactic third molar removal: are oral surgeons and orthodontists aligned in preventive approaches (written by Ipek Necla Guldiken and et. al, BMC Oral Health, 24, Article number: 1072, 2024) aimed to investigate the perspectives of orthodontists and oral surgeons regarding the indications for prophylactic extraction of asymptomatic wisdom teeth. Methods: A web-based survey was conducted among 127 orthodontists and oral surgeons in Turkey. Participants … Read more

Social Media’s Shadow: How Online Content Can Increase Anxiety Before Wisdom Teeth Surgery

Wisdom teeth removal is a common surgical procedure, yet many patients experience significant anxiety leading up to the day. While social media can be a valuable resource for information and support, a recent study published in the Journal of Oral and Maxillofacial Surgery (written by Ufuk Tatli and Tahayasin Kalkan, titled Does Social Media Increase Perioperative Anxiety in Patients Undergoing Impacted Third Molar Surgery?, 2024) suggests that browsing online content related to the surgery can inadvertently increase preoperative anxiety. Researchers at Marquette University School of Dentistry investigated this phenomenon by examining the anxiety levels of 162 patients scheduled for wisdom teeth extraction. They divided participants into two groups: those who actively sought out and viewed social media content related to the surgery and those who avoided such exposure. The study employed standardized anxiety assessments to measure the impact of social media consumption … Read more

Easing the Pain and Swelling After Wisdom Tooth Removal: The Promise of Photobiomodulation Therapy

Wisdom tooth extraction, while a common oral surgery, often comes with its share of discomfort. Post-operative pain, swelling (edema), and difficulty opening the mouth (trismus) are frequent challenges for patients. These complications can significantly impact a patient’s quality of life and recovery time. However, a growing body of evidence suggests that Photobiomodulation Therapy (PBM) may offer a significant advantage in easing the recovery process.   PBM, a non-invasive therapy, involves the application of low-level lasers or light-emitting diodes (LEDs) to specific areas. This therapeutic approach has gained traction in various medical fields due to its potential to:   In a recent double-blind clinical trial, in an article titled “PAIN, OEDEMA AND TRISMUS RESPONSES FOLLOWING PHOTOBIOMODULATION THERAPY IMMEDIATELY AFTER LOWER THIRD MOLAR EXTRACTION: RESULTS OF A RANDOMIZED, DOBLE-BLIND AND SPLIT MOUTH CLINICAL TRIAL,” written by GISELA CRISTINA VIANNA CAMOLESI and et. al. … Read more

Automated Classification of Third Molar Development Stages Using Deep Learning

Accurate assessment of tooth development is crucial in various fields, including dentistry, orthodontics, and forensic science. Traditional methods, such as the Demirjian system, rely on visual inspection by dental professionals, which can be subjective and prone to inter-observer variability. This study aimed to develop a fully automated system for classifying third molar (wisdom teeth) development stages using deep learning, offering a more objective and efficient approach. The research utilized a large dataset of orthopantomograms (OPGs), which were meticulously labeled by dental experts according to the Demirjian system. The dataset comprised images of both left and right lower jaws, resulting in a substantial collection for model training and evaluation. To enhance the accuracy and robustness of the system, several key techniques were employed: The results demonstrated the superior performance of the EfficientNet model, achieving a classification accuracy of 83.7%. This significant … Read more

Do Patients Desire Liposomal Bupivacaine After Wisdom Teeth Surgery

An interesting article titled “Are Patients Interested in Liposomal Bupivacaine as a Nonopioid Alternative for Postsurgical Analgesia Following Third Molar Extractions?” written by Annie Ho and et. al. appears in the Journal of Oral and Maxillofacial Surgery (online August 9, 2023). The article seeks to determine a patient interest in the use of Liposomal Bupivacaine as an alternative to opioids after wisdom teeth extraction. Studies have shown that patients given opioids after surgery have a 44% increased risk of long-term opioid use. Long lasting local anesthetics like liposomal bupivacaine (LB) were first approved in the U.S by the Food and Drug Administration in2011. Only a single dose to the surgical site is needed for postsurgical analgesia. Research has shown that Liposomal Bupivacaine can lower cumulative pain scores, reduce opioid requirements, and make for faster discharges from the hospital. Although Liposomal … Read more