Wisdom Teeth

Periodontal disease may associate with breast cancer

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An interesting study was published in Breast Cancer Res Treat (vol 127, pages 497 – 502, 2011) titled “Periodontal disease may associate with breast cancer,” by Birgitta Soder and et al. The study evaluated the association between periodontal disease and the incidence of breast cancer in a prospective study of 3273 randomly selected subjects aged 30 to 40 at baseline. The authors open by discussing how periodontal disease is characterized by chronic infection and inflammation leading to destruction of the bone surrounding the teeth. Some studies estimate that between 15 to 35% of the adult population in industrialized countries suffers from periodontal disease. Periodontal disease is initiated by a biofilm of bacteria on the teeth which triggers an immune-inflammatory response in the adjacent host tissues. Periodontal disease is of particular importance when considering whether or not to have wisdom teeth … Read more

Third Molar Morbidity Among Troops Deployed

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A few articles have been recently released in late 2010 discussing third molars (wisdom teeth) among those serving in the military. Guidelines from NICE and SIGN as stated over at http://www.teethremoval.com/wisdomteeth.html due state that those who have a certain occupation such as in the armed forces should certainly strongly consider having wisdom teeth removed before they cause problems due to not being able to easily have access to dental treatment. A paper was put out in December 2010 titled “The Impact of Retained Third Molars on the Deployed Airman.” It is over at this link here. The article is written by Robert E. Langsten and William J. Dunn and states that as many as 22% of all emergency department visits at a deployed Expeditionary Medical Support facility can be attributed to dental problems. The article mentions how there is no … Read more

Evidence Base for Oral and Maxillofacial Surgery Journals

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An interesting articled titled “The evidence base for oral and maxillofacial surgery: 10-year analysis of two journals,” appeared in the January 2012 edition of the British Journal of Oral and Maxillofacial Surgery (vol. 50, issue 1, pages 45-48) wirrten by Amandip Sandhu. The author opens by discussing an editorial in the Lancet in 1996 which discussed how there is a lack of scientific rigor in surgical research. The author states “There is a well established hierarchy of levels of evidence, and the medical community considers that meta-analyses and randomised controlled trials (RCTs) are the most scientifically stringent means of investigating the efficacy of one intervention against another. Other grades of evidence (in increasing weakness of level of evidence) are case controlled studies, comparative studies, case series, correlation studies and expert committee reports, and the clinical experiences of respected authorities.” The … Read more

Using Computed Tomograph (CT) To Lower the Incidence of Wisdom Teeth Removal Nerve Injuries

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A question that everyone who has wisdom teeth wants to know these days is the following: “If you use Computed Tomography (CT) can it lower the risk of developing a nerve injury from having wisdom teeth removed?” Three authors from Spain (Sanmarti-Garcia, Valmaseda0-Castellon, Gay-Escoda) recently conducted a study asking this question titled “Does Computed Tomography Prevent Inferior Alveolar Nerve Injuries Caused by Lower Third Molar Removal?” appearing in the Journal of Oral and Maxillofacial Surgery (vol 70, pages 5-11, 2012). The issue is as stated by the authors is that “panoramic radiography alone cannot identify the buccolingual position of the mandibular canal and the 3M roots.” Computed tomography (CT) is able to show this information. Even so an estimated 40% of cases show superposition of the roots and the mandibular canal. Hence many of the potential CTs performed may potentially … Read more

Potential Alternatives to the Current Medico-Legal System in the United States

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On my site I discuss numerous issues with the current legal system and how this relates to the medical system with a focus on third molar (wisdom teeth) removal. See http://www.teethremoval.com/legal_system_medical_malpractice, http://www.teethremoval.com/legal_standpoint.html, and http://www.teethremoval.com/dental_malpractice.html. One issue is that there are a host of different damage caps (non-economic ‘pain and suffering’ awards) in different states throughout the United States. This can sometimes limit the amount a patient can receive even if there was gross negligence by the dentist or oral surgeon. Hence this can prevent fair compensation from being awarded. Another issue with the legal system is that sometimes when patients suffer complications and problems due to negligence they will not be able to sue due to the case not being able to get a very large settlement amount. In addition, these legal cases can drag on for years and years … Read more