Wisdom Teeth

The Lack of Importance of Research in Oral and Maxillofacial Surgery Residency Programs

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A current article in press 2011 (at the time of this writing) will appear in the Journal of Oral and Maxillofacial Surgery. The article is titled Attitudes and Opinions of Residency Directors and Residents About the Importance of Research in Oral and Maxillofacial Surgery Residences by Ali E. Mohammad, Al M. Best, and Daniel M. Laskin. The conclusion of the article is quite grim The failure of all residency programs to provide actual research experience for their trainees has resulted in a decrease in the contributions that such programs have traditionally made to the literature and the advancement of the speciality. It is important that steps be taken to reverse this trend. The article describes a study that was conducted to determine the research status done by residents in oral and maxillofacial surgery training programs.  A questionnaire was developed for … Read more

Omega 3 Fatty Acids Inversely Proportional to Periodontitis

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Periodontitis (periodontal disease)  is a inflammatory disease which is caused by bacteria accumulating at the gum line. This can cause bone loss. Periodontal disease possibly occurring later in life in the wisdom tooth region is commonly a reason given by dentists and oral surgeons to remove healthy wisdom teeth. However, based on current literature understanding and assestment, wisdom teeth should not be removed if they are healthy due to a risk of periodontal disease. If periodontal disease were to later occur, then a conservative approach should be followed. This is discussed in more details on the wisdom teeth controversy page. A study that was published in 2010, looked at data from 9,182 adults ages 20 and older and met certain criteria from the National Health and Nutrition Examination Survey (NHANES) study between the years 1999 and 2004. Periodontal examinations were … Read more

16 Year Old Female Dies After Wisdom Teeth Removal

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I was very saddened to recently hear about the death on May 5, 2011, of a young 16 year old girl who was a sophomore in high school in a suburb of Pittsburgh, Pennsylvania. She was in the ROTC program and had aspirations to join the Army. Miciah Bonzani went into cardiac arrest while under anesthesia to have her wisdom teeth removed. She was taken to a hospital, placed on life support, and then died 2 days later. She was born with a heart defect which had required two surgeries before her first birthday. What is also troubling to me about this unfortunate death is that one of the media organizations that covered the story WPXI/Pittsburgh.com, did not even mention that it occurred while having wisdom teeth extracted.  They simply called it “dental work” and an “outpatient medical procedure”, although … Read more

Patient Consultations for Wisdom Teeth Removal

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In my last post on the Well Informed Patient I discuss how Dr. Thomas B. Dodson talks about “…a new brand of well-informed patient.” In that post I attempted to make that case that many patients are not being well informed at all when it comes to wisdom teeth extractions and is partially due to the current model of informed consent in the U.S but also failure to provide their patients with current scientific evidence and information. In this post I will look specifically at 2 examples of patients who have in the past few years visited oral surgeons to discuss the possibility of having wisdom teeth removed and/or had wisdom teeth removed. From their writing one can make the case that they may have benefited from being better informed and aware of the fact that no current evidence supports … Read more

The Well Informed Patient

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In a recent editorial in the Journal of Oral and Maxillofacial surgery (vol. 69. page 1263, 2011),  titled “Shouldn’t All Clinical Research Be Scientific?”, Dr. Thomas B. Dodson,  talks to his fellow oral surgeon colleagues and says “Not only do we face rapid advances in science and technology, but we have new accountability from economic, legal, and regulatory challenges, as well as a new brand of well-informed patient.” I personally would hope that the well-informed patient are patients who are being informed by oral and maxillofacial surgeons and dentists. However, I do not believe that is really the case here. One question to ask is why patients in the past were not well informed? The other and more pressing question to ask is why are these patients still not being properly informed today? (This also applies to other doctors and … Read more