wisdom tooth

Wisdom Teeth: Perspectives from the Military

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In previous discussions on this blog such as Third Molar Morbidity Among Troops Deployed and elsewhere, a discussion has been made about whether or not wisdom teeth should be extracted in those involved in the armed forces. A new article from Hurlbert Field titled “Wisdom teeth: Should they stay or go” provides a perspective by Staff Sgt. Jeff Andrejcik, was written on December 3, 2013, and is located over at http://www2.hurlburt.af.mil/news/story.asp?id=123372876. The article is written by a special operations dentist who performs wisdom teeth extractions. He says he has removed over 300 wisdom teeth and once removed 8 in one patient. He says in the article that most people don’t have room for wisdom teeth and they grow in sideways and are not cleansable. Larkin discusses how pericoronitis can occur in patients who have wisdom teeth that erupt but not fully leaving … Read more

Osteonecrosis of the Jaw As a Complication After Wisdom Teeth Removal

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Removing wisdom teeth or a wisdom tooth has risks and in some instances complications can occur. I have discussed numerous complications of wisdom teeth over at http://www.teethremoval.com/complications.html. One of the complications discussed is Bisphosphonate Related Osteonecrosis of the Jaw (BRONJ). What happens is that when a patient is on bisphosphonates and has a tooth extracted (any tooth a wisdom tooth or not) bone that is exposed can fail to heal. A case of this occurring is described at the Daily Mail titled “Grandmother in agony for FOUR YEARS after dentist removed wisdom tooth without checking her medical records,” by Steve Robinson, published on March 19, 2013. In this case a 72 year old woman had a problem where she kept catching her teeth with her cheek and noticed blood. She went to her general practitioner who performed a biopsy and … Read more

Wisdom Teeth Caries Experience and Periodontal Pathology in Young Patients

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An interesting article explored the prevalence of caries experience and periodontal pathology on asymptomatic wisdom teeth in young adults appears in a 2012 issue of the Journal of Oral and Maxillofacial Surgery by Rachel N. Garaas and et al. titled “Prevalence of third molars with caries or periodontal pathology in young adults” (J Oral Maxillofac Surg. vol. 70, pages 507-513, 2012). The article seeks to help inform young adults who are seeking advice about the extraction or retention of wisdom teeth about if these teeth can remain symptom free or not. The study includes 409 patients with an average age of 25. The authors define a periodontal probing depth of at least 4 mm as indicative of periodontal inflammatory disease. The authors found that a periodontal probing depth of at least 4 mm was detected more often on a mandibular … Read more

What is the Prevalence of Patients with Asymptomatic, Disease-Free Third Molars (Wisdom Teeth)

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An interesting article titled “How Many Patients Have Third Molars and How Many Have One or More Asymptomatic, Disease-Free Third Molars?” appears in the September 2012, supplement 1. (vol. 70, issue 9) of the Journal of Oral and Maxillofacial Surgery written by Thomas B. Dodson, DMD, MPH (pg. S4-S7). The article seems to attempt to arrive at an answer to the question of how many patients really have a wisdom tooth (third molar) that is not causing problems and that has no disease. In the article Dr. Dodson recommends that patients are divided into 4 different categories when having their wisdom teeth evaluated. symptomatic, disease present (based on history and radiological examination) symptomatic, disease absent (includes teething and vague pain symptoms unrelated to wisdom tooth) asymptomatic, disease present (disease is evident from radiological findings or clinical exam but not patient … Read more

Lessons from Medical Litigation of Dentists

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Back in June of 2013, I discussed in the post Lessons from Medical litigation in oral surgery practice several lessons that can be learned upon exploring lawsuits occurring in an oral surgery setting. An interesting post on the same topic but applied to dentists as a whole was just written earlier today in DrBicuspid, titled “When a dentist becomes the defendant,” by Meghan Guthman (October 7, 2013, source: http://www.drbicuspid.com/index.aspx?sec=sup&sub=pmt&pag=dis&ItemID=314397&wf=1660“) Apparently this article was already written in the American Student Dental Association in their summer 2013 issue and was just a reprint. The article discusses some data gathered by Medical Protective which is a malpractice insurance company. Their data shows that the average payment to a plaintiff in a dental malpractice lawsuit is $65,000. Around 20% of their dental malpractice cases between 2003 and 2012 involved a tooth extraction with the average … Read more