wisdom tooth

What to Do about the Fourth Molar: Similar Management Strategies as the Third Molar aka Wisdom Tooth?

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So wisdom teeth are also known as third molars but did you know that there are also fourth molars in a small subset of patients? A recent study was performed by the United States at an Air Base in Japan which is currently in press to appear in the Journal of Oral and Maxillofacial Surgery titeld Prevalence and Management of Fourth Molars: A Retrospective Study and Literature Review by Khurram M. Shahzad and Lawrence E. Roth, 2011. In the study conducted 409 patients were referred for a third molar (wisdom teeth) consultation. Two of 227 white patients (0.9%) had a fourth molar and 6 of 94 black patients (6.4%) had a fourth molar. One of the other 84 patients (1.2%) also had a fourth molar. Of these patients with a fourth molar 5 out of 9 (55%) had only 1 … Read more

Research During Residency for Oral Surgeons?

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Earlier this year over the summer an article appeared in the Journal of Oral and Maxillofacial Surgery discussing the attitudes of program directors and residents toward performing research during residency. I commented on this article here https://blog.teethremoval.com/the-lack-of-importance-of-research-in-oral-and-maxillofacial-surgery-residency-programs/ A new article has appeared in the Journal of Oral and Maxillofacial Surgery written by Dr. James R. Hupp titled Research During Residency – Should it be Mandated? (vol. 69, pages 2685-2687, 2011). In the article is a discussion of research and whether or not it should be performed by oral surgeons in residency. Dr. Hupp discuses his own experience with research work and then questions if the current accreditation standards require all Oral and Maxillofacial Surgery residents to do research. He says: “Now the question becomes, should our standards require all residents to have the opportunity to conduct research and, in my … Read more

Wisdom Teeth Advice and New Dental Schools

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A new article in the New York Times titled “Wisdom of Having that Tooth Removed” written by Roni Caryn Rabin published September 5, 2011, is an interesting articles for those considering whether or not to have healthy wisdom teeth extracted. The article is located at http://www.nytimes.com/2011/09/06/health/06consumer.html The article explores some of the issues regarding whether or not you should or not have have healthy wisdom teeth extracted. The article discusses how the American Association of Oral and Maxillofacial Surgeons (AAOMS) held a press conference back in October of 2010, http://www.aaoms.org/docs/media/third_molars/key_findings.pdf (dead 10/14/19), in which one of the key findings was “Retained, asymptomatic wisdom teeth are eventually extracted between 25% and almost 70% of the time.” The author of the New York Times article questioned AAOMS on this statement which appeared on their website. The response from AAOMS was “Yet when … Read more

How to Improve Your Chances to Win a Dental Malpractice Lawsuit

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Tom over at OralAnswers has previously written a post on how to win a dental malpractice suit http://www.oralanswers.com/2010/07/sue-your-dentist-and-win-malpractice-lawsuit/ I also discuss on my U.S. Legal System and Medical Malpractice page http://www.teethremoval.com/legal_system_medical_malpractice the 4 elements you must prove to have a chance at winning a malpractice suit. (1) the doctor to provide a standard of care to patients in the locality where the treatment occured (legal duty) (2) the doctor breached that standard of care (3) an injury causing damages (4) the breach of the standard of care was the proximate cause of the injury. Now as is quite clear on my site I disagree with the current ‘standard of care’ of removing healthy wisdom teeth in young healthy patients in the U.S. This is not the standard of care in the U.K. I wanted to touch on an additional element in … Read more

The truthiness of extracting wisdom teeth: James R. Carey

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An excellent article was written yesterday October 3, 2011, titled “The truthiness of extracting wisdom teeth” by James R. Carey who is a Professor of Entomology at UC Davis  http://entomology.ucdavis.edu/faculty/facpage.cfm?id=carey The article is located at http://www.davisenterprise.com/opinion/opinion-columns/the-truthiness-of-extracting-wisdom-teeth/ and I think it is well worth a read for anyone considering wisdom teeth removal. He opens the article with “In this age of evidence-based health care, I was astonished to discover that the oral surgeon’s recommendation for removal of my 21-year-old daughter’s impacted wisdom teeth was not based on evidence, theory, logic or facts but rather on truthiness — the quality of being considered to be true because of what he wished.“ He goes on to say “Yet it is considered by dentists, oral surgeons and the majority of the public as “standard of care.” Neither I nor any family members or friends … Read more