How Jaws Shrink With Age and Does This Affect Wisdom Teeth Crowding?

A recent article titled “A 40 years follow-up of dental arch dimensions and incisor irregularity in adults.” by Nokolasos, Tsiopas, Maria Nilner, Lars Bondemark, and Krister Bjerklin, appearing the The European Journal of Orthodontics Advance Access published October 19, 2011, explores how the jaw is affected over a 40 year time period. The study started in 1949 with 22 males and 13 females (35 total) and after 40 years in 1989, 18 of these participants were still able to participate. Three dental stone study casts were made for the 18 participants who completed the 40 years of the study. The authors state: “The present study showed that the occlusion, overbite, and overjet was stable, but dentoalveolar changes occur in the adult dentition. In the anterior part of the dentition, decreases in arch length and width lead to anterior crowding. There was also an … Read more

Wisdom of Having that Tooth Removed: AAOMS Response

Recently I indicated in a post over here https://blog.teethremoval.com/wisdom-teeth-advice-and-new-dental-schools/ that a New York Times article was run on September 5, 2011, by Roni Caryn Rabin which was titled “Wisdom of Having That Tooth Removed.” This article is located here http://www.nytimes.com/2011/09/06/health/06consumer.html Recently a Letter to the Editor of the New York Times was written by the President of the American Association of Oral and Maxillofacial Surgeons, Arthur C. Jee, discussing this article located at http://www.aaoms.org/docs/media/LetterNYTimes-09-21-11.pdf (link dead 10/14/19) In the article he states The AAOMS does not advocate for the “prophylactic extraction of wisdom teeth” If this is in fact the case then I think the AAOMS should make this clear on their website. The website on wisdom teeth http://www.aaoms.org/wisdom_teeth.php (link dead 10/14/19) continues to say “As you can see, it isn’t wise to wait until your wisdom teeth start to … Read more

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

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?

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

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