Actuarial life‐table analysis of lower impacted wisdom teeth in general dental practice

Fernandes, Marcelo José; Ogden, Graham S.; Pitts, Nigel; Ogston, Simon; Ruta, Danny

doi:10.1111/j.1600-0528.2009.00501.x

Cited by 24 publications

(46 citation statements)

References 20 publications

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“…3–6 However, most third molars will erupt without symptoms. 7,8 In addition, third molar removal is associated with morbidity, such as pain, swelling, bleeding, infection, and paresthesia; the overall rate of complications varies from 4.6% 9 to 21%. 4 Thus, recommendations to retain and monitor asymptomatic third molars may be considered an appropriate strategy.…”

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confidence: 99%

Recommendations for Third Molar Removal: A Practice-Based Cohort Study

Cunha‐Cruz¹,

Rothen²,

Spiekerman

et al. 2014

Am J Public Health

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Objectives We investigated general dentists’ reasons for recommending removal or retention of third molars and whether patients adhered to dentists’ recommendations. Methods In a 2-year prospective cohort study (2009–2011) in the Pacific Northwest, we followed 801 patients aged 16 to 22 years from 50 general dental practices. Generalized estimating equations logistic regressions related patient and dentist characteristics to dentists’ recommendations to remove third molars and to patient adherence. Results General dentists recommended removal of 1683 third molars from 469 (59%) participants, mainly to prevent future problems (79%) or because a third molar had an unfavorable orientation or was unlikely to erupt (57%). Dentists recommended retention and monitoring of 1244 third molars from 366 (46%) participants, because it was too early to decide (73%), eruption path was favorable (39%), or space for eruption was sufficient (26%). When dentists recommended removal, 55% of participants adhered to this recommendation during follow-up, and the main reason was availability of insurance (88%). Conclusions General dentists frequently recommended removal of third molars for reasons not related to symptoms or pathology, but rather to prevent future problems.

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confidence: 99%

Recommendations for Third Molar Removal: A Practice-Based Cohort Study

Cunha‐Cruz¹,

Rothen²,

Spiekerman

et al. 2014

Am J Public Health

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“…The study showed that 3% of previously asymptomatic third molars were removed every year, with more wisdom teeth being removed as the patient age increased. In contrast, there was a significant, inverse association between the development of symptoms and age 36 ; thus, older patients were less likely to develop signs/ symptoms that warranted removal. A reviewer for this study highlighted the role of practitioners in discussing the risks and benefits of both retention and removal of asymptomatic lower wisdom teeth with even a slight risk of future loss 37 .…”

Section: Discussionmentioning

confidence: 85%

Assessment of the referral system for surgical removal of third molars at the Dental Faculty, King Saud University

Fotawi

Philip

Premnath

2017

International Dental Journal

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Of 400 potential respondents, 226 completed the survey (response rate: 54%). Of these patients, 91% knew why they had been referred to the oral surgery department, but 73.5% did not understand the surgical extraction procedure or its complications. In total, 45.2% of the patients referred had no signs or symptoms, and 36% were referred for prophylactic reasons. In conclusion, our system needs reassessment. To combat the subjective health practice of routinely referring patients for prophylactic extraction, the role of primary care should be emphasised by implementing a system for regular patient check-ups, and public awareness should be increased.

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“…[20][21][22][23] As a precautionary measure, it is a wise advice from medical experts to be prepared for any dental emergency for such a special category of patients. [24][25][26] On the other hand, other group of experts suggests retaining the asymptomatic tooth on the request of patients. This raises a concern over conserving an impacted tooth?…”

Section: Resultsmentioning

confidence: 99%

The Effects of Intravenous Antibiotic Administration during the Surgical Removal of Third Molar: Systematic Review

Chidambaram¹

2019

JYP

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Intravenous antibiotics a subset of parenteral route help in reducing the post-operative infections in dento-alveolar surgery such as the removal of third molar. However, this route lacks evidential support in the literature and thus has received less attention among the oral clinicians and proportionally in pharmacologists. A systematic review was performed in the Pubmed, Pubmed Central and Scopus electronic data bases from January 2003-January 2017 with a view to express the last fifteen years performance. From the primary queries, only 74 references could be collected pertinent to antibiotic therapy in third molar surgery including the protocols laid by American Association of Oral maxillofacial Surgeons and American Academic of Pediatric Dentistry. In the final stage, a couple of articles on in vitro studies, three short discussions, one evidence-based report and a letter to editor met the required desired criteria. The results revealed that it is highly preferable to administrate intravenous antibiotics in high-risk individuals to reduce surgical site infections. From the retrieved evidences, it can be asserted that candidates with clinical signs of rapid progressive infection, total osseous impaction and compromised health deserve to receive a pre-operative single dose of intravenous antibiotics during third molar surgery on the grounds of their vulnerability to bacteremia.

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Actuarial life‐table analysis of lower impacted wisdom teeth in general dental practice

Cited by 24 publications

References 20 publications

Recommendations for Third Molar Removal: A Practice-Based Cohort Study

Recommendations for Third Molar Removal: A Practice-Based Cohort Study

Assessment of the referral system for surgical removal of third molars at the Dental Faculty, King Saud University

The Effects of Intravenous Antibiotic Administration during the Surgical Removal of Third Molar: Systematic Review

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