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

Abstract

The study indicates that older patients are less likely to develop the symptoms studied. In addition the authors believe that there is evidence to suggest that general dental practitioners might not be following current guidelines when deciding whether or not to extract an impacted lower third molar in the centres studied.

Patterns of Third-Molar-Pericoronitis-Related Pain: A Morphometrical Observational Retrospective Study

“…The referral patterns of pain areas reported in the present study could be assumed as a pain model resulting from pericoronitis of the maxillar and mandibular third molars. The present results confirm previous data on the prevalence of younger patients (20–30 years old) seeking third molar extraction due to orofacial pain [ 28 ]. As compared with previous mapping reports of toothache referral patterns, the data of the present article indicate that pain arising from third molar pericoronitis appears to be quite limited to the ipsilateral facial area, with an almost overlapping extension for the maxillar and mandibular third molar [ 21 ].…”

Patterns of Third-Molar-Pericoronitis-Related Pain: A Morphometrical Observational Retrospective Study

“…The referral patterns of pain areas reported in the present study could be assumed as a pain model resulting from pericoronitis of the maxillar and mandibular third molars. The present results confirm previous data on the prevalence of younger patients (20–30 years old) seeking third molar extraction due to orofacial pain [ 28 ]. As compared with previous mapping reports of toothache referral patterns, the data of the present article indicate that pain arising from third molar pericoronitis appears to be quite limited to the ipsilateral facial area, with an almost overlapping extension for the maxillar and mandibular third molar [ 21 ].…”

Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation

“…As stated previously, there is evidence from Hill and Walker 47 that the annual rate of extraction of IM3Ms is closer to the upper bound of 7.39% per annum reported by Fernandes et al, 48 rather than the 5.47% per annum used in the base case. If the annual rate of extraction was 7.39% per annum, the ICER would be £9944 per QALY gained.…”

“…In the paper by Fernandes et al, 48 48 and the two studies suggest similar annual extraction rates, this supports the generalisability of the findings from Fernandes et al 48 to the wider NHS. To check the effect of varying the annual rate of extraction, the upper (7.39% per annum, equivalent to a 5-year extraction rate of 32.0%) and lower (3.94% per annum) bounds of the 95% CI quoted in the paper by Fernandes et al 48 were used in the AG's sensitivity analysis.…”

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

“…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 .…”

Patterns of Third-Molar-Pericoronitis-Related Pain: A Morphometrical Observational Retrospective Study

“…The referral patterns of pain areas reported in the present study could be assumed as a pain model resulting from pericoronitis of the maxillar and mandibular third molars. The present results confirm previous data on the prevalence of younger patients (20–30 years old) seeking third molar extraction due to orofacial pain [ 28 ]. As compared with previous mapping reports of toothache referral patterns, the data of the present article indicate that pain arising from third molar pericoronitis appears to be quite limited to the ipsilateral facial area, with an almost overlapping extension for the maxillar and mandibular third molar [ 21 ].…”

Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation

“…As stated previously, there is evidence from Hill and Walker 47 that the annual rate of extraction of IM3Ms is closer to the upper bound of 7.39% per annum reported by Fernandes et al, 48 rather than the 5.47% per annum used in the base case. If the annual rate of extraction was 7.39% per annum, the ICER would be £9944 per QALY gained.…”

“…In the paper by Fernandes et al, 48 48 and the two studies suggest similar annual extraction rates, this supports the generalisability of the findings from Fernandes et al 48 to the wider NHS. To check the effect of varying the annual rate of extraction, the upper (7.39% per annum, equivalent to a 5-year extraction rate of 32.0%) and lower (3.94% per annum) bounds of the 95% CI quoted in the paper by Fernandes et al 48 were used in the AG's sensitivity analysis.…”

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

“…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 .…”

Patterns of Third-Molar-Pericoronitis-Related Pain: A Morphometrical Observational Retrospective Study

“…The referral patterns of pain areas reported in the present study could be assumed as a pain model resulting from pericoronitis of the maxillar and mandibular third molars. The present results confirm previous data on the prevalence of younger patients (20–30 years old) seeking third molar extraction due to orofacial pain [ 28 ]. As compared with previous mapping reports of toothache referral patterns, the data of the present article indicate that pain arising from third molar pericoronitis appears to be quite limited to the ipsilateral facial area, with an almost overlapping extension for the maxillar and mandibular third molar [ 21 ].…”

Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation

“…As stated previously, there is evidence from Hill and Walker 47 that the annual rate of extraction of IM3Ms is closer to the upper bound of 7.39% per annum reported by Fernandes et al, 48 rather than the 5.47% per annum used in the base case. If the annual rate of extraction was 7.39% per annum, the ICER would be £9944 per QALY gained.…”

“…In the paper by Fernandes et al, 48 48 and the two studies suggest similar annual extraction rates, this supports the generalisability of the findings from Fernandes et al 48 to the wider NHS. To check the effect of varying the annual rate of extraction, the upper (7.39% per annum, equivalent to a 5-year extraction rate of 32.0%) and lower (3.94% per annum) bounds of the 95% CI quoted in the paper by Fernandes et al 48 were used in the AG's sensitivity analysis.…”

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

“…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 .…”