Archive for the ‘ Wisdom Teeth ’ Category
THE REMOVAL OF HORIZONALLY IMPACTED MANDIBULAR THRID MOLARS
Difficult wisdom teeth are the regular practice for an oral and maxillofacial surgeon (OMS). We are expert in removing third molar teeth (wisdom teeth) and we know how to evaluate and treat all of them – even when they are associated with difficult anatomy and/or pathology such as cysts and tumors. (J Oral Maxillofac Surg […]
DOES RETAINING THIRD MOLARS RESULT IN THE DEVELOPMENT OF PATHOLOGY OVER TIME?
To me, this seems like a silly question because I have had over 35 years of experience treating patients of all ages with wisdom tooth problems and absolutely the types of problems, severity of problems, and the risks of treatment increase with age – and transversely are much less in the younger patient. I have […]
ANXIETY DURING THIRD MOLAR EXTRACTION
In our practice, removal of third molar teeth (wisdom teeth) is most commonly performed under IV anesthesia. This is appropriate and I feel necessary for this treatment to be a positive experience for most patients. With intravenous anesthesia you are completely relaxed, you have no anxieties and your jaw muscles are relaxed – it makes […]
DOES THE CONE BEAM SCAN (CONE BEAM COMPUTED TOMOGRAPHY) CHANGE THE TREATMENT DECISION TO REMOVE IMPACTED THIRD MOLAR TEETH?
The main reasons why I recommend a cone beam scan (CBCT) for third molar extractions is when there is significant risk to the nerve in the lower jaw (inferior alveolar nerve) or when there are significant lesions (typically cysts or tumors) associated with the jaw and/or teeth. For me, the cone beam scan has never […]
IS BONE GRAFTING NEEDED AFTER THIRD MOLAR (WISDOM TOOTH) EXTRACTIONS?
First off, as I have blogged before, get wisdom teeth out at an early age – about 15 years old – and you avoid 99% of the problems that tend to occur including the problems talked about in this article. But assuming that you are older and still have your wisdom teeth, as a rule, […]
HOW SHOULD WE MANAGE THRID MOLAR TEETH?
As an oral and maxillofacial surgeon and one who is experienced and expert in the treatment of and removal of third molar teeth, I read with great interest the article titled “Management of Third Molars” in the Dental Academy of CE.com’s magazine. I will first reference you to our article on the subject which is […]
CORONECTOMY and THE NEED FOR REOPERATION
If you have read my blogs on the subject you know that I am almost completely opposed to the procedure of coronectomy as a treatment for impacted third molar teeth. I base this on a number of factors including – we rarely have problems with complete removal in the first place; the procedure leaves “the […]
DINS – DYNAMIC IMAGE NAVIGATION SYSTEM TO ASSIST IN COMPLEX MANDIBULAR THIRD MOLAR REMOVAL
To an experienced OMS the idea of complexity of surgery for any problem is a relative thought. All surgery is at the same time complex and, if prepared, trained and experienced – all is straightforward. The way we approach any surgical procedure involves planning and carrying out the plan while being prepared to deal with […]
PREGNANCY AND THIRD MOLAR PROBLEMS
Many women will give a history of developing problems with their teeth and gums during pregnancy. There are certain types of problems that we see that have been studied such as progression of gum disease during pregnancy, but these are not consistent nor universal. There does appear to be a certain genetic predisposition to this […]
SHOULD WE GET CONE BEAM SCAN (CBS) IMAGES PRIOR TO THRID MOLAR REMOVAL?
Every once in awhile I read an article in a responsible medical or dental journal that just floors me in its stupidity. The article I reference here is one of these (JADA 148(8) 575-583). This article is nothing more than an analysis of other articles written on the subject which draws a completely stupid conclusion […]