Archive for the ‘ Wisdom Teeth ’ Category

SHOULD ORAL DEXAMETHASONE BE TAKEN PRIOR TO MANDIBULAR THIRD MOLAR SURGERIES?

In my practice, we anesthetize almost all of our third molar surgery (wisdom tooth surgery) patients and we also give a steroid – typically IV dexamethasone – to those patients when indicated. The use of oral dexamethasone for these patients would not be indicated as a premedication as we want the patient to be fasting […]

Does a  Preoperative Dose of Ibuprofen Reduce the Pain Associated with Wisdom Tooth Removal?

 Should I take a dose of ibuprofen prior to my wisdom tooth treatment?  There have been many studies through the years showing that taking an NSAID, such as ibuprofen, prior to extraction of wisdom teeth reduces post-treatment pain and swelling.  (J Oral Maxillofac Surg 77:1990-1997, 2019).  I believe this is true for most dental procedures […]

Should I Try One of These Other Methods to Remove Wisdom Teeth?

I (Dr. Wagner) have been removing impacted wisdom teeth for over 30 years.  I regularly have to treat very difficult cases, including cases where there is a significant risk to the neurovascular bundle in the jaw (inferior alveolar nerve), jaw cysts (odontogenic cysts), infections, and complicated/difficult extractions.  I am an expert in this treatment and […]

What is the Better X-ray for Wisdom Teeth, the Panoramic or the Cone Beam Scan?

The cone beam scan is by far the better of the two if you are just basing the question off which gives you more information (J Oral Maxillofac Surg 77:1968, 2019).  The panoramic is a two-dimensional x-ray picture of the jaw structure, and the cone beam imaging is a three-dimensional reconstruction of multiple scans, and […]

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 […]