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Rob
Posted: Sat Jan 06, 2007 10:17 pm
Guest
I am a 40yr old male and had 3 wisdom teeth removed( 1 top, 2 bottom) on
1/5/2007.

Currently my experience is very positive. All three teeth were visible
and none of them were impacted. I had local anesthesia and I have not
used any pain killers the day after the procedure. I do take advil to
reduce swelling.

Over the years my wisdom teeth have been PITA sometimes they would ache
and they took forever to become as proud( tall ) as the molars in front
of them. Early in their growth they had skin fold the would hold
bacteria if not cleaned out with a water pick. If I had to do it all
over again I would not have waited so long. I would have done it as soon
as I could have afforded it, which for me, would have been gainfully
employed, out of college(17 years ago).

People say there is no scientific basis for removing them but there is
no scientific basis for keeping them either. I think the only reason to
keep them is if they have upper mates and they come in like the other
teeth, 5 sides open to cleaning( think of a cube, top, ft, lt, rt,
back).

I think removing them has more to do with the management of your oral
health over time. If you wait until they bother you then you have waited
to long because damage has been done or at the very least the extraction
is more complicated. Also removing them early in life you heal better
and the extraction is much easier. The extraction is easier because your
bones are more elastic; the older you get the more brittle your bones
get. Imagine trying to pull a deep root out of the ground by only what
exists on the surface. Now imagine if the soil is regular dirt, sand or
concrete. The root in sand would be an easy pull, the one in regular
dirt more difficult and the one in concrete most difficult.

My oral surgeon used all the moves I would have used to remove a nail
from a board using a pair of pliars, rocking back and forth and
twisting. The extraction itself is a very mechanical process. I was
awake through the whole process so I know that two were easy and the
last one was a bit more difficult. The upper one I felt no pressure it
felt surgical, the lower two I felt a lot more pressure, no pain though.

So why did I get them removed? They started to get cavities in them and
now that I am 40 I think about health differently than I did when I
turned 30. Also, I think they were affecting the molars in front of
them, I started to get build up that started to separate the adjacent
molar from the gum. The wisdom tooth was so tight against this molar
that I could not get a strand of dental floss between them. Now the
molars adjacent to the wisdom teeth are loose, I will have to see my
dentist about that. I hope it was just becase the wisdom teeth were
moving them and nothing more serious. Five years ago this was not a
problem so that is why I wish I would have done this sooner, as soon as
I could have 17 years ago!
Alexander Vasserman DDS
Posted: Sun Jan 07, 2007 3:10 am
Guest
a sound decision.

Rob wrote:
Quote:
I am a 40yr old male and had 3 wisdom teeth removed( 1 top, 2 bottom) on
1/5/2007.

Currently my experience is very positive. All three teeth were visible
and none of them were impacted. I had local anesthesia and I have not
used any pain killers the day after the procedure. I do take advil to
reduce swelling.

Over the years my wisdom teeth have been PITA sometimes they would ache
and they took forever to become as proud( tall ) as the molars in front
of them. Early in their growth they had skin fold the would hold
bacteria if not cleaned out with a water pick. If I had to do it all
over again I would not have waited so long. I would have done it as soon
as I could have afforded it, which for me, would have been gainfully
employed, out of college(17 years ago).

People say there is no scientific basis for removing them but there is
no scientific basis for keeping them either. I think the only reason to
keep them is if they have upper mates and they come in like the other
teeth, 5 sides open to cleaning( think of a cube, top, ft, lt, rt,
back).

I think removing them has more to do with the management of your oral
health over time. If you wait until they bother you then you have waited
to long because damage has been done or at the very least the extraction
is more complicated. Also removing them early in life you heal better
and the extraction is much easier. The extraction is easier because your
bones are more elastic; the older you get the more brittle your bones
get. Imagine trying to pull a deep root out of the ground by only what
exists on the surface. Now imagine if the soil is regular dirt, sand or
concrete. The root in sand would be an easy pull, the one in regular
dirt more difficult and the one in concrete most difficult.

My oral surgeon used all the moves I would have used to remove a nail
from a board using a pair of pliars, rocking back and forth and
twisting. The extraction itself is a very mechanical process. I was
awake through the whole process so I know that two were easy and the
last one was a bit more difficult. The upper one I felt no pressure it
felt surgical, the lower two I felt a lot more pressure, no pain though.

So why did I get them removed? They started to get cavities in them and
now that I am 40 I think about health differently than I did when I
turned 30. Also, I think they were affecting the molars in front of
them, I started to get build up that started to separate the adjacent
molar from the gum. The wisdom tooth was so tight against this molar
that I could not get a strand of dental floss between them. Now the
molars adjacent to the wisdom teeth are loose, I will have to see my
dentist about that. I hope it was just becase the wisdom teeth were
moving them and nothing more serious. Five years ago this was not a
problem so that is why I wish I would have done this sooner, as soon as
I could have 17 years ago!
Le Huart
Posted: Sun Jan 07, 2007 12:44 pm
Guest
Rule of Thumb - extract 3rd molars before age 25.
MM
Posted: Sun Jan 07, 2007 1:57 pm
Guest
Le Huart wrote:
Quote:
Rule of Thumb - extract 3rd molars before age 25.

There is no scientific data to support the prophylactic
removal of wisdom teeth.

http://www.cochrane.org/reviews/en/ab003879.html

The only reason it's done is that there is good money
in it.
Steven Bornfeld
Posted: Sun Jan 07, 2007 3:34 pm
Guest
MM wrote:
Quote:
Le Huart wrote:
Rule of Thumb - extract 3rd molars before age 25.

There is no scientific data to support the prophylactic
removal of wisdom teeth.

http://www.cochrane.org/reviews/en/ab003879.html

The only reason it's done is that there is good money
in it.



Apparently none to refute it either--did you read to the bottom?


Quote:
No evidence was found to support or refute routine prophylactic removal of asymptomatic impacted wisdom teeth in adults.


Now, the problem I have (and I know this is just an abstract) is
exactly what is meant by the caveat about "prophylactic" indicating " in
the absence of local disease"
....because exactly what is meant here can completely change the
parameters of the assessment. Unstated is how long the patients in the
survey were followed, and sequellae of late removal.
Having seen several cases of significant problems in these cases, the
devil must be considered to be (as he always is) in the details.

Steve
Rob
Posted: Sun Jan 07, 2007 11:46 pm
Guest
"MM" <mn@mailinator.com> wrote in news:50cptuF1falu6U1@mid.individual.net:


Quote:
There is no scientific data to support the prophylactic
removal of wisdom teeth.

http://www.cochrane.org/reviews/en/ab003879.html

The only reason it's done is that there is good money
in it.



I do not agree that the only reason is that there is good money in it.
There is a risk that has to be addressed by your dentist everytime you
visit them, removing these useless teeth is reducing risk. I think an
argument can be made that leaving them in would generate more income than
removing them. I mean if most of the population left them in then a lot of
procedures become urgent vs planned and scheduled and I am sure the fee for
service would increase accordingly.

I now think that if you keep your wisdom teeth you risk your future oral
health more than if you have them removed. I took a risk and waited until I
was 40. Each person will have different issues that will make it more or
less risky. Get a dentist you can trust and listen to their recommedations.


I just thought I would share my experience since I waited so long to have
mine removed.

Rob
Alexander Vasserman DDS
Posted: Fri Jan 12, 2007 7:12 am
Guest
consider also
that most of these teeth do not completely erupt creating periodontal
problems for the adjacent teeth. also they are usually difficult if not
impossible to fill if decay is present which many times it is. they are
difficult to keep clean. if each wisdom tooth develops deep decay into
the nerve, doing a root canal on a very curved root is difficult and
may be impossible, and between the root canal build-up and crown is
much more expensive than to have the tooth removed early with fewer
risks.
you can spend on average $200-$500 per tooth depending on the type of
extraction vs $2800-3500 average per tooth on root canal (which may not
be done properly and may need to be redone due to the complexity of the
roots/canals calcifications) build-up and crown per tooth at various
stages in your life. Granted all 4 wisdom teeth may not need this but
after you do the math you will see it is not worth keeping these teeth.
There are patients that have the room to maintain these teeth and it
becomes optional for them to take these teeth out, however even these
patients can develop decay on each of the wisdom teeth due to the deep
anatomy and fissured grooves and the cost of a filling per tooth would
equal roughly an extraction of a fully erupted wisdom tooth.
Yes oral surgeons make the majority of their income extracting wisdom
teeth with implants as #2 but you need to put this in perspective
before making a statement to everyone that the only reason to extract
asymptomatic wisdom teeth is to generate revenue for the surgeons. You
are forgetting the the patient who is the most important part of the
equation and what typically happens later on in life and with rising
costs of all of the above procedures.
Rob wrote:
Quote:
"MM" <mn@mailinator.com> wrote in news:50cptuF1falu6U1@mid.individual.net:


There is no scientific data to support the prophylactic
removal of wisdom teeth.

http://www.cochrane.org/reviews/en/ab003879.html

The only reason it's done is that there is good money
in it.



I do not agree that the only reason is that there is good money in it.
There is a risk that has to be addressed by your dentist everytime you
visit them, removing these useless teeth is reducing risk. I think an
argument can be made that leaving them in would generate more income than
removing them. I mean if most of the population left them in then a lot of
procedures become urgent vs planned and scheduled and I am sure the fee for
service would increase accordingly.

I now think that if you keep your wisdom teeth you risk your future oral
health more than if you have them removed. I took a risk and waited until I
was 40. Each person will have different issues that will make it more or
less risky. Get a dentist you can trust and listen to their recommedations.


I just thought I would share my experience since I waited so long to have
mine removed.

Rob
 
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