Wisdom Tooth Wisdom. Demystifying the Past And Planning for the Future. Ted Fields, DDS, PhD. Course Outline. Part I: To Remove or Not to Remove 1. Development 2. Wisdom teeth as an asset 3. Wisdom teeth as a liability 4. Alternatives to removal 5. Timing of removal. Course Outline.
Demystifying the Past
Planning for the Future
Ted Fields, DDS, PhD
Part I: To Remove or Not to Remove
2. Wisdom teeth as an asset
3. Wisdom teeth as a liability
4. Alternatives to removal
5. Timing of removal
Part II: Treatment Approach
Management of Infected Teeth
Part IV: It Ain’t Over Till It’s Over
2. Many research papers of the past 20 years set out to prove or disprove old ideas – many of which themselves are outdated.
4. Many changes in technology have been totally neglected.
Does it affect the
You must consider 2 separate assets of each risk and each benefit:
Ogden GR, Bissias E, Ruta DA, Ogston S: Quality of life following third molar removal: a patient versus professional perspective. Br Dent J 1998;185:407410.
2. The wide variety of different complications and the wide range in the incidences of each potential complication result in a complex body of data to assimilate.
Schwartz O, Bergman P, Klausen B: Resorption of autotransplanted teeth. A retrospective study of 291 transplantations over a period of 25 years. Int J Oral Surg 1985;14:245-258.
Szmyd and Hester
Groves and Moore
Grondahl and Lekholm
Ash, Costich, and Hayward
cost:benefit analysis and conclude
that restoration is not necessary.
The most common cause of therapeutic 3rd molar removal.
- Metastatic carcinoma
Is the removal of this better or worse with the radiolucency?
Removal of another tooth
When is the best time for prophylactic removal?
Very close to ridge crest. Minimal if any bone removal will be needed.
Close to, but not at, ridge crest. Some bone removal will be needed.
Bone removal will be necessary. Is it better to remove this 3rd molar or wait?