Although removal of wisdom teeth is very common, there are no studies that show a benefit to taking them out when they are not causing pain or other problems, according to a new review of existing research.
Third molars, or so-called wisdom teeth, generally emerge fully or partially between ages 17 and 26 into limited space and they are often wedged against the second molars. This can cause swelling, root damage, decay or gum disease, and in these cases experts agree the wisdom teeth should be removed.
But if there are no symptoms, it is unclear whether the benefits of surgery outweigh the risks, researchers write in the Cochrane Database of Systematic Reviews.
"Given the fact that wisdom teeth are removed on a large scale worldwide, it is surprising that high quality research is lacking," said lead author Hossein Ghaeminia of Radboud University Medical Center in Nijmegen, the Netherlands.
"In the USA for instance, the preventive removal of asymptomatic disease-free wisdom teeth is very common," Ghaeminia told Reuters Health by email. "In the UK, the NICE guidelines advise not to remove asymptomatic disease-free wisdom teeth."
The researchers searched for studies that compared outcomes, such as the likelihood of various dental problems, after disease-free impacted wisdom teeth are either removed or retained.
They found just two studies, including one randomized controlled trial from a dental hospital in the U.K., and one prospective study in the U.S. But neither compared most aspects of health-related quality of life after removal versus retention of asymptomatic wisdom teeth.
The U.S. study, which involved 416 healthy men, found that men who still had their impacted wisdom teeth may have had a higher risk for gum disease around the adjacent molar over the long term compared to men who same Day Dentures near me had their wisdom teeth removed or did not have any to begin with.
The U.K. trial randomized 164 participants to either removal or retention of impacted wisdom teeth and found no evidence of notable differences between the groups in dental health afterwards.
The studies did not measure other outcomes like cost, cyst or tumor formation, bleeding, nerve damage or infection.
The most common risks of surgery are infection, inflammation of the tooth socket and temporary nerve injury causing impaired sensation of the lip and chin, Ghaeminia said.
Surgery is covered by most dental insurance but it generally is not covered by medical insurance, said Martha E. Nunn of Creighton University in Omaha, Nebraska, who was not part of the new study.
"We will likely conduct another prospective cohort study to examine risks from retained asymptomatic third molars," Nunn told Reuters Health by email. "I personally disagree with surgical removal of third molar tooth buds when an adolescent is young, as I have seen permanent bone damage as a result," she said.
"Some might say that preventive removal should be stopped since there is no high quality evidence to support this practice," but that may lead to more surgeries at an older age when wisdom teeth do become symptomatic, and surgery has more complications for adults than for teens, Ghaeminia said.
"On the other hand, preventive removal of all asymptomatic wisdom teeth is also undesirable: if the tooth would stay asymptomatic and disease free during lifetime, the patient might have been exposed to an unnecessary risk of complications and costs," he said. "In the absence of evidence, orthodontists, dentists and oral surgeons should discuss the pros and cons of wisdom teeth removal in each case individually."
As you grow older you might be looking in the mirror and noticing the wear and tear that time has taken on your appearance. The following article will be of great help if you want to change how you look. Featured here is advice and tips to get the best results from cosmetic surgery.
You should request a record Full mouth Reconstruction Jersey City of past work performed from your doctor. Compare results with pre and post surgery images and ascertain the surgeon's skills. Ask any questions that come to mind and see if you can gain a perspective from past patients. That will assist you in choosing the right doctor.
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A beautiful landscape can bring a smile to anyone's face. But most people look at their front or back yards and scowl. Most yards are still filled with lawn that demands constant attention and rarely looks very good these days. Maybe it's time to think about a lawn makeover; a landscape makover that will make you smile for a change.
There was a time when the flat expanse of pure green was the epitome of good taste in the landscape. But times have changed and with weather patterns becoming less predictable and water resources diminishing, the concept of the fashionable landscape is changing, too. In fact, in many parts of the country – even the world – those big emerald swaths of lawn are being seen as dreary, dull and wasteful. Instead, today is now the time of the lawn makeover – the era when old landscapes need a facelift to redefine beauty and style.
If you have a front or back yard dedicated to a lot of green lawn and you live where rain is plentiful, soils are rich, and your lawn looks luscious with hardly any attention, then you might want to continue growing your cosmetic dentistry Elizabeth lawn. But if you live where water bills are escalating, rain is either causing your lawn to rot or turn into moss, or you lawn requires you to pour gallons of irrigation over the top, then maybe it's time for a change. If you are fighting grubs and wireworms, patches of mushrooms, gophers, moles or unknown areas of brown, consider whether it's really worth all the hours and expense to maintain grass that is not even considered to be trendy anymore. Instead, you could have a magical, colorful garden of flowers and textured foliage with meandering pathways, a patio or seating areas, gurgling fountains fed with recycled water or areas of productive vegetable gardens feeding you and your family healthy, flavorful, fresh vegetables and fruits at a fraction of the cost you'd be spending in the supermarket. Is the thought beginning to make you smile? Then maybe it's time for your own landscape makeover.
People are spending hours watching and reading about hair, cosmetic, clothing fashion and housing makeovers. Why not do a lawn makeover? You can create a formal garden, a practical landscape, a low maintenance space, a sports area, a natural flower paradise or any other kind of garden that will extend the practical living square footage of your house into the outdoors. Wouldn't that be a lot better than spending a fortune on water bills, insecticides, fungicides, lawn food and more – all for the honor of having to spend hours mowing the grass? If you are open to all the wonderful possibilities that can be substituted for your lawn, you have taken the first step toward bringing a smile to your face with a landscape makeover. Now all you need to do is explore all the exciting possibilities you can fit into your front or back yard. Then go transform your dull lawn to something really special. And smile!
Breast Implants---8 Tips You Must Know To Do Well
Children's Dental Health
Did you know the right time to think about dental hygiene for children might be sooner than you think?
According to the American Academy of Pediatric Dentistry (AAPD), the incidence of cavities in children is on the rise in spite of increased awareness of the need for good dental hygiene. Teaching children the tenets of proper dental health habits from early childhood can keep them from becoming part of these alarming statistics.
While most kids don't have their first dentist visit until they are roughly one to two years old, there are many things parents can do to encourage good oral health in their children. Let's take a look at some key areas