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- W3134501851 abstract "Abstract Aims To investigate the reasons for extraction of third molars (3Ms) at Tufts University School of Dental Medicine (TUSDM) and compare this to the UK’s NICE guidelines. Methods Data were collected at TUSDM retrospectively from 99 patients who underwent surgery in 2019 under American Dental Association (ADA) codes D7220, D7230, D7240 and D7241 (removal of impacted tooth in soft tissue, partially bony, completely bony and with unusual surgical complications). Patient details of age, location of 3M, Winter's classification of impaction, reason for extraction, need for bony removal, type of anaesthesia or sedation, prescribed medications and complications were recorded. Results A total of 274 surgical extractions of teeth were recorded. Ages ranged from 15 to 39, with an average age of 24. Intravenous sedation (IVS) was used in 80% of patients with an average of 3.6 3Ms extracted in each of these patients, when local anaesthetic was used alone an average of two 3Ms were extracted. Ninety per cent and 78.7% of maxillary and mandibular 3Ms, respectively, were extracted with no pathology. Thirteen per cent of mandibular 3Ms were extracted due to pericoronitis (usually a single episode), 4% due to caries and 2.3% due to distal second molar (2M) caries. There were five instances of post‐operative complications, the worst being hypoesthesia of the right inferior dental (ID) nerve for 3 months. Conclusion Wisdom teeth are removed earlier at Tufts for prophylactic reasons with the intention of preventing future problems and caries in the adjacent tooth. More evidence is required to decide which patients would benefit from prophylactic extractions." @default.
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- W3134501851 date "2021-04-05" @default.
- W3134501851 modified "2023-09-25" @default.
- W3134501851 title "Surgical extractions of wisdom teeth at Tufts University, USA according to UK’s NICE guidelines" @default.
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- W3134501851 doi "https://doi.org/10.1111/ors.12608" @default.
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