News items Verstandskiezen verwijderen of niet?
20 June 2017

Should you have a wisdom tooth removed if it is not causing you any pain? Oral and maxillofacial surgeon Hossein Ghaeminia of Radboud university medical center researched the risk of complications when removing these teeth. He summarized his conclusions in a pamphlet, which can be used to better evaluate the risks for each patient. On June 23, Ghaeminia will receive his PhD for his research into problem-free wisdom teeth.

Wisdom teeth that do not cause complaints are often removed to avoid future issues. However, in the event of removal, complications such as infection of the wound and nerve damage may arise. These complications lead to a reduced quality of life. Should you have a wisdom tooth removed or simply leave it be? OMF surgeon Hossein Ghaeminia shows us what to take into account for each individual.
 
To remove or not to remove?
Ghaeminia performed a systematic review of what has already been researched in this field. As it turned out, there was insufficient evidence to arrive at a conclusion. After conducting his own research, he determined that each patient must be considered individually. Ghaeminia: “On the one hand, surgical intervention is accompanied by a risk of complications, such as infection of the wound and damage to the sensory nerve of the lip and chin. On the other hand, leaving a problem-free wisdom tooth in place may eventually lead to more damage to the neighboring teeth.”
 
Risk factors
One of the most frequent complications after removing wisdom teeth is infection. Ghaeminia examined which factors contribute to the risk of infection: "People who are 26 or older and women run a greater risk of infection, but smoking also appears to be a risk factor.” He also looked into whether infection could be prevented by rinsing the cavity that once contained the tooth with tap water. That turned out to be true. “Compared with other options, such as antibiotics, rinsing with tap water is a relatively cheap and simple way to prevent infection after removal of the tooth. Patients can also do this at home,” says Ghaeminia.
 
Pamphlet
Ghaeminia compiled his conclusions into a pamphlet that can be used in clinical practice to improve patient care. It is a guide for both doctor and patient that should improve the process of deciding whether to remove a problem-free wisdom tooth. Furthermore, the pamphlet will serve to better inform patients of the individual risks. Ghaeminia: "A new division of patients with a high risk of nerve damage was made to help prevent nerve damage.” The pamphlet consists of a decision tree with arguments for and against the removal of wisdom teeth, risk factors for complications and methods for preventing infection.

Related news items


Teacher of the year award for Scott Maurits

18 June 2019

On 11 June Scott Maurits received the Teacher of the Year award for a second year in a row. According to the students Scott won by being an inspirational teacher in statistics.

read more

Radboudumc Master Prize for Mark van Goor

18 June 2019

Mark van Goor, theme Renal disorders, received the Radboudumc Master Prize for his MSc thesis entitled “High-resolution structure of the renal calcium channel TRPV5 revealed with cryo-EM”, which was based on his internship at the lab of Prof. Yifan Cheng, USA.

read more

Experiences with molecular tumor boards

18 June 2019

In British Journal of Cancer Annelieke Willemsen, Carla van Herpen and colleagues showed that MTBs may have an important impact on patient care, but challenges remain for the accessibility for cancer patients.

read more

Exome sequencing in routine diagnostics: a generic test for 254 patients with primary immunodeficiencies

18 June 2019

Exome sequencing may provide a genetic diagnosis in a significant number of patients in a single genetic test. Alexander Hoischen and Mihai Netea, theme Infectious diseases and global health, and colleagues, published their results in Genome Medicine.

read more

Lowering cholesterol is not enough to reduce hyperactivity of the immune system

14 June 2019

In Cell Metabolism, Siroon Bekkering, theme Vascular damage, and colleagues, provides a novel potential explanation for the residual cardiovascular risk, related to persistent activation of the immune system in patients with hypercholesterolemia who are treated with statins.

read more

New cause for vaginal yeast infections discovered

13 June 2019

Martin Jaeger, theme Infectious diseases and global health, and colleagues, identified SIGLEC15 as a susceptibility factor in recurrent vulvovaginal candidiasis. Their findings were published in Science Translational Medicine.

read more