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English Wikipedia
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lüll The prophylactic extraction of third molars: a public health hazard Friedman JWAm J Public Health 2007[Sep]; 97 (9): 1554-9Ten million third molars (wisdom teeth) are extracted from approximately 5 million people in the United States each year at an annual cost of over $3 billion. In addition, more than 11 million patient days of "standard discomfort or disability"--pain, swelling, bruising, and malaise--result postoperatively, and more than 11000 people suffer permanent paresthesia--numbness of the lip, tongue, and cheek--as a consequence of nerve injury during the surgery. At least two thirds of these extractions, associated costs, and injuries are unnecessary, constituting a silent epidemic of iatrogenic injury that afflicts tens of thousands of people with lifelong discomfort and disability. Avoidance of prophylactic extraction of third molars can prevent this public health hazard.|Adolescent[MESH]|Adult[MESH]|Dental Prophylaxis/adverse effects/ethics/statistics & numerical data[MESH]|Facial Nerve Injuries/*epidemiology/etiology[MESH]|Humans[MESH]|Iatrogenic Disease/*epidemiology[MESH]|Incidence[MESH]|Molar, Third/pathology/*surgery[MESH]|Paresthesia/*epidemiology/etiology[MESH]|Pericoronitis/epidemiology/prevention & control[MESH]|Practice Guidelines as Topic[MESH]|Prevalence[MESH]|Public Health[MESH]|Risk Assessment[MESH]|Societies, Dental/standards[MESH]|Surgery, Oral/economics/ethics/standards[MESH]|Tooth Extraction/*adverse effects/economics/*statistics & numerical data[MESH]|Tooth, Impacted/pathology/surgery[MESH]|United Kingdom[MESH]|United States/epidemiology[MESH]|Unnecessary Procedures/*adverse effects/economics/statistics & numerical data[MESH] |