Sunday, Sep 23rd

Last updateSat, 22 Sep 2018 2pm

You are here: Home Content Parenting Should Your Teen Have Their Wisdom Teeth Removed Before College?
first
  
last
 
 
start
stop
Scarsdalians Steal the Show at the 2018 Emmy Awards

Scarsdalians Steal the Show at the 2018 Emmy Awards

Phones all over Scarsdale lit up at 9:33 pm on Monday night 9-17, w...

School Lunch Program Debuts to Mixed Reviews

School Lunch Program Debuts to Mixed Reviews

Despite months of planning, collaboration with parents and teachers...

Bronx River Books: Now Open in Scarsdale Village

Bronx River Books: Now Open in Scarsdale Village

Jessica Kaplan and Mark Fowler of Bronx River Books Like many of you...

Police Report: Jewelry Stolen During Sylvan Road Burglary

Police Report: Jewelry Stolen During Sylvan Road Burglary

Burglary: On Sept. 14, a Sylvan Road resident reported her house ha...

first
  
last
 
 
start
stop

Should Your Teen Have Their Wisdom Teeth Removed Before College?

wisdom teethWhy are the third or final set of molars called wisdom teeth? Because they usually grow when people are in their late teens or early twenties. In and of themselves, wisdom teeth are not a problem, but more often than not they are misaligned or cause other issues in the mouth.

Wisdom tooth removal has become a popular rite of passage for graduating high school students because many dentists and surgeons recommend removal of these teeth prior to, during, or just after college. There seems to be a lot of confusion and concern about why one would choose to remove these teeth if they're not causing acute pain or other issues. We contacted Dr. Benjamin Kur of Westchester Oral & Maxillofacial Associates to learn more.

Dr. Kur is in his tenth year of practice as a board-certified Oral and Maxillofacial Surgeon. I had a chance to chat with him to find out about the risks and benefits of the procedure and who should consider it.

What are the indications for wisdom tooth removal?
Indications for wisdom tooth removal include:
• Pain
• Crowding in the mouth (not allowing second molars to erupt properly)
• Wisdom teeth growing in at an angle (or incorrectly positioned making second molars susceptible to bone loss because it's hard to clean between the second and third molars)
• Cysts (these are benign but also contribute to bone loss in the second molars)

Why is potential bone loss an issue and therefore an indication to remove wisdom teeth?
Dr Kur said, "According to the literature and the American Association of Maxillofacial Surgery, if a person 26 or younger has their wisdom teeth removed, the body will regenerate bone and it is much more likely that there will not be severe issues related to bone loss like a periodontal pocket, for example. Bone will actually regrow on the back of the second molars through age 26. A lot of times we see patients in their 30,'s, 40's and 50's who still have their wisdom teeth with irreversible damage. The second molar becomes susceptible to loss, a much more serious problem," Dr. Kur explained.

Is the preventative removal of wisdom teeth elective surgery?
Dr. Kur reiterated that there are specific indications for wisdom tooth removal. Even if a patient is not currently in pain, it does not mean the surgery is elective. "It's a necessary surgery for many people," he said. "The whole reason we encourage parents to have their kids' wisdom teeth removed before age 26 is not just prophylactic. The evidence suggests that after the age of 26 the body's ability to regenerate bone is diminished. Preventative is not the same as elective. In my professional opinion impacted wisdom teeth should be removed if indicated in 14 to 26-year-olds." Surgery is only indicated for specific situations, according to Dr. Kur. "For example, if a 43-year-old came into my office with impacted molars and they weren't bothering him, we wouldn't recommend removal; his body's ability to regenerate bone if there was bone loss in his second molars would be minimal and the benefit of the procedure would not outweigh the risks. However," he added, "this would not be the same recommendation we would make for a healthy 15 or 24-year-old because the benefits of removing the wisdom teeth would exceed the risks based on bone regeneration potential, among other things."

What are the risks associated with wisdom tooth removal surgery?
Dr. Kur explained that there is a common misconception about the procedure. "There's a nerve that is housed in the mandible, or lower jaw. That nerve provides sensation but no movement. So, one common misconception is that a person will have a droopy lip or a part of their face won't be able to move. Numbness that persists for a short period of time can be an issue in a small number of people who are predisposed to this," Dr. Kur said. "Sometimes we take a Cone Beam CT Scan to see where the nerve is in relation to the roots and therefore the nerve. We may also do a partial tooth removal so as not to potentially disturb the nerve. We always remind patients that this nerve does not supply motor function, just sensation, so the only nerve-related risk is related to sensation and not movement." Whereas there are risks to this and any surgical procedure, Dr. Kur also emphasized the risks of not removing wisdom teeth can be substantial and should be understood by the patient and his/her parent or guardian.

Can a patient have their wisdom teeth removed by a dentist? How may this procedure differ from having it done by an oral maxillofacial surgeon?
According to Dr. Kur, a patient can have their wisdom teeth removed by a general dentist. However, Oral and Maxillofacial Surgeons are highly trained in anesthesiology. "We recommend that patients are IV-sedated for this procedure. It relieves patient anxiety and fear and makes the experience much more pleasurable for the patient. Although the patient is sedated, they are conscious and breathing on their own. Being sedated is also related to patients using less pain medication post-operatively. The majority of patients do choose IV sedation/anesthesia and are glad they did for both their comfort and safety, both of which are our priorities."

What is done to make patients comfortable post-operatively and what is the recovery like after wisdom tooth removal?
In most cases Dr. Kur uses dissolvable stitches and the recovery period is usually 3-5 days oDr.Kurf post-operative swelling and soreness. "We are very cautious with pain medication these days and we usually recommend prescription-strength ibuprofen." He added that most people return to work or school within two to three days.

This post is sponsored content from Dr. Benjamin Kur who lives in Scarsdale. Find him at work in Hawthorne/Valhalla directly across the street from Westchester Medical Center. Valet parking available (no tips accepted). He is currently welcoming new patients.

Dr. Benjamin Kur

Westchester Oral & Maxillofacial Associates, PLLC
www.westchesteroralsurgery.com
914-592-0440

BLOG COMMENTS POWERED BY DISQUS

Good Work

SETTING

Firefighter Sworn-in and Others Honored at SFD Ceremony

Firefighter Sworn-in and Others Honored at SFD Ceremony

Nicholas Konicoff and Fire Chief Seymour One new firefighter was sworn in and nine career firefighters and one volunteer firefighter were ...

Read More

Around Town

SETTING

Ladies Who Lit to Debut at JCC

Ladies Who Lit to Debut at JCC

Edgemont’s Stephanie Risa Balkin, the new director of Arts & Talks programs at the Jewish Community Center of Mid-Westchester, is wor...

Read More

Neighborhood News

SETTING

Bronx River Books: Now Open in Scarsdale Village

Bronx River Books: Now Open in Scarsdale Village

Jessica Kaplan and Mark Fowler of Bronx River Books Like many of you, we were so excited to find that Scarsdale’s new independent bookstor...

Read More

On Our Minds

SETTING

Seasons Kosher Grocery Files for Bankruptcy But is Still Expected to Open a Larger Store at the Golden Horseshoe in October

Seasons Kosher Grocery Files for Bankruptcy But is Still Expected to Open a Larger Store at the Golden Horseshoe in October

Despite filing for Chapter 11, Seasons Supermarket is still expected to open at the Golden Horseshoe Shopping Center in October. The shop...

Read More

On Our Radar

SETTING

Hamilton Author Ron Chernow Coming to a Town Near You

Hamilton Author Ron Chernow Coming to a Town Near You

With the construction at the Scarsdale Library, many Scarsdale residents are heading over to the White Plains Public Library to access re...

Read More

Parenting

SETTING

Skolnik Promoted to Director of Content at NYMetroParents

Skolnik Promoted to Director of Content at NYMetroParents

NYMetroParents, the parenting division of Davler Media Group (DMG) encompassing eight print magazines including Big Apple Parent and the ...

Read More

Village Voices

SETTING

Gas Leak Shuts Down Post Road

Gas Leak Shuts Down Post Road

At 9:30 am on Monday September 17, workers who were repaving the Post Road in Scarsdale, struck a gas line causing leaks to homes on Evon...

Read More

Shout it Out

SETTING

Board of Trustees Report Repaving, New Gas Lines and New Stores in the Village

Board of Trustees Report Repaving, New Gas Lines and New Stores in the Village

This week’s Scarsdale Board of Trustees’ meeting was largely positive and brief, in contrast to the miserable weather that has taken hold...

Read More

School News

SETTING

SHS Class of ’19 Gets Their Chance to Chalk

SHS Class of ’19 Gets Their Chance to Chalk

The SHS Class of ’19 particpated in one of the rites of being a senior. On Friday September 14, Scarsdale High School seniors crowded aro...

Read More

Schools

SETTING

School Lunch Program Debuts to Mixed Reviews

School Lunch Program Debuts to Mixed Reviews

Despite months of planning, collaboration with parents and teachers and the best of intentions, the Scarsdale School administration found...

Read More

The Goods

SETTING

Scarsdalians Steal the Show at the 2018 Emmy Awards

Scarsdalians Steal the Show at the 2018 Emmy Awards

Phones all over Scarsdale lit up at 9:33 pm on Monday night 9-17, when a former resident became the surprise star of the Emmy Awards show...

Read More

Real Estate

SETTING

A Promising Start to the Fall Market

A Promising Start to the Fall Market

Sales:
21 Windmill Lane
Colonial designed and built by Scarsdale's most prominent builder with six bedrooms, 5.5 baths 6190 square feet fee...

Read More

Today's News

SETTING

Police Report: Jewelry Stolen During Sylvan Road Burglary

Police Report: Jewelry Stolen During Sylvan Road Burglary

Burglary: On Sept. 14, a Sylvan Road resident reported her house had been burglarized sometime between 7 p.m. and 10 p.m. The perpetrator...

Read More

Arts and Entertainment

SETTING

Create Culinary Memories At Donjito Tacos And Tapas

Create Culinary Memories At Donjito Tacos And Tapas

As new restaurants pop up frequently in Mamaroneck, I seem to be visiting this diverse community frequently. Most recently, there was Sof...

Read More

People

SETTING

Former Scarsdale Mayor Beverley Sved Passes Away at Age 74

Former Scarsdale Mayor Beverley Sved Passes Away at Age 74

Beverley Sved, (1944 - 2018) former Mayor of Scarsdale, died unexpectedly on the morning of September 22nd of a ruptured aortic aneurysm ...

Read More

first
  
last
 
 
start
stop

Programs for Scarsdale Kids