• Key question: what do studies say about #1 what percent likelihood of "soemthign bad will eventually happen" versus "you might have no problems your entire life"? #2 to what extent is "when you are older your body can take less, do have them taken out NOW!" is hype? #3 if you are older and there's a problem, other solutions that are gentler?

  • Detailed information on the most common health conditions and how they can be treated is now available to patients through the NHS Direct website. The information has been provided by the British Medical Journal. Patients will be able to look at the pros and cons of going ahead with surgery and obtain advice about pre-and post operative care. The site is BestTreathments.co.uk
  • IT'S CURE NONSENSE Apr 7 2004 Docs say ditch the drugs (mentions also http://www.nhsdirect.nhs.uk/
    Luisa Dillner, editor of BMJ (British Medical Journal) Best Treatments, said the guide was not designed to stop people from seeking treatment, but to look at the evidence rather than relying on established custom and practice.

    She said: 'The big myth about medicine is that people know what works. In fact, they do things for which there is no evidence.

    'There is a tendency for doctors to exaggerate the benefits of what they do because they want to help. The guide is about trying to tell the truth.'

  • http://www.nhsdirect.nhs.uk/en.asp?TopicID=734&AreaID=4849&LinkID=3924When it should be doneThe National Institute for Clinical Excellence (NICE) now recommend that impacted wisdom teeth that are free from disease should not be operated on, as there is no reliable evidence to suggest that the benefits outweigh the advantages.
  • Leave wisdom teeth in, dentists told (2000)
  • even this pro-fluoride and "mercury is fine" article still states the following
    Many dentists believe that wisdom tooth extraction, for which Americans spend $2 billion a year, should be done in teenagers to avoid cysts or infections that might develop around the teeth in the future. Moreover, they say, young people heal so much more quickly than older ones that it makes sense to extract the teeth in late adolescence.

    But no one really knows how much long term benefit, if any, there is to routine extraction of wisdom teeth that have not yet caused problems. The most recent government recommendations on the subject are 22 years old, which means they don?t include more recent data from studies that question routine extraction.

    One relatively recent study, for instance, published in 1990 in the International Journal of Technology Assessment in Health Care suggested that instead of routinely pulling healthy wisdom teeth, it might make more sense, in terms of both economic costs and disability, to extract only those teeth that are impacted (emerging crookedly or stuck partway out of the gums) and clearly causing problems.

    A British analysis published last year in Health Technology Assessment reviewed 40 other studies and came to a similar conclusion - that routine removal of wisdom teeth to prevent future problems is often not justifiable. In the US, oral surgeons, whose income depends heavily on wisdom tooth extraction...