Talk:Impacted wisdom teeth

Stop or prevent wisdom teeth from growing

Surely there's a way to do this. But dentists associations aren't interested in any developments that reduce their stock market gambling incomes from the future repeat surgeries.

Lead image

• Constructive comment-- Excuse me for criticizing without doing any work here, but I feel that the lead image of the rotating CT is not ideal for the lead... a stationary plain x-ray would be better imo as not everyone will recognize what is being shown in the gif... especially with it rotating upside down etc... Lesion (talk) 20:23, 20 February 2014 (UTC)

Appreciate the feedback. I've shown it to a bunch of people because it's not typical. So far, all the feedback has been quite positive. Most say that it makes more sense to them than the 2D image (plus I think it looks really cool). I'm going to leave it up for a while, but I'll ask for more feedback on it from laypeople. Ian Furst (talk) 23:21, 20 February 2014 (UTC)

Lesion I redid the GIF using video editing software to zoom in on the tooth and limiting the rotation. I think it'll be less confusing. Ian Furst (talk) 02:21, 26 February 2014 (UTC)

Screening

We have one ref in the screening section. Are there more opinions as this appears to be just that of the author. Doc James (talk · contribs · email) (if I write on your page reply on mine) 12:20, 20 March 2014 (UTC)

@Jmh649: I can get references from maxfac textbooks which state screening is typically done in adolescents. Because of the debate about prophylactic removal, I was reluctant to include those generic refs. The one cited, was a conclusion drawn after reviewing evidence for/against (it was just a regular review). I'll take another look for others where the conclusion is based on systematic review but it may not be out there. I'll also contact Dodson (he's one of the recognized experts - I've emailed him about this article repeatedly to get help) and see if he knows of other recommendations. BTW, Hildabast was also involved in the wording of the section on the prophylactic removal controversy. Ian Furst (talk) 13:11, 20 March 2014 (UTC)

Almost forgot.... and the video? Ian Furst (talk) 13:29, 20 March 2014 (UTC)

Liking the video a lot. Not seen that kind of thing done before but I think it is a great addition to articles. Lesion (talk) 13:55, 20 March 2014 (UTC)

Thanks Lesion, I wasn't sure if people would like or hate it but I thought the article would work with it because of all the visuals. Blueraspberry but up an idea page about them at WP:Wiki Loves Health Videos. Ian Furst (talk) 15:20, 20 March 2014 (UTC)

@Jmh649:added the GA nomination template to this yesterday but don't see it on the GA nominations page. Any ideas? Ian Furst (talk) 14:55, 20 March 2014 (UTC

I've gone through pubmed and I can't find any other articles that deal specifically with screening recommendations. I've emailed Dodson to see if he knows of other evidence-based recommendations. Ian Furst (talk) 16:48, 20 March 2014 (UTC)

Jmh649 I contacted Dr Dodson again at U Washington - he's the expert in the field. It's straight forward to find various quotes about when to start screening from textbooks but all are based on author opinion. To the best of his knowledge, he's the only one looking at the research from the perspective of active surveillence/screening on this topic. I'm reluctant to give equal weight to textbook quotes (and I don't expect them to be substantially different) when we have a review paper specifically addressing the topic. What do you think? Ian Furst (talk) 00:22, 21 March 2014 (UTC)

I wonder if we might be able to improve this article even more before evaluating it

Dear Dr. Furst,

I wonder if, before we evaluate this article against the GA criteria, it might be possible we might make it even better.

Could we do the following?:

• I know that many of us are doctors or dentists, not professional writers or editors. Still, perhaps we could copy edit the article for style. Please see the "Style" section, about halfway down this page. Please see also the first half of this essay by User:Tony1.
• Perhaps we could also copy edit the article for grammar.

Could we also try to do some of the following more-minor items?: (Note that these items may not be required whatsoever for the article to achieve GA status.)

• Perhaps we could make the article more understandable for patients and first-semester dental students. Wikipedia:Make technical articles understandable has some excellent advice on how to do this, and is well worth looking at.
• And, as User:Revent suggested on IRC, perhaps we could make the lead section should be made less detailed. It can still cover all the same topics that it does now, but it still could be condensed more and some information could be removed.

User:Revent also suggested that, in the References section, we could make the page ranges use en dashes. I agree that this is a good idea, although the GA criteria don't require this whatsoever.

I feel that the article is quite useful as it stands already. It taught me all sorts of things about the subject. I especially liked how it discussed the pros and cons of removal. Still, there is no article in the world which couldn't be improved even further.

Cheers, —Unforgettableid (talk) 10:29, 3 September 2014 (UTC)

Agree some simplification would be useful. Doc James (talk · contribs · email) (if I write on your page reply on mine) 10:53, 3 September 2014 (UTC)

• Hmmm. No reply from User:Ian Furst yet. In fact, I noticed that Dr. Furst, the article's creator and GA nominator, hasn't edited since 18 July 2014. Though this isn't the first time he's been away for a month or more. See his edits-per-day graph (a Flash player is required to see this graph). So I expect he'll probably be back eventually. —Unforgettableid (talk) 02:30, 8 September 2014 (UTC)

Unforgettableid Summer is extremely busy for me (and more so this year), so I've been taking a little wikibreak for motivation. I'm in it for the long-haul. I'll look through the article soon. Thx. Ian Furst (talk) 18:11, 8 September 2014 (UTC)

Dear reviewers: I hope to do the GA review for this article eventually. Please do not review it, and definitely please do not review it before Dr. Furst is back from his wikibreak. Dear @Ian Furst: Thank you for the update. May I temporarily withdraw your GA nomination? (If so, then after you come back from wikibreak, you can nominate it again.) —Unforgettableid (talk) 02:20, 16 September 2014 (UTC)

GA Review

This review is transcluded from Talk:Impacted wisdom teeth/GA1. The edit link for this section can be used to add comments to the review.

Reviewer: Cwmhiraeth (talk · contribs) 19:22, 5 October 2014 (UTC)

• I propose to review this article which was nominated for "Good article" over six months ago and is the second oldest unreviewed article from the 532 articles currently nominated. I am not particularly knowledgeable about teeth and dentistry so will be looking at the article from a layman's perspective. I will start my review in the next couple of days. Cwmhiraeth (talk) 19:22, 5 October 2014 (UTC)

First reading

In general I find this article well-written and easy to understand and I have removed the "multiple issues" tag which I think is unnecessary. The paragraph on another classification system is the exception, being jargon-laden, and I note that it was added recently by an editor other than the nominator. I note that the nominator is an irregular contributor to Wikipedia and may therefore not be quick to respond to this review, but other editor's with knowledge of the topic are welcome to respond here or make the improvements I am suggesting to the text of the article. Here are some points I noticed:

• "One review found that 11% of teeth will have evidence of disease and are symptomatic ..." - Does this refer to teeth in general or just wisdom teeth? Done
• "mandibular third molars" - general readers may not know this means lower jaw. 2 instances
• "occlusal plane" and "occlusal surface" - more terms unfamiliar to general readers. Done
• "Impacted wisdom teeth without a communication to the mouth, that have no pathology associated with the tooth and have not caused tooth resorption on the blocking tooth rarely have symptoms." - Is this statement (which could use an extra comma) covered by the reference in the next paragraph? ref and commas added
• " As the teeth near the mouth during normal development, people sometimes report mild pressure of other symptoms similar to teething" - This statement also needs a reference, and "near the mouth" seems rather an odd way of saying "start breaking through the gum", surely they are already in the mouth.  removed sentence. Was attempting to say that teething hurts too, but off topic. The entire article is about impacted teeth not normal eruption.
• "Impactions completely covered by bone and soft tissue have a low rate of clinically significant pathology – generally small cysts or uncommon tumors that form from the residual epithelial remnants around the crowns of the teeth." - This statement also needs a reference. Done
• There is a stray "of people."
• "Periodontal probing depths" - needs explaining or linking.  link added
• "serum inflammatory markers" - needs explaining or linking.  Done
• "radiographic disease" - needs explaining or linking.  reworded
• "gingiva" - needs explaining or linking. reworded sentence and added links
• The section "Wisdom teeth removal" lacks citations. Done
• "In 2000, the first National Institute of Clinical Excellence ..." - What does the "first" refer to?  removed; referred to first set of guidelines
• "They also point to the fact that the there is an increase..." - Extra "the". Done
• The first paragraph in the section Coronectomy lacks citations. Done
• "The prognosis for impacted wisdom teeth depends on the depth of the impaction. When they lack a communication to the mouth, the main risk is the chance of cyst or neoplasm formation which is relatively uncommon." - Is this statement (which could use an extra comma) covered by the reference in the next paragraph? citation added

• marked this as "citation needed". I don't think the statement is correct. Yes some odontogenic cysts (eg Keratocysts) develop at the site of a third molar but to my knowledge third molars do not change into neoplasms. If no citation comes forward I shall delete this. El Mustafa (talk) 20:45, 10 March 2018 (UTC) qualified statement: ...tissues around the tooth (such as the dental follicle)...

• Wikilink Plato, Hippocrates, Charles Darwin, Paolo Mantegazza, Tomes.  Done

• That's all for the moment. Cwmhiraeth (talk) 09:25, 6 October 2014 (UTC)

Thanks for the review User:Cwmhiraeth, I didn't think anyone would get to it. Thank you for the email too, I've been on a wikibreak. I'll start making changes this weekend and hit. Best. Ian Furst (talk) 01:13, 7 October 2014 (UTC)

There's no rush. My computer is out of action after a thunderstorm and it will take me a few days to get it sorted out. Cwmhiraeth. — Preceding unsigned comment added by 86.154.198.79 (talk) 10:01, 11 October 2014 (UTC)

• I have put this review on hold for one week. Improvements made in this period (by anyone) will influence my decision as to whether or not to list the article as a good article. Cwmhiraeth (talk) 05:32, 21 October 2014 (UTC)

• There has been ample time for the improvements mentioned above to be dealt with. A few have been actioned but most have not. I believe this article is close to meeting the GA criteria but does not quite do so. It fails Criterion 2b in that it is insufficiently referenced in places. It also fails Criterion 1a in that some of the prose is difficult for the uninformed reader to understand because of a lack of wikilinking or explanation of technical terms used. When these matters have been addressed it can be renominated for GA. Cwmhiraeth (talk) 11:43, 2 November 2014 (UTC)

The Prophylactic Extraction of Third Molars: A Public Health Hazard

There is one more article, advising against prophylactic extraction: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1963310/ — Preceding unsigned comment added by Varnav (talk • contribs) 20:13, 9 March 2016 (UTC)