International Benchmarking of Hospitalisations for Impacted Teeth: a 10-year Retrospective Study from the United Kingdom, France and Australia

Overview

Journal Br Dent J

Specialty Dentistry

Date 2014 Apr 12

PMID 24722120

Citations 6

Authors

A A Anjrini

E Kruger

M Tennant

Affiliations

Soon will be listed here.

Abstract

Background: The United Kingdom and its national healthcare system represent a unique comparison for many other developed countries (such as Australia and France), as the practice of prophylactic removal of third molars in the United Kingdom has been discouraged for nearly two decades, with clear guidelines issued by the National Institute of Health and Care Excellence (NICE) in 2000 to limit third molar removal to only pathological situations. No such guidelines exist in Australia or France. The healthcare systems in England, France and Australia all use the International Classification of Disease (ICD) coding system for diagnostic categorising of all admissions to hospitals.

Aim: This study rested upon the opportunity of a universal coding system and semi-open access data to complete the first comparative study on an international scale of hospitalisations for removal of impacted teeth (between 99/00 and 08/09).

Results: Our international comparison revealed significant differences in rates of admission, with England having rates approximately five times less than France, and seven times less than Australia. Those results could be explained by the implementation of guidelines in the United Kingdom, and the absence of similar guidelines in France and Australia.

Citing Articles

Diagnosis and indications for the extraction of third molars - The SECIB clinical practice guideline.

Sanchez-Garces M, Toledano-Serrabona J, Camps-Font O, Penarrocha-Diago M, Sanchez-Torres A, Sanmarti-Garcia G Med Oral Patol Oral Cir Bucal. 2024; 29(4):e545-e551.

PMID: 38368528 PMC: 11249379. DOI: 10.4317/medoral.26524.

Improvement of the Impacted Level of Lower Third Molars After Orthodontic Treatment.

Phan A, Lam P, Le L, Le S Int Dent J. 2023; 73(5):692-700.

PMID: 36868979 PMC: 10509441. DOI: 10.1016/j.identj.2023.01.006.

Socioeconomic disadvantage and oral-health-related hospital admissions: a 10-year analysis.

Kruger E, Tennant M BDJ Open. 2018; 2:16004.

PMID: 29607065 PMC: 5842864. DOI: 10.1038/bdjopen.2016.4.

Assessment of the referral system for surgical removal of third molars at the Dental Faculty, King Saud University.

Al Fotawi R, Philip M, Premnath S Int Dent J. 2017; 67(6):360-370.

PMID: 28771709 PMC: 9378921. DOI: 10.1111/idj.12321.

Cost effectiveness modelling of a 'watchful monitoring strategy' for impacted third molars vs prophylactic removal under GA: an Australian perspective.

Anjrini A, Kruger E, Tennant M Br Dent J. 2015; 219(1):19-23.

PMID: 26159980 DOI: 10.1038/sj.bdj.2015.529.

References

Lindqvist B, Thilander B . Extraction of third molars in cases of anticipated crowding in the lower jaw. Am J Orthod. 1982; 81(2):130-9. DOI: 10.1016/0002-9416(82)90037-9. View

Godfrey K . Prophylactic removal of asymptomatic third molars: a review. Aust Dent J. 2000; 44(4):233-7. DOI: 10.1111/j.1834-7819.1999.tb00225.x. View

Mansoor J, Jowett A, Coulthard P . NICE or not so NICE?. Br Dent J. 2013; 215(5):209-12. DOI: 10.1038/sj.bdj.2013.832. View

Shepherd J, Brickley M . Surgical removal of third molars. BMJ. 1994; 309(6955):620-1. PMC: 2541519. DOI: 10.1136/bmj.309.6955.620. View

Niedzielska I . Third molar influence on dental arch crowding. Eur J Orthod. 2005; 27(5):518-23. DOI: 10.1093/ejo/cji045. View

Worrall S, Riden K, Haskell R, Corrigan A . UK National Third Molar project: the initial report. Br J Oral Maxillofac Surg. 1998; 36(1):14-8. DOI: 10.1016/s0266-4356(98)90740-9. View

Ades A, Joondeph D, LITTLE R, Chapko M . A long-term study of the relationship of third molars to changes in the mandibular dental arch. Am J Orthod Dentofacial Orthop. 1990; 97(4):323-35. DOI: 10.1016/0889-5406(90)70105-L. View

Mercier P, Precious D . Risks and benefits of removal of impacted third molars. A critical review of the literature. Int J Oral Maxillofac Surg. 1992; 21(1):17-27. DOI: 10.1016/s0901-5027(05)80447-3. View

George R, Kruger E, Tennant M . The geographic and socioeconomic distribution of in-hospital treatment of impacted teeth in Western Australia: a 6-year retrospective analysis. Oral Health Prev Dent. 2011; 9(2):131-6. View

10.

McArdle L, Renton T . The effects of NICE guidelines on the management of third molar teeth. Br Dent J. 2012; 213(5):E8. DOI: 10.1038/sj.bdj.2012.780. View

11.

Brickley M, Kay E, Shepherd J, Armstrong R . Decision analysis for lower-third-molar surgery. Med Decis Making. 1995; 15(2):143-51. DOI: 10.1177/0272989X9501500207. View

12.

Song F, Landes D, Glenny A, Sheldon T . Prophylactic removal of impacted third molars: an assessment of published reviews. Br Dent J. 1997; 182(9):339-46. DOI: 10.1038/sj.bdj.4809378. View

13.

Song F, OMeara S, Wilson P, Golder S, Kleijnen J . The effectiveness and cost-effectiveness of prophylactic removal of wisdom teeth. Health Technol Assess. 2000; 4(15):1-55. View

14.

Brickley M, Shepherd J, Mancini G . Comparison of clinical treatment decisions with US National Institutes of Health consensus indications for lower third molar removal. Br Dent J. 1993; 175(3):102-5. DOI: 10.1038/sj.bdj.4808228. View

15.

Chiapasco M, Crescentini M, Romanoni G . Germectomy or delayed removal of mandibular impacted third molars: the relationship between age and incidence of complications. J Oral Maxillofac Surg. 1995; 53(4):418-22; discussion 422-3. DOI: 10.1016/0278-2391(95)90715-7. View

16.

Brakus I, Filipovic Zore I, Boric R, Siber S, Svegar D, Kuna T . Analysis of impacted and retained teeth operated at Department of Oral Surgery, School of Dental Medicine, Zagreb. Coll Antropol. 2010; 34 Suppl 1:229-33. View

17.

Lopes V, Mumenya R, Feinmann C, Harris M . Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction. Br J Oral Maxillofac Surg. 1995; 33(1):33-5. DOI: 10.1016/0266-4356(95)90083-7. View

18.

Lindauer S, Laskin D, Tufekci E, Taylor R, Cushing B, Best A . Orthodontists' and surgeons' opinions on the role of third molars as a cause of dental crowding. Am J Orthod Dentofacial Orthop. 2007; 132(1):43-8. DOI: 10.1016/j.ajodo.2005.07.026. View

19.

Renton T, Al-Haboubi M, Pau A, Shepherd J, Gallagher J . What has been the United Kingdom's experience with retention of third molars?. J Oral Maxillofac Surg. 2012; 70(9 Suppl 1):S48-57. DOI: 10.1016/j.joms.2012.04.040. View

20.

George R, Kruger E, Tennant M . Hospitalisation for the surgical removal of impacted teeth: Has Australia followed international trends?. Australas Med J. 2013; 4(8):425-30. PMC: 3562882. DOI: 10.4066/AMJ.2011.688. View