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Related Concept Videos

Teeth01:15

Teeth

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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Tooth Anatomy01:21

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The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
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Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Related Experiment Video

Updated: Dec 24, 2025

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
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Mandibular third molars: 'naughty' or NICE?

Christopher C Donnell1, Megan V Clark2

  • 1DCT3, Newcastle Dental Hospital, Newcastle-upon-Tyne, NHS Foundation Trust, UK. christopherdonnell@nhs.net.

British Dental Journal
|April 12, 2020
PubMed
Summary
This summary is machine-generated.

NICE guidance on wisdom teeth extraction has not addressed caries in second molars. Management varies, highlighting the need for individualized care considering caries risk and patient values.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Public Health Policy

Background:

  • The National Institute for Health and Care Excellence (NICE) TA1 guidance on wisdom teeth extraction, implemented in March 2020, has been debated.
  • Impaction of mandibular third molars and associated caries risk in second molars cause management variations.
  • Current NICE guidance does not explicitly address the management of caries in mandibular second molars adjacent to impacted third molars.

Purpose of the Study:

  • To analyze the current management of caries in mandibular second molars associated with impacted third molars.
  • To highlight the limitations of existing NICE guidance regarding this specific clinical scenario.
  • To advocate for a more individualized approach to treatment decisions.

Main Methods:

  • Review of existing NICE guidance (TA1) and relevant clinical literature.
  • Analysis of clinical decision-making processes in general practice and hospital settings.
  • Discussion of the role of radiographic examination and caries risk assessment.

Main Results:

  • Management of carious second molars with impacted third molars shows significant variation.
  • Radiographic examination for this condition is not routine, often being an incidental finding.
  • Caries in mandibular second molars is an unaddressed issue within current NICE guidance.

Conclusions:

  • NICE guidance on wisdom teeth extraction requires revision to include management of associated second molar caries.
  • Clinical decisions should integrate caries risk assessment, judicious radiography, and patient values.
  • An individualized, case-by-case approach is essential for optimal patient care.