Should Your Teen Have Their Wisdom Teeth Removed Before College?
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Why 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 o
f 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
Questions and Answers About the Proposed Renovation at Greenacres School
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- Written by Joanne Wallenstein
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How high are the retaining walls in front of the proposed addition at Greenacres? Where will the storm water go and what about the humid conditions in the gym? We posed some questions about the renovation and expansion at Greenacres School to Assistant Superintendent Stuart Mattey in December and received his responses on Thursday, January 11, 2018. The questions concerned the siting of the building, air quality, the budget and sustainability.
Though some of the answers beget more questions, here is what we learned:
(Question) There is a $1,000,000 budget line for historic renovation/preservation premium allowance. Please explain how those funds will be used:
(Answer) These funds have been budgeted in the proposed bond in order to provide the ability for enhanced detailing, both interior and exterior in order to preserve, maintain and further the integrity of the historic architectural elements/qualities of this building.
(Point of information:) The building is not included on the state or federal register of historic buildings.
(Question) What is the contingency % for the renovation at Greenacres and where can I find those funds in the bond proposal?
(Answer) As per normal scope estimating, all estimates for all of the identified scope items in the proposed project include a percent amount set aside for contingency (approximately 17%) there is also contingency for cost escalation (5%) and 13.5% set aside for soft costs.
(Question) What is the plan for drainage and storm water management? The size of the building will expand and pretty much cover all the building site – where will the water go?
(Answer) The proposed addition and associated disturbance is below the 1-acre threshold for storm water management (established by the NYSDEC) and does not require post construction storm water management practices. However, the project design has elected to incorporate storm water management controls into the scope and consulted with the village on a schematic level. Roof runoff, as a result of the new addition coverage, will be captured and mitigated using an appropriately-sized underground storage facility (vault) that will detain and control the release of storm water into the existing municipal separate storm sewer system. Mitigation will be achieved by controlling up to the 100- year, 24-hour rainfall event back to below pre-construction flow rates.
Air Quality
Humidity levels in the gym were reported at 65% in October, 2017. The new renovation calls for the existing windows to be covered up by the building addition. Air conditioning will not be included for the gym. The district's report says, "The chief problem with high indoor humidity from a health standpoint is the potential for mold growth. Humidity levels greater than 30% increase the potential for mold growth and high humidity, 60% or greater can cause biological contamination." The humidity levels in on the lower level of the school ranged from 63% to 71% and the humidity in the gym was measured at 65%.
Therefore we asked Mattey the following question:
(Question) Please let us know how fresh air will be brought into the gym and how the humidity will be decreased?
(Answer) Fresh air will be brought into the Greenacres gym via the existing relatively new heating and ventilating units, which operate to current code. Filtration will be added on the outdoor air intakes to reduce any intake of dust. Humidity would be controlled the same way it is currently, through the introduction of fresh air. That space will essentially remain the same as its current operation which is similar to all other buildings except for Heathcote where a ventilating unit is proposed in the project as it currently does not have one.
Building Design
We also noted that the renderings of the proposed building show the elevation from an aerial view or a point way out in the field. They do not show how the building would appear to a person standing on the sidewalk in front of it. Some have expressed concern that since the proposed three story building extends almost to the sidewalk on Huntington Road, it will be imposing and out of scale with the neighborhood.
Therefore, we requested that architect provide a rendering from the vantage point of a person standing in the plaza at the Huntington Road side of the school. We asked for a drawing that shows the view up to the roof and to each side.
Mattey responded: "The architect is currently working on additional renderings now that the BOE has approved the project to move forward to District voters. "
We are also concerned that the new building is being cut into a hill, requiring the use of retaining walls. We asked, "What is the height of the retaining wall in front of the building?"
(Answer) The retaining wall in the student gathering area starts at 18" as a bench and rises to a height of 60" (5 feet) of which will include that same 18" bench (18" of bench + 42" of retaining wall at the highest point). The retaining wall immediately outside of the Learning Commons will start at approximately 60" at the new entranceway and gradually decrease to approximately 12" as it approaches Sage Terrace.
Do you have questions about the proposal? Post them in the comments section below and we'll see if we can get some answers.
Heathcote Kids Sign Roof Rafter
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Just before Christmas vacation Heathcote Elementary School students were given the opportunity to get involved with the school's new construction project. They were invited to sign a rafter that will be used in the new multipurpose room. The names of the current Heathcote students will forever be a part of the elementary school's new multipurpose room.
On December 20, Nancy Barbera, Project Executive from Savin Engineers and liaison to Heathcote Elementary, asked Heathcote students to sign a roof rafter that will be used to support the new multipurpose room. She came up with the unique idea to have their signatures be a "time capsule" of the project.
(Photo credit Laura Halligan)
STEP Asks For Your Help to Transform Young Lives
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- Written by Joanne Wallenstein
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This letter was sent to Scarsdale10583 by the Board of the Scarsdale Student Transfer Education Plan (STEP)
Dear Friends: For over half a century, our community has had the distinct privilege of supporting the Scarsdale Student Transfer Education Plan (STEP). Founded by Eric Rothschild in 1966, STEP has brought a diverse group of promising young men and women -- who face limited opportunities in their hometowns -- to live and learn in Scarsdale.
Applicants to the program go through a rigorous interview and selection process, and those who are chosen reside with a local family and attend Scarsdale High School for their junior and senior years. The program's ultimate goal is to help these talented students apply to, and then attend, a college of their choice – complete with an excellent financial aid package. This program is funded entirely by donations from the Scarsdale community. And we need your help now.
How better to explain the worth of this extraordinary program, than by giving you a sense of the students themselves? Our current STEP students are Fredrik Smith Jr. (SHS '19 – from Memphis, TN) and Zaria Cash (SHS '18 – also from Memphis, TN).
Zaria is an active member of the cheerleading squad and in addition to her regular classes she is taking an independent study course in Forensic Science. She is currently applying to a variety of competitive colleges and we cannot wait to see where she ends up! Zaria hopes to study nursing and work in the health care industry.
Fred just arrived this year and served as the manager of the SHS varsity football team. He hopes to participate in wrestling, track and field and play on the varsity football team next year as a senior. Fred excels in math and wants to study engineering in college.
To give you an even better idea of how these worthy students benefit from the program, here's a quick overview of our two most recent STEP graduates:
Robert Lee (SHS '15) was beloved at Scarsdale High School. He was an active member of many community service clubs and was a representative for the Student Government. He is currently enrolled at Vanderbilt University on a full scholarship and he was the recipient of the prestigious Ingram Scholarship. He plans to study abroad in New Zealand in the spring.
DonTavius Holmes (SHS '16) embraced all that Scarsdale High School had to offer and played both football and basketball while a student. He participated in Northwestern University's Center for Talent Development Program in Civics education and is now in his sophomore year at Emory's Oxford University where he is studying Business.
These success stories would not be imaginable without you as we rely on the generous donations of the Scarsdale community to help change make these "transformations" possible. By contributing to our program, you invest in the future and directly – and dramatically -- impact these young students' ability to succeed. Your tax-deductible gift to STEP helps defray the cost of transportation and education-related expenses for students while they are in Scarsdale. It also helps us find and recruit promising future scholars.
Please, help us change the world for the better with a tax-deductible donation through the website www.scarsdalestep.org or send a check to: STEP, PO Box 278, Scarsdale, NY 10583.
Scarsdale Girls Basketball Team Triumphs Over Suffern
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The Scarsdale Girl's Basketball team is used to blowing leads. Of the six games last season where the Raiders were leading into the third quarter, they won less than half. So during their game on December 18 against Suffern, when the score was tied at the half, it would have been easy for the team to accept an inevitable loss. The Raider lost to Suffern last season and it was an important test for this year's team.
"We have a solid group of veteran players. We just need to figure out where everyone fits, mesh in the way that we play, and get a few wins under our belt", said Senior Guard Audrey Shaev. The team returned all but three players from last year, losing Seniors Ashley Barletta, Emma Coleman, and Jordie Cohen. With a win, the team would differentiate itself from last year's roster. The Raiders lost their first two games of the season, one against the dominant section champions Ossining, and the other against an unfamiliar team from the New York City Catholic League.
A win against Suffern would provide a good basis to establish Scarsdale among Section 1 opponents. Going into the first quarter of the game, Senior Forward Lily Steckel emphasized the importance of consistency. "Usually we play well after we get on a roll, but for this game we wanted to make sure that we executed all 32 minutes." This attitude was evident in the first quarter, as Scarsdale went up early leading 15-7 going into the second. However, Scarsdale's lack of defensive intensity and inability to finish open shots allowed Suffern to tie the game at the half 20-20.
Coming into the third quarter, the girls' mentalities were altered. "We all wanted to win so badly, and we knew that if we didn't take advantage of the third quarter we would get blown out" said Sophomore Kayla Maroney. After a series of exciting runs by both teams, the score was 36-29 for Scarsdale going into the fourth. The team continued to capitalize on the efficiency of the veteran offense, led by Mancini, Steckel, and Shaev. The final score of the game was 52-37 Raiders. With this win, the team improved its record to 1-2.
On Wednesday 12/20 at 4:30 pm the girls will play Clarkstown North away and look to continue to prove themselves as a formidable opponent in league and section play. Support the Raiders at home on Friday 12/22 at 4:15 against Section rival North Rockland.
