Yes, this already exists but only in a few states. Currently, in most states NO OMS time counts toward GME time unless already agreed upon by state as states issue the licenses. AAOMS is pushing to make this national but partnering with the ACGME on the issue.
Its treating a problem that does not exist. Unless mandated it will not be something parent do to their children.
Big Hoss:
Nade:
Agreed. Super interesting to hear from the inventor of this technology.
JQRS:PSA to everyone going into OMFS for private practice/dental procedures. The days of a secure future in private practice are numbered. One company is planning to ablate wisdom teeth buds before they become wisdom teeth which will undercut oral and maxillofacial surgeons like never before. It is marketed to general dentists and pediatric dentists in mind and has already completed animal testing. If you do not love big OR procedures and want to spend most of your career doing dentoalveolar, all I can say is good luck.
Home - TriAgenics, Inc
Revolutionary Zero3 TBA (3rd molar tooth bud ablation) one-minute procedure prevents wisdom teeth from ever forming. Safe. Effective. Simpletriagenics.com
Secondly, it is increasingly a subject of debate for oral surgeons to perform anesthesia while doing procedures. I would not expect this to be here for more than 10 years. Again, if performing office-based anesthesia is one of the reasons you will apply and go through a grueling residency, think hard.
To lose all wisdom teeth extractions and then to lose anesthesia is a great blow. I feel sympathy for those going into oral and maxillofacial surgery especially those with many years left between dental school and residency and beyond. Consider doing another dental specialty if you are hoping for a majority of your time being spent in private practice such as periodontics. A 4-6 year grueling residency only to have the private practice landscape completely altered is a risk I would not recommend to anyone. I'm quite thankful I am going for periodontics because I love it. This only confirms the decision was correct.
I have been invited to present to oral surgery residents as part of their training. The oral surgeons are proving to be a great bunch to work with!
I would like to add that I owned a large group practice (over 10,000 active patients) and saw most of the kids because the other docs didn't want to. The fully guided 3TBA procedure - based upon delivering more than 200 successful ablations in pigs - will be easier than placing a one-surface posterior composite restoration. Our 3TBA clinical trial protocol calls for 1/2 carpule of articaine on the lateral and and 1/2 carpule on the medial aspects of the targeted third molar tooth bud....nothing more. There are no nerve endings inside the tooth bud at this stage, which means only soft tissue anesthesia is required. Based on my experience in working with lots of kids and with the use of the 3TBA surgical guide, the kids can move all they want and I know I can successfully deliver the 3TBA treatment.
Wisetoothshucker:
Exactly why insurance would deny it
You my guy, need help.
I dont have a list. I only know that California currently has an arrangement. There may be others. As it doesnt affect me I dont put a lot of time into it.
Just seriously be quiet. There is no scenario that this is “concerning for the field”. This will never become ubiquitous treatment in our lifetime, and even if it did the “field” would be fine. Also many of the questions voiced in this thread remain unaddressed, at least in a practical sense. It’s obvious you just want to validate yourself and your own choices. Trust me, the only reason people stopped posting is because the points were made and we got bored. This is exactly the kind of unhelpful garbage the site doesn’t need. I appreciate the input by the company itself, but I take all of it with a grain of salt. As we all should.
You are the definition of a troll. We are all too busy doing surgery to respond to people like you.
Oh this is a fun one. Why would insurance deny removing a non-diseased tooth? Well, most insurance companies currently will not approve removal of wisdom teeth with no symptoms and/or no disease (caries, perio). In fact, the AAOMS white paper states that prophylaxis is not a reason to remove wisdom teeth as the risk/odds ration is not strong enough. That being said, the convention dental "wisdom" (get what I did there?) is that the wisdom teeth will probably cause problems in the future so prophylactic removal is still a common practice and routinely covered by commercial insurance. My current experience is that it is getting harder and harder to get approval to remove wisdom teeth. I do believe that in the next 5 years most, if not all, insurance companies will require a prior authorization to perform any routine, electice procedure. The days of "meet and treat" could be getting more difficult. I could also be very wrong, but I work in multiple practice settings and there is a definite trend.
I don’t know if it’s “concerning for the field” but there are differences between clinicians and innovators or scientists. Clinicians like for things to stay the same as when they were in training.
You’re right, doc. I’m just salty about all of the insurance appeals I’ve had to write over the past month for 3rds.
Oh gawd, dont get me started about insurance!
I agree.
Every once in a while I get a referral from the ortho or general dentist specifically asking me to leave one of the wisdom teeth as I am extracting a decayed second molar in young teenager.
Out of pocket extraction of 3rds under sedation is thousands. If covered by insurance, many patients pay 0. So if insurance isn’t covering, they usually don’t want it.
Even your fees are high… I’m in a high COL area and my case fee is around 2500. Medicaid is about a quarter of this reimbursement.
You should Google "selection bias" and commit the definition to memory.
Lol being still hung up over this a month later is bonkers. If you can’t comprehend that the subset of students that specializes in any specialty is generally categorically a similar caliber of student (high class rank, strong LOR’s, commitment via studying for CBSE, ADAT, externships, research, etc.) and most of the time the specialty chosen boils down to an individual’s career and clinical interests, and you think everyone that does other specialties has self-selected themselves out of OMFS, that’s pretty wild and out of touch.
Dude I think it's you that doesn't comprehend the amount of effort it takes to become a good OMFS applicant. Yes, all specialties want someone who is in a high rank, but besides a high rank and GPA, none of the other specialties have anything that make it unattainable. Ortho needs lots of research, and the GRE. Endo needs work experience. For perio, you need to *check notes* shadow the perio department. And honestly, I'm not even trying to knock on perio, but the reality is that a high rank and a few ECs, or a few years in the workforce, will make you competitive for most specialties. The CBSE on the other hand IS unattainable for many applicants, not because dental students are dumb, but because they have to study a whole other subject outside of their duties as a dental student. Yes, in addition to working hard for a high rank, a competitive OMFS applicant has also studied medicine enough to be not too far from medical students. How are you comparing that with some shadowing and research?
A good amount even score better on the cbse than the average med student scores on step 1 (while also being top 10% class rank in dental school). Also, I’ve heard of a lot of people who wanted omfs drop out cus the competitiveness/difficulty to get in was too hard and they switched to perio. Never heard it the other way around.
It’s ok…let it go…stop rationalizing…just accept the outcome…be proud of what you will be doing.
You can only invest in triagenic technology and hope it becomes widespread. The marketing seems to be anti Omfs.
If you equate me saying students from all specialties are generally a high caliber of student to being “anti-OMFS,” that’s an issue of self projection. I’m not Perio and have no desire to be. In fact I have two OMFS in my immediate family, I have huge respect for them. I felt inclined to defend perio colleagues when certain individual were commenting that “you can get in with a pulse and money to pay,” which IMO is tasteless to say & clearly not true when evaluating match numbers. We all know this triagenic mumbo jumbo poses no real threat to OMFS, lol.
Hey! Hey! Hey! It’s OMFS to you pal!!!
Those last two sentences are the most outlandish of all.
