Dr. Mads Hagen Pedersen: Indications for Third Molar Removal and Indication and Technique of Coronectomy Procedure

Dental care is an essential service, and the techniques used today are comparable across the globe. Joining us today to talk about third molar removal and coronectomies is Danish oromaxillofacial surgeon, Dr. Mads Hagen Pedersen. We start the discussion with Mads’ journey to surgery, and how Danish and American dental training differs. We next move on to third molar removal, and the key pieces of literature that define how surgeons across Denmark and the USA operate. Grant then shares his process of deciding whether or not to remove the third molar, and Mads breaks down the statistics around the operation. We also hear about coronectomies, and the considerations, contraindications, and communication necessary to make them a success. To wrap up this fascinating discussion, Mads explains dental cover in Denmark and his answers to the rapid-fire questions (like why he only drives to work one day a week!). So, for some international pearls of wisdom, and so much more, press “Play” now.  

Key Points From This Episode:

• Welcome to Dr. Mads Hagen Pedersen, Danish dentist, researcher, and lecturer. 
• How Mads became a dentist and the pathway to oromaxillofacial surgery in Denmark. 
• The White paper: when removing the third molar is recommended, and how Mads’ education differs (the NICE guidelines).
• How the third molar and the appendix are comparable. 
• Grant’s experience of patients putting pressure on him to extract third molars and walking the line of conservative and surgical treatment. 
• Discussing coronectomies in the USA compared to Denmark. 
• The factors and statistics to be considered when debating a coronectomy or a complete extraction. 
• The technique Mads uses for a coronectomy, and the contraindications he considers. 
• Why Mads is cautious about antibiotic use, and his schedule for follow-ups. 
• When a coronectomy might be a problem, and how to work around these tough cases. 
• Why Mads feels there is an oversight in the studies on surgical management of nerve injury following coronectomy.
• When it’s worth performing lingual smoothing. 
• What to do with the space after a coronectomy.
• Why communication and keeping the patient informed are key to the patient's happiness. 
• How dental cover works in Denmark. 
• Mads’ advice to young dentists. 
• Rapidfire questions: why Mads only drives one day a week, the importance of a strong core, and how what you want is what you get!

Links Mentioned in Today’s Episode:

Dr. Mads Hagen Pedersen Email — madshp@live.com

White Paper on Third Molar Data — https://www.aaoms.org

Guidance on the Extraction of Wisdom Teeth — https://www.nice.org.uk

Application and Evaluation of Coronectomy in Switzerland — https://www.swissdentaljournal.org

Every Day Oral Surgery Website — https://www.everydayoralsurgery.com/

Dr. Grant Stucki Email — grantstucki@gmail.com

Dr. Grant Stucki Phone — 720-441-6059