{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:39:38Z","timestamp":1785195578177,"version":"3.55.0"},"reference-count":47,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2015,7,1]],"date-time":"2015-07-01T00:00:00Z","timestamp":1435708800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Br Dent J"],"published-print":{"date-parts":[[2015,7]]},"DOI":"10.1038\/sj.bdj.2015.529","type":"journal-article","created":{"date-parts":[[2015,7,10]],"date-time":"2015-07-10T04:37:02Z","timestamp":1436503022000},"page":"19-23","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Cost effectiveness modelling of a 'watchful monitoring strategy' for impacted third molars vs prophylactic removal under GA: an Australian perspective"],"prefix":"10.1038","volume":"219","author":[{"given":"A. A.","family":"Anjrini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Kruger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tennant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2015,7,10]]},"reference":[{"key":"BFsjbdj2015529_CR1","first-page":"43","volume":"5","author":"KB Syed","year":"2013","unstructured":"Syed K B, Kota Z, Ibrahim M, Bagi M A, Assiri M A . Prevalence of impacted molar teeth among Saudi population in Asir region, Saudi Arabia \u2013 a retrospective study of 3 years. J Int Oral Health 2013; 5: 43\u201347.","journal-title":"J Int Oral Health"},{"key":"BFsjbdj2015529_CR2","first-page":"353","volume":"10","author":"SK Kanneppady","year":"2013","unstructured":"Kanneppady S K, Balamanikandasrinivasan, Kumaresan R, Sakri S B . A comparative study on radiographic analysis of impacted third molars among three ethnic groups of patients attending AIMST Dental Institute, Malaysia. Dent Res J (Isfahan) 2013 May; 10: 353\u2013358.","journal-title":"Dent Res J (Isfahan)"},{"key":"BFsjbdj2015529_CR3","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1016\/S0901-5027(03)90413-9","volume":"32","author":"SL Quek","year":"2003","unstructured":"Quek S L, Tay C K, Tay K H, Toh S L, Lim K C . Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey. Int J Oral Maxillofac Surg 2003; 32: 548\u2013552.","journal-title":"Int J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR4","first-page":"d106","volume":"79","author":"JC Boughner","year":"2013","unstructured":"Boughner J C . Maintaining perspective on third molar extraction. J Can Dent Assoc 2013; 79: d106.","journal-title":"J Can Dent Assoc"},{"key":"BFsjbdj2015529_CR5","unstructured":"American Association of Oral and Maxillofacial Surgeons (AAOMS). Wisdom teeth. Third molar research news. 2012 [members only]."},{"key":"BFsjbdj2015529_CR6","doi-asserted-by":"publisher","first-page":"1554","DOI":"10.2105\/AJPH.2006.100271","volume":"97","author":"JW Friedman","year":"2007","unstructured":"Friedman J W . The prophylactic extraction of third molars: a public health hazard. Am J Public Health 2007; 97: 1554\u20131559.","journal-title":"Am J Public Health"},{"key":"BFsjbdj2015529_CR7","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1177\/0022034513509281","volume":"92","author":"ME Nunn","year":"2013","unstructured":"Nunn M E, Fish M D, Garcia R I et al. Retained asymptomatic third molars and risk for second molar pathology. J Dent Res 2013; 92: 1095\u20131099.","journal-title":"J Dent Res"},{"key":"BFsjbdj2015529_CR8","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/j.cxom.2012.06.005","volume":"20","author":"TB Dodson","year":"2012","unstructured":"Dodson T B . The management of the asymptomatic, disease-free wisdom tooth: removal versus retention. Atlas Oral Maxillofac Surg Clin North Am 2012; 20: 169\u2013176.","journal-title":"Atlas Oral Maxillofac Surg Clin North Am"},{"key":"BFsjbdj2015529_CR9","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1111\/j.1834-7819.2009.01152.x","volume":"54","author":"S Kandasamy","year":"2009","unstructured":"Kandasamy S, Rinchuse D J, Rinchuse D J . The wisdom behind third molar extractions. Aust Dent J 2009; 54: 284\u2013292.","journal-title":"Aust Dent J"},{"key":"BFsjbdj2015529_CR10","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.joms.2005.10.054","volume":"65","author":"KL Moss","year":"2007","unstructured":"Moss K L, Beck J D, Mauriello S M, Offenbacher S, White R P Jr. Third molar periodontal pathology and caries in senior adults. J Oral Maxillofac Surg 2007; 65: 103\u2013108.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR11","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1016\/j.joms.2009.10.003","volume":"68","author":"EL Fisher","year":"2010","unstructured":"Fisher E L, Moss K L, Offenbacher S, Beck J D, White R P Jr. Third molar caries experience in middle-aged and older Americans: a prevalence study. J Oral Maxillofac Surg 2010; 68: 634\u2013640.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR12","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/j.joms.2009.04.123","volume":"68","author":"GH Blakey","year":"2010","unstructured":"Blakey G H, Gelesko S, Marciani R D et al. Third molars and periodontal pathology in American adolescents and young adults: a prevalence study. J Oral Maxillofac Surg 2010; 68: 325\u2013329.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR13","doi-asserted-by":"publisher","first-page":"3000","DOI":"10.1016\/j.joms.2010.05.055","volume":"68","author":"C Dicus","year":"2010","unstructured":"Dicus C, Blakey G H, Faulk-Eggleston J et al. Second molar periodontal inflammatory disease after third molar removal in young adults. J Oral Maxillofac Surg 2010; 68: 3000\u20133006.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR14","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1016\/j.joms.2010.10.011","volume":"69","author":"M Coleman","year":"2011","unstructured":"Coleman M, McCormick A, Laskin D M . The incidence of periodontal defects distal to the maxillary second molar after impacted third molar extraction. J Oral Maxillofac Surg 2011; 69: 319\u2013321.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR15","doi-asserted-by":"publisher","first-page":"440","DOI":"10.1016\/j.joms.2003.12.002","volume":"62","author":"JR Elter","year":"2004","unstructured":"Elter J R, Cuomo C J, Offenbacher S, White R P . Third molars associated with periodontal pathology in the third national health and nutrition examination survey. J Oral Maxillofac Surg 2004; 62: 440\u2013445.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR16","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1053\/joms.2002.35717","volume":"60","author":"GH Blakey","year":"2002","unstructured":"Blakey G H, Marciani R D, Haug R H et al. Periodontal pathology associated with asymptomatic third molars. J Oral Maxillofac Surg 2002; 60: 1227\u20131233.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR17","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/S0901-5027(05)80447-3","volume":"21","author":"P Mercier","year":"1992","unstructured":"Mercier P, Precious D . Risks and benefits of removal of impacted third molars. Int J Oral Maxillofac Surg 1992; 21: 17\u201327.","journal-title":"Int J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR18","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1016\/0278-2391(95)90715-7","volume":"53","author":"M Chipasco","year":"1995","unstructured":"Chipasco 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: 418\u2013422.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR19","unstructured":"American Public Health Association. Opposition to prophylactic removal of third molars (wisdom teeth). 2008. Online information available at http:\/\/www.apha.org\/policies-and-advocacy\/public-health-policy-statements\/policy-database\/2014\/07\/24\/14\/29\/opposition-to-prophylactic-removal-of-third-molars-wisdom-teeth (accessed May 2015)."},{"key":"BFsjbdj2015529_CR20","doi-asserted-by":"crossref","unstructured":"Stordeur S, Eyssen M . Prophylactic removal of pathology-free wisdom teeth: rapid assessment. Brussels Health Care Knowledge Centre, 2012. Online information available at https:\/\/kce.fgov.be\/sites\/default\/files\/page_documents\/KCE_182C_wisdom_teeth.pdf (accessed May 2015).","DOI":"10.57598\/R182C"},{"key":"BFsjbdj2015529_CR21","unstructured":"Scottish Intercollegiate Guidelines Network. Management of unerupted and impacted third molar teeth. 2000."},{"key":"BFsjbdj2015529_CR22","unstructured":"Suska F, Kjeller G, Molander A, Samuelsson O, Svanberg T, Liljegren A . Removal of impacted wisdom teeth. Regional HTA Centre, V\u00e4stra G\u00f6taland, 2010. Online information available at https:\/\/www2.sahlgrenska.se\/upload\/SU\/HTA-centrum\/HTA-rapporter\/Statement%20Removal%20of%203rd%20molars%20-%20eng%202010-09-22.pdf (accessed May 2015)."},{"key":"BFsjbdj2015529_CR23","unstructured":"Royal College of Surgeons of England Faculty of Dental Surgery. The management of patients with third molar teeth. 1997. Online information available at http:\/\/www.rcseng.ac.uk\/fds\/publications-clinical-guidelines\/clinical_guidelines\/documents\/3rdmolar.pdf (accessed May 2015)."},{"key":"BFsjbdj2015529_CR24","unstructured":"NHS National Institute for Clinical Excellence. Guidance on the extraction of wisdom teeth. London: National Institute for Clinical Excellence, 2000."},{"key":"BFsjbdj2015529_CR25","doi-asserted-by":"publisher","first-page":"1379","DOI":"10.1016\/j.joms.2003.04.001","volume":"61","author":"CH Bui","year":"2003","unstructured":"Bui C H, Seldin E B, Dodson T B . Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 2003; 61: 1379\u20131389.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR26","doi-asserted-by":"publisher","first-page":"240","DOI":"10.14219\/jada.archive.1980.0183","volume":"101","author":"RA Bruce","year":"1980","unstructured":"Bruce R A, Frederickson G C, Small G S . Age of patients and morbidity associated with mandibular third molar surgery. J Am Dent Assoc 1980; 101: 240\u2013245.","journal-title":"J Am Dent Assoc"},{"key":"BFsjbdj2015529_CR27","first-page":"131","volume":"9","author":"RP George","year":"2011","unstructured":"George R P, 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: 131\u2013136.","journal-title":"Oral Health Prev Dent"},{"key":"BFsjbdj2015529_CR28","doi-asserted-by":"publisher","first-page":"E16","DOI":"10.1038\/sj.bdj.2014.251","volume":"216","author":"AA Anjrini","year":"2014","unstructured":"Anjrini A A, Kruger E, Tennant M . International benchmarking of hospitalisations for impacted teeth: a 10-year retrospective study from the United Kingdom, France and Australia. Br Dent J 2014; 216: E16.","journal-title":"Br Dent J"},{"key":"BFsjbdj2015529_CR29","unstructured":"National Centre for Classification of Health. International statistical classification of diseases and health related problems, 10th revision. 2014. Online information available at http:\/\/apps.who.int\/classifications\/icd10\/browse\/2014\/en#\/ (accessed June 2015)."},{"key":"BFsjbdj2015529_CR30","unstructured":"Australian Bureau of Statistics. Australian standard geographical classification (asgc) remoteness area correspondences, 2006. 2011. Online information available at http:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/Lookup\/1216.0.15.003Main+Features12006?OpenDocument (accessed May 2015)."},{"key":"BFsjbdj2015529_CR31","unstructured":"Australian Institute of Health and Welfare. Health expenditure Australia 2010\u201311. 2012. Online information available at http:\/\/www.aihw.gov.au\/workarea\/downloadasset.aspx?id=10737423003 (accessed May 2015)."},{"key":"BFsjbdj2015529_CR32","first-page":"119","volume":"81","author":"DJ Edwards","year":"1999","unstructured":"Edwards D J, Horton J, Shepherd J P, Brickley M R . Impact of third molar removal on demands for postoperative care and job disruption: does anaesthetic choice make a difference? Ann R Coll Surg Engl 1999; 81: 119\u2013123.","journal-title":"Ann R Coll Surg Engl"},{"key":"BFsjbdj2015529_CR33","unstructured":"Australian Bureau of Statistics. Average weekly earnings, Australia, Nov 2013. 2014. Online information available at http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/Products\/6302.0\u223cNov+2013\u223cMain+Features\u223cAustralia?OpenDocument (accessed May 2015)."},{"key":"BFsjbdj2015529_CR34","first-page":"122","volume-title":"Current therapy in oral and maxillofacial surgery","author":"TB Dodson","year":"2011","unstructured":"Dodson T B . Management of asymptomatic wisdom teeth: An evidence-based approach. In Bagheri S C, Bell R B, Khan H A (eds) Current therapy in oral and maxillofacial surgery. 1st ed. pp 122\u2013126. St. Louis: Elsevier Saunders, 2011."},{"issue":"Suppl 1","key":"BFsjbdj2015529_CR35","doi-asserted-by":"publisher","first-page":"S8","DOI":"10.1016\/j.joms.2012.04.023","volume":"70","author":"GM Koumaras","year":"2012","unstructured":"Koumaras G M . What costs are associated with the management of third molars? J Oral Maxillofac Surg 2012; 70(Suppl 1): S8\u201310.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR36","doi-asserted-by":"publisher","first-page":"425","DOI":"10.4066\/AMJ.2011.688","volume":"4","author":"RP George","year":"2011","unstructured":"George R P, Kruger E, Tennant M . Hospitalisation for the surgical removal of impacted teeth: Has Australia followed theinternational trends? Australas Med J 2011; 4: 425\u2013430.","journal-title":"Australas Med J"},{"key":"BFsjbdj2015529_CR37","unstructured":"Tran D, Boyd-Boland R . 2012 Dental fees survey: private practice members. Australian dental Association, 2012. Online information available at http:\/\/www.ada.org.au\/app_cmslib\/media\/lib\/1301\/m471855_v1_ada%20fees%20survey%20report%202012%20%28amended%20for%20website%29.pdf (accessed May 2015)."},{"key":"BFsjbdj2015529_CR38","unstructured":"Australian Government Department of Health. Medicare benefits schedule book: category 5. 2013. Online information available at http:\/\/www.health.gov.au\/internet\/mbsonline\/publishing.nsf\/Content\/79B90FDA37D89951CA257D660009253B\/$File\/201408-Cat5.pdf (accessed May 2015)."},{"key":"BFsjbdj2015529_CR39","first-page":"207","volume":"50","author":"AN Goss","year":"2005","unstructured":"Goss A N . Commentary on: Mettes T G, Nienhuijs M E L, van der Sanden W J M, Verdonschot E H, Plasschaert A J M . Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults (Cochrane Review). Aust Dent J 2005; 50: 207\u2013208.Online information available at http:\/\/www.ada.org.au\/App_CmsLib\/Media\/Lib\/0610\/M28447_v1_632972883835910000.pdf (accessed June 2015).","journal-title":"Aust Dent J"},{"key":"BFsjbdj2015529_CR40","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1308\/204268514X13859766312430","volume":"5","author":"AA Anjrini","year":"2014","unstructured":"Anjrini A A, Kruger E, Tennant M . A 10-year retrospective analysis of hospitalisation for oral cellulitis in Australia: the poor suffer at 30 times the rate of the wealthy. Faculty Dent J 2014; 5: 8\u201313.","journal-title":"Faculty Dent J"},{"key":"BFsjbdj2015529_CR41","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1038\/sj.bdj.4800285","volume":"187","author":"MJ Edwards","year":"1999","unstructured":"Edwards M J, Brickley M R, Goodey R D, Shepherd J P . The cost, effectiveness and cost effectiveness of removal and retention of asymptomatic, disease free third molars. Br Dent J 1999; 187: 380\u2013384.","journal-title":"Br Dent J"},{"key":"BFsjbdj2015529_CR42","unstructured":"Australian Bureau of Statistics. Labour force, Australia, Feb 2015. 2015. Online information available at http:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/Previousproducts\/6202.0Main%20Features2Feb%202015?opendocument&tabname=Summary&prodno=6202.0&issue=Feb%202015&num=&view= (accessed May 2015)."},{"key":"BFsjbdj2015529_CR43","unstructured":"Australian Bureau of Statistics. Private health insurance: a snapshot, 2004\u201305. 2006. Online information available at http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/productsbyCatalogue\/BE010E1C499D3010CA256DB20000C99B?OpenDocument (accessed May 2015)."},{"issue":"Suppl 1","key":"BFsjbdj2015529_CR44","doi-asserted-by":"publisher","first-page":"S48","DOI":"10.1016\/j.joms.2012.04.040","volume":"70","author":"T Renton","year":"2012","unstructured":"Renton T, Al-Haboubi M, Pau A, Shepherd J, Gallagher J E . What has been the United Kingdom's experience with retention of third molars? J Oral Maxillofac Surg 2012; 70(Suppl 1): S48\u201357.","journal-title":"J Oral Maxillofac Surg"},{"key":"BFsjbdj2015529_CR45","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.1038\/sj.bdj.2012.780","volume":"213","author":"LW McArdle","year":"2012","unstructured":"McArdle L W, Renton T . The effects of NICE guidelines on the management of third molar teeth. Br Dent J 2012; 213: E8.","journal-title":"Br Dent J"},{"key":"BFsjbdj2015529_CR46","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1038\/sj.bdj.2013.832","volume":"215","author":"J Mansoor","year":"2013","unstructured":"Mansoor J, Jowett A, Coulthard P . NICE or not so NICE? Br Dent J 2013; 215: 209\u2013212.","journal-title":"Br Dent J"},{"key":"BFsjbdj2015529_CR47","first-page":"CD003879","volume":"6","author":"TD Mettes","year":"2012","unstructured":"Mettes T D, Ghaeminia H, Nienhuijs M E, Perry J, van der Sanden W J, Plasschaert A . Surgical removal versus retention for the management of asymptomatic impacted wisdom teeth. Cochrane Database Syst Rev 2012; 6: CD003879.","journal-title":"Cochrane Database Syst Rev"}],"container-title":["British Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.nature.com\/articles\/sj.bdj.2015.529.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.nature.com\/articles\/sj.bdj.2015.529","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.nature.com\/articles\/sj.bdj.2015.529.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T03:33:34Z","timestamp":1748489614000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/sj.bdj.2015.529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["BFsjbdj2015529"],"URL":"https:\/\/doi.org\/10.1038\/sj.bdj.2015.529","relation":{},"ISSN":["0007-0610","1476-5373"],"issn-type":[{"value":"0007-0610","type":"print"},{"value":"1476-5373","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7]]},"assertion":[{"value":"23 April 2015","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2015","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}