{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T23:05:46Z","timestamp":1790982346149,"version":"4.1.0"},"reference-count":23,"publisher":"American Public Health Association","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:p> Ten million third molars (wisdom teeth) are extracted from approximately 5 million people in the United States each year at an annual cost of over $3 billion. <\/jats:p><jats:p> In addition, more than 11 million patient days of \u201cstandard discomfort or disability\u201d\u2014pain, swelling, bruising, and malaise\u2014result postoperatively, and more than 11000 people suffer permanent paresthesia\u2014numbness of the lip, tongue, and cheek\u2014as a consequence of nerve injury during the surgery. At least two thirds of these extractions, associated costs, and injuries are unnecessary, constituting a silent epidemic of iatrogenic injury that afflicts tens of thousands of people with lifelong discomfort and disability. <\/jats:p><jats:p> Avoidance of prophylactic extraction of third molars can prevent this public health hazard. <\/jats:p>","DOI":"10.2105\/ajph.2006.100271","type":"journal-article","created":{"date-parts":[[2007,8,1]],"date-time":"2007-08-01T04:14:01Z","timestamp":1185941641000},"page":"1554-1559","source":"Crossref","is-referenced-by-count":198,"title":["The Prophylactic Extraction of Third Molars: A Public Health Hazard"],"prefix":"10.2105","volume":"97","author":[{"given":"Jay W.","family":"Friedman","sequence":"first","affiliation":[{"name":"Jay W. 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