Could MEWING Be the Solution for 3rd Molar Extractions?
A Tribute to Dr. John Mew and His Legacy
Panoramic X-rays: The First Clue
- Dr. Amanda emphasizes the importance of reading panos (panoramic X-rays) before seeing the patient whenever possible.
- Start by counting the teeth—many clinicians overlook missing lower incisors or impactions.
- Evaluate for pathology, impacted third molars (wisdom teeth), or anomalies such as odontomas or supernumeraries.
- If something appears unusual, don’t ignore it—take additional PAs or CBCT scans for accurate diagnosis.
Risks with Impacted Third Molars
- In adults with fully formed third molars and no space (ramus/tuberosity limitations), extraction is usually recommended.
- Leaving them in can create vertical occlusion issues, risk damage to second molars, and cause root blunting.
- Attempting ortho without addressing these risks could result in clinical liability, even with informed consent.
The Role of Early Growth in Preventing Extractions
- Jaw growth, breathing patterns, sleep posture, and diet from as early as age 1–2 impact future space for third molars.
- Encouraging proper nasal breathing and facial development early may reduce the need for extractions later.
- However, it’s not guaranteed—even with ideal growth and habits.
Tribute to Dr. John Mew and “Open Wide”
- Dr. Amanda honors Dr. John Mew, creator of the “Mewing” philosophy promoting forward facial growth through tongue posture and nasal breathing.
- Recommends watching Open Wide (formerly on Netflix) for a visual understanding of Mew’s ideas.
- Advocates for questioning orthodontic norms like unnecessary premolar extractions.
- Dr. Simon Wong’s airway-focused orthodontic courses are also recommended to align with Mew’s vision.