Indications for third molar removal from the standpoint of maxillofacial surgeon
Abstract
Background: The removal of third molar is a problem which confronts many dentists and maxillofacial surgeons worldwide must confront. Also, the opinion about indications and time of their removal differs.
Methods: In the article the author suggests the removal of third molars by indications which he thoroughly analyzes.
Conclusions: Based on our experience (6729) in last three years it is our opinion that third molar removal has few postoperative complications when indications are correctly considered and the judgment about removal is established. Thus we can avoid unnecessary postoperative doubts about unfounded removal.
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References
Lopes V, Mumenya R, Feinmann C, Harris M. Third molar surgery: an audit of the indications for surgery, post-operative complaints and patient satisfaction. Br J Oral Maxillofac Surg 1995; 33: 33–5.
Antila H, Lehtinen R, Heinaro I, Länsineva A, Salonen M. Successful pain management by Finnish oral surgeons. Oral Surg Oral Med Oral Pathol 1992; 74: 19–23.
Brickley M, Shepherd J, Mancini G. Comparison of clinical treatment decisions with US National Institutes of Health consensus indications for lower third molar removal. Br Dent J 1993; 175: 102–5.
Santamaria J, Arteargoitia I. Radiologic variables of clinical significance in the extraction of impacted mandibular third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84: 469–73.
DeBoer MPJ, Raghoebar GM, Stegenga B, Schoen PJ, Boering G. Complications after mandibular third molar extraction. Quintessence Int 1995; 26: 779–84.
Knutsson K, Brehmer B, Lysell L, Rohlin M. Pathosis associated with mandibular third molars subjected to removal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 82: 10–7.
Brickley M, Armstrong R, Shepherd J, Kay E. The relevance of health state utilities to lower third molar surgery. Int Dent J 1995; 45: 124–8.
Song F, Landes DP, Glenny AM, Sheldon TA. Prophylactic removal of impacted third molars: an assessment of published reviews. Br Dent J 1997; 182: 339–46.
Krimmel M, Reinert S. Mandibular fracture after third molar removal. J Oral Maxillofac Surg 2000; 58: 1110–2.
Libersa P, Roze D, Cachart T, Libersa JC. Immediate and late mandibular fractures after third molar removal. J Oral Maxillofac Surg 2002; 60: 163–5.
Meisami T, Sojat A, Sandor GK, Lawrence HP, Clokie CM. Impacted third molars and risk of angle fracture. Int J Oral Maxillofac Surg 2002; 31: 140–4.
Tizuka T, Tanner S, Berthold H. Mandibular fractures following third molar extraction. A retrospective clinical and radiological study. Int J Oral Maxillofac Surg 1997; 25: 338–43.
Bataineh AB. Sensory nerve impairment following mandibular third molar surgery. J Oral Maxillofac Surg 2001; 59: 1012–7.
Liedholm R, Knutsson K, Lysell L, Rohlinss M. Mandibular third molars: oral surgeons assessment of the indications for removal. Br J Oral Maxillofac Surg 1999; 37: 440–3.
Nordenram A, Hultin M, Kjellman O, Ramström G. Indication for surgical removal of the mandibular third molar. Swed Dent J 1987; 11: 23–9.
Pratt CA, Hekmat M, Barnard JDW, Zaki GA. Dental indications for third molar surgery. JR Coll Surg Edinb 1998; 43: 105–8.
Tulloch CFJ, Antczak-Bouckoms AA, Ung N. Evaluation of the costs and relative effectiveness of alternative strategies for the removal of mandibular third molars. Int J Technol Assess Health Care 1990; 6: 505–15.
Brickley M, Kay E, Shepherd JP, Armstrong RA. Decision analysis for lowerthird-molar surgery. Med Decis Making 1995; 15: 143–51.
Ades A, Joondeph DR, Little RM, Chapko MK. A long-term study of the relationship of third molar changes in the mandibular arch. Am J Orthod Dentofac Orthop 1990; 97: 323–35.
Harradine NW, Pearson MH, Toth B. The effect of extraction of third molars on late lower incisor crowding: a randomized controlled trial. Br J Orthod 1998; 25: 117–22.
Pajarola GF, Sailer HF. Operative Entfernung unterer Weisheitszähne. Ist die offene Nachbehandlung noch modern? Schweiz Monatsschr Zahnmed 1994; 1202–9.
Hicks E. Third molar management: a case against routine removal in adolescent and young adult orthodontic patients. J Oral Maxillofac Surg 1999; 57: 831–6.
Handschel J, Figgener L, Joos U. Die forensische Bewertung von Verletzungen der Nerven und des Kieferknochens nach Weisheitszahnentfernungen im Blickwinkel der aktuellen Rechtssprechung. Mund Kiefer Gesichtschir 2001; 5: 44–8.
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