Risks and Benefits of Removal of Impacted Third Molars. A Critical Review of the Literature

Overview

Journal Int J Oral Maxillofac Surg

Specialties Dentistry
General Surgery

Date 1992 Feb 1

PMID 1569360

Citations 36

Authors

P Mercier

D Precious

Affiliations

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Abstract

A critical review of the literature about risks and benefits of the removal of impacted 3rd molar teeth is presented in 4 categories: risk of non-intervention, risk of intervention, benefit of non-intervention and benefit of intervention. There are well-defined criteria for removal of impacted 3rd molar teeth. Absolute indications and contra-indications for the removal of asymptomatic 3rd molar teeth cannot be established because no long-term studies exist which validate the benefit to the patient either of early removal or of deliberate retention of these teeth. The prudent course of action for the clinician to follow is based on rational clinical decision-making using traditional methods of evaluation to effect the optimal outcome, keeping the interests of the individual patient above all else.

Citing Articles

Cone-beam computed tomographic investigation of the association between impacted mandibular third molars and the development of distal caries in adjacent second molars in a Chinese population.

Zhou W, Xiong Z, Fan J, Yang T, Gu Y Heliyon. 2024; 10(23):e40655.

PMID: 39654787 PMC: 11626789. DOI: 10.1016/j.heliyon.2024.e40655.

Comparing the efficacy of adrenaline, clonidine, and dexmedetomidine in enhancing local anesthesia for impacted third molar extraction: a randomized controlled trial.

Doshi A, Bhola N, Agarwal A J Dent Anesth Pain Med. 2024; 24(4):285-295.

PMID: 39118811 PMC: 11304038. DOI: 10.17245/jdapm.2024.24.4.285.

Retrospective analysis of the effects of impacted third molar on hematologic patients undergoing hematopoietic stem cell transplantation.

Zhao S, Gao X, Wang S, Sun Y, Gao C Heliyon. 2024; 10(11):e32502.

PMID: 38961967 PMC: 11219483. DOI: 10.1016/j.heliyon.2024.e32502.

Three-dimensional facial swelling evaluation of piezo-electric vs conventional drilling bur surgery of impacted lower third molar: a randomized clinical trial.

Caputo A, Rubino E, Marciano A, Peditto M, Bellocchio A, Nucera R BMC Oral Health. 2023; 23(1):233.

PMID: 37085833 PMC: 10120228. DOI: 10.1186/s12903-023-02910-6.

Endoscope-assisted Surgical Removal of an Ectopic Wisdom Tooth Below Lower Border of the Mandible - A Case Report.

Taylor H, Alsabbagh A, Downie I Ann Maxillofac Surg. 2022; 12(1):117-120.

PMID: 36199464 PMC: 9527841. DOI: 10.4103/ams.ams_288_21.