Cysts and Tumors Associated With Impacted Third Molars: Is Prophylactic Removal Justified?

Stathopoulos, Panagiotis; Mezitis, Michael; Kappatos, Constantinos; Titsinides, Savas; Stylogianni, E

doi:10.1016/j.joms.2010.05.025

Cited by 62 publications

(55 citation statements)

References 26 publications

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“…10 Stathopoulos retrospectively examined 7782 impacted third molars in 6182 patients and stated that pathologic outcomes from the impacted teeth were 2.77%. 11 According to Vigneswaran, they examined 2778 patients with impacted third molar, 43 (1.79%) cases were reported incidence of cyst and tumor. 12 In our study, we did not detect any pathologic conditions.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of positive radioopaque radiological findings in patients using complete prosthesis

Cabbar¹,

Işıksaçan²,

Burdurlu³

et al. 2018

Yeditepe J Dent

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SUMMARY Aim:The aim of this study was to determine the frequency and localization of the significant radiopaque radiographic findings of patients who edentulous at least one jaw. Materials and Methods: Panoramic radiographs between 2007 and 2017 were scanned. The radiographs were examined by four investigators; retained root fragments, impacted teeth and radioopacities associated with localized sclerotic bone formation and their localization. Demographic and systemic conditions were also recorded. Results: Panoramic radiographs from 1391 patients were included in the survey (605 men, 786 women). Positive radioopaque radiographic findings were faced in 107 patients (43 men (40.18%), 64 women (59.82%)). 71 retained root fragment, 30 impacted teeth and 6 radioopacities were founded. There was no significant relation with age and sex (p>0.05). Conclusion: Routine panoramic examination of the edentulous jaws is valuable to diagnose impacted teeth, retained roots and radioopacities that may require treatment before planning and construction of complete dentures.

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Section: Discussionmentioning

confidence: 99%

Evaluation of positive radioopaque radiological findings in patients using complete prosthesis

Cabbar¹,

Işıksaçan²,

Burdurlu³

et al. 2018

Yeditepe J Dent

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“…In general, prophylactic removal of third molars has been suggested in young patients in order to reduce the morbidity due to the tooth retention, mainly the high incidence of tooth impaction (13,17,18), and following the concept "an asymptomatic third molar does not necessarily reflect the absence of disease" (19). Thus, some clinicians have advocated the prophylactic extraction for reasons comprising lack of a vital role in the oral cavity, increased risk of distal caries in second molars, pericoronal pathosis like cysts or tumors if these teeth are retained, and for avoiding a higher trauma or discomfort when the surgical extraction is performed at older ages (1,13,20).…”

Section: Definition and Reasons For Prophylactic Extractionmentioning

confidence: 99%

“…At present, there is no general agreement among oral clinicians regarding the need for prophylactic removal of asymptomatic third molars (2,12,17). Although a substantial number of clinical studies have been published on this topic, the conflicting results still hinder the decisionmaking process in the clinical setting (18,22).…”

Section: Need For Prophylactic Removal Of Asymptomatic Third Molarsmentioning

confidence: 99%

Prophylactic Extraction of Third Molars: Evidence-Based Dentistry

Garrocho‐Rangel

Pozos‐Guillén

Noyola-Frías

et al. 2017

Odovtos - Int J Dent Sc

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This new perspective article was performed to investigate the evidence from published dental literature about the prophylactic extraction of asymptomatic (or disease-free) impacted third molars (ITM) in adolescents and young adults. This clinical procedure is common until today and has been the origin of controversy among the dental community worldwide. However, evidence-based data from wellconducted clinical studies and systematic reviews are not sufficient to justify the routine prophylactic extraction of ITM. Active surveillance at regular intervals has been proposed as a better management strategy. As a conclusion, surgical removal of ITM is only justified in the presence of specific pathosis, independently of the patient's age. KEYWORDSProphylactic removal; Impacted third molars. RESUMENEl presente artículo se realizó para investigar la evidencia en literatura dental publicada sobre la extracción profiláctica de terceros molares impactados asintomáticos (o libres de enfermedad) (TMI) en adolescentes y adultos jóvenes. Este procedimiento clínico es común y ha sido el origen de la controversia entre la comunidad dental en todo el mundo. Sin embargo, los datos basados en evidencia de estudios clínicos y revisiones sistemáticas no son suficientes para justificar la extracción profiláctica rutinaria de TMI. La vigilancia activa a intervalos regulares se ha propuesto como una mejor estrategia de manejo. Como conclusión, la remoción quirúrgica de TMI sólo se justifica en presencia de patología específica, independientemente de la edad del paciente. PALABRAS CLAVERemoción profiláctica; Terceros molares impactados.

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“…[8] The incidence of cysts and tumours around the impacted mandibular third molar was seems to be low and it varies from 2 to 6.2%. [9,10] These pathological conditions are related with pericoronal follicle and can be determined by radiograph that indicates an enlargement of the pericoronal space. [6] After radiographic diagnosis, confirmation can be done by the making the histopathology of follicular tissue.…”

Section: Introductionmentioning

confidence: 99%

Incidence of Cysts and Tumours Associated with Impacted Mandibular Third Molar: A Retrospective Study

Gupta¹,

Ahuja²

2018

AIMDR

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Background: Tooth impaction is a common occurrence and surgical removal of impacted teeth is the commonest of routine dental surgical procedures. Various pathological conditions like cysts, tumors, abscess etc. have been associated with partially or completely unerupted tooth. Aim: To determine the histopathological incidence of cysts and tumours associated with impacted mandibular third molar. Methods: A retrospective study was conducted on 85 formalin-fixed, paraffin-embedded tissue blocks, including 85 cases of impacted mandibular third molars associated with pathologies which are histopathologically diagnosed using H & E staining. After data collection, statistical analysis was done. Results: In our study, dentigerous cyst have the highest incidence (22.35%) followed by ameloblastoma (14.11%), odontogenic keratocyst (9.4%) and calcifying cystic odontogenic tumour (2.35%). Conclusion: Follicular tissue was obtained from extraction of impacted teeth should be sent for a histopathologic investigation and attention should be focused on age, gender, site and type of impaction for the treatment planning of an impacted third molar.

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Cysts and Tumors Associated With Impacted Third Molars: Is Prophylactic Removal Justified?

Cited by 62 publications

References 26 publications

Evaluation of positive radioopaque radiological findings in patients using complete prosthesis

Evaluation of positive radioopaque radiological findings in patients using complete prosthesis

Prophylactic Extraction of Third Molars: Evidence-Based Dentistry

Incidence of Cysts and Tumours Associated with Impacted Mandibular Third Molar: A Retrospective Study

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