Experience in third molar surgery: an update

Jerjes, Waseem; Upile, Tahwinder; Nhembe, Farai; Gudka, D.; Shah, Priya; Abbas, Syedda; McCarthy, Eileen; Patel, Shelain; Mahil, Jaspal; Hopper, Colin

doi:10.1038/sj.bdj.2010.581

Cited by 42 publications

(27 citation statements)

References 34 publications

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“…4,7,8 Our study supports this hypothesis, as all patients were operated on by skilled, experienced surgeons, and none suffered any permanent neurosensory dysfunction. It is essential that the surgeon thoroughly understands the anatomy of the nerve and root and has an insight into the mechanical effect of their surgical manipulation when operating.…”

Section: Discussionsupporting

confidence: 89%

Elimination of permanent injuries to the inferior alveolar nerve following surgical intervention of the “high risk” third molar

Umar¹,

Obisesan²,

Bryant³

et al. 2013

British Journal of Oral and Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 89%

Elimination of permanent injuries to the inferior alveolar nerve following surgical intervention of the “high risk” third molar

Umar¹,

Obisesan²,

Bryant³

et al. 2013

British Journal of Oral and Maxillofacial Surgery

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“…Secondly, the frequency of complications is related with professional experience. 40,41 Oral-maxillofacial surgeons are equally responsible for the potential risk of complications, despite their proficiency. There are mixed statements in the literature regarding the competency of oral experts and general dentists for third molar surgery.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Intravenous Antibiotic Administration during the Surgical Removal of Third Molar: Systematic Review

Chidambaram¹

2019

JYP

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Intravenous antibiotics a subset of parenteral route help in reducing the post-operative infections in dento-alveolar surgery such as the removal of third molar. However, this route lacks evidential support in the literature and thus has received less attention among the oral clinicians and proportionally in pharmacologists. A systematic review was performed in the Pubmed, Pubmed Central and Scopus electronic data bases from January 2003-January 2017 with a view to express the last fifteen years performance. From the primary queries, only 74 references could be collected pertinent to antibiotic therapy in third molar surgery including the protocols laid by American Association of Oral maxillofacial Surgeons and American Academic of Pediatric Dentistry. In the final stage, a couple of articles on in vitro studies, three short discussions, one evidence-based report and a letter to editor met the required desired criteria. The results revealed that it is highly preferable to administrate intravenous antibiotics in high-risk individuals to reduce surgical site infections. From the retrieved evidences, it can be asserted that candidates with clinical signs of rapid progressive infection, total osseous impaction and compromised health deserve to receive a pre-operative single dose of intravenous antibiotics during third molar surgery on the grounds of their vulnerability to bacteremia.

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“…Song et al 2 suggest that a "wait-and-see conduct" could be a promising strategy. Jerjes et al 24 enumerated postoperative complications stemming from third molar extractions performed by residents and specialists; trismus, alveolar osteitis and paresthesia of the lingual and inferior alveolar nerves were reported among extractions performed by residents, and postoperative bleeding was reported among extractions performed by specialists.…”

Section: Discussionmentioning

confidence: 99%

Is there justification for prophylactic extraction of third molars? A systematic review

Costa¹,

Pazzini²,

Pantuzo³

et al. 2013

Braz. Oral Res.

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The present systematic review was performed to investigate if there is evidence justifying the prophylactic extraction of third molars, one of the most frequent procedures in oral surgery. A series of searches was carried out for randomized, clinical trials and systematic reviews in seven databases (MEDLINE, BBO, LILACS, Web of Science, EMBASE, BIREME and Cochrane Library), with no restrictions regarding year or language. A supplemental manual search of the references of retrieved articles was also performed. The search strategy resulted in 260 papers. Both the data extracted and the quality of each paper were evaluated independently by two reviewers. After selection based on the preestablished eligibility criteria, four papers qualified for the final analysis. A medium degree of quality and methodological consistency was found in three studies, and low quality was found in one study. No studies showed a high degree of consistency. The most significant flaw was an inadequate sample size. The results of the present review indicate a lack of scientific evidence to justify the indication of the prophylactic extraction of third molars.

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Experience in third molar surgery: an update

Cited by 42 publications

References 34 publications

Elimination of permanent injuries to the inferior alveolar nerve following surgical intervention of the “high risk” third molar

Elimination of permanent injuries to the inferior alveolar nerve following surgical intervention of the “high risk” third molar

The Effects of Intravenous Antibiotic Administration during the Surgical Removal of Third Molar: Systematic Review

Is there justification for prophylactic extraction of third molars? A systematic review

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