Periodontal healing after impacted lower third molar surgery

Kugelberg, Carl F.; Ahlström, Ulf; Ericson, Sune; Hugoson, Anders

doi:10.1016/s0300-9785(86)80108-9

Cited by 35 publications

(46 citation statements)

References 27 publications

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“…Sites <4 mm were considered healthy, whereas sites ≥4 mm were considered diseased, which was in line with previous studies (Kugelberg et al. , Dodson & Richardson ). Changes in PPD and PAL at follow‐up compared to baseline were then analysed as a function of group membership.…”

Section: Resultssupporting

confidence: 83%

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Surgical removal of third molars and periodontal tissues of adjacent second molars

Petsos

Korte²,

Eickholz

et al. 2016

J Clinic Periodontology

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Section: Resultssupporting

confidence: 83%

“…Some older studies report an improvement in periodontal condition (Kugelberg et al. , , Kugelberg ), whereas others consider the removal of mandibular M3 as a periodontal risk to the adjacent teeth (Szmyd & Hester , Krausz et al. , Montero & Mazzaglia ).…”

Section: Discussionmentioning

confidence: 99%

Surgical removal of third molars and periodontal tissues of adjacent second molars

Petsos

Korte²,

Eickholz

et al. 2016

J Clinic Periodontology

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“…Kugelburg et al (1990) [8] looked at the periodontal health of the lower dM2 two years after the surgical removal of impacted lower third molars. They determined that 43.3% of dM2s had >7mm probing depths, and 32.1% showed intra-bony defects exceeding 4mm [7]. Marmary et al [15] determined that there was a net average gain in alveolar height of only 2.15mm against the dM2 at 6 months following third molar removal.…”

Section: Discussionmentioning

confidence: 99%

Alveolar bone grafts distal to the lower second molar

Coceancig¹

2009

J. Maxillofac. Oral Surg.

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The author suggests that for older patients (≥26 years) were there is the presence of partially exposed deep mesio-angular or horizontal impacted wisdom teeth, and which are associated with the radiographic appearance of bone loss to the distal surface of the lower second molar tooth, then alveolar bone grafting utilising Bio-Oss® and Bio-Gide® is an effective and stable treatment option to prevent development of periodontal pocketing in the area. The author advises for more guided and systematised study in this area.

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“…Because some reports highlighted the possibility that age could influence socket healing, age was studied as a predictor of healing not only in a linear way (see above) but also was used as a variable to divide the studied sample in two . The study sample was divided into two age groups: younger than 25, and older than 25, following Kugelberg et al . who suggested that individuals younger than 20 years old and older than 30 have different periodontal healing potential.…”

Section: Methodsmentioning

confidence: 99%

“…It has been investigated by several authors, such as Krausz et al., with conflicting results . Other studies have shown that M3 extractions frequently caused periodontal defects distal of M2 molars . However, most longitudinal studies have found conflicting results, suggesting that the aforementioned conclusions may be because of lack of well‐designed clinical studies .…”

Section: Introductionmentioning

confidence: 99%

Influence of mandibular third molar surgical extraction on the periodontal status of adjacent second molars

Passarelli

Lajolo

Pasquantonio

et al. 2019

Journal of Periodontology

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Background The periodontal health distal of second molars (M2) is often compromised because of third molar (M3) impactions. The aim of this study was to evaluate healing and periodontal status of mandibular M2 after M3 surgical extraction. Methods Eighty‐nine consecutive patients with 89 asymptomatic M3 who needed surgical extraction of one fully‐ or semi‐impacted M3 entered this study. Clinical measurements, probing pocket depth (PPD), clinical attachment level (CAL), plaque index (PI), gingival index (GI), and bleeding on probing (BOP), were compared for M2 at baseline (T0) and 6‐months (T1) postsurgical extraction. Multiple logistic regression analysis assessed different risk factors for postoperative changes of periodontal parameters. Results Six‐month M2 PPD improved at disto‐vestibular (T0‐5.2/T1‐3.0 mm) and disto‐lingual (T0‐5.4/T1‐3.2 mm) sites. The average attachment gains at T1 were 1.9 and 2 mm, respectively (P < 0.05). BOP, PI, and GI showed significant clinical improvements after extractions. Fifty‐three out of 72 (73.6%) M2 presenting a PPD ≥ 4mm at baseline healed at 6 months recall without periodontal pockets. Older age (mean 55 years, SD 16.7; range 26 to 81) and mean distal PPD at baseline of 7 mm was more likely to be associated with PPD ≥ 4 mm 6 months postextraction (P < 0.05). Past history of periodontitis patients were 41 times more likely to present PPD ≥ 4 mm after healing (OR = 41.4; 95% CI = 10.9 to 156.5, P < 0.05). Conclusion Mandibular M3 extractions seem to improve overall periodontal health distal of M2. History of periodontitis, preoperative deep pockets and older age are independent risk factors for poorer healing and residual pockets after M3 surgical extraction.

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Periodontal healing after impacted lower third molar surgery

Cited by 35 publications

References 27 publications

Surgical removal of third molars and periodontal tissues of adjacent second molars

Surgical removal of third molars and periodontal tissues of adjacent second molars

Alveolar bone grafts distal to the lower second molar

Influence of mandibular third molar surgical extraction on the periodontal status of adjacent second molars

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