Recommendations for Third Molar Removal: A Practice-Based Cohort Study

Cunha‐Cruz, Joana; Rothen, Marilynn; Spiekerman, Charles; Drangsholt, Mark; McClellan, Lyle; Huang, Greg J.

doi:10.2105/ajph.2013.301652

Cited by 42 publications

(57 citation statements)

References 31 publications

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“…The global rate of complications after third molar extraction varies from 4.615 to 21% 20 . It was 2.88% in this sample, the most common complication being alveolitis, as previously described 4 . Inflammatory and infectious complicatons developed after 1.27% of the extractions.…”

supporting

confidence: 84%

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Third molar extractions: a retrospective study of 1178 cases

Salmen

Oliveira

Gabrielli

et al. 2016

RGO, Rev. Gaúch. Odontol.

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Objective This study aims to investigate the demographics, patient health status, position of the teeth, pericoronitis incidence, surgical complications, use of antibiotics to third molar removal and correlate those findings. Methods Based on panoramic radiographs, the teeth were classified as proposed by Pell and Gregory and Winter. The binomial test for proportions with a significance level of 5% was applied. Results Records ConclusionIn this study, the complication rates were low. They were more frequent in women who did not receive antibiotics. The most common complication was alveolitis.Indexing terms: Impacted tooth. Tooth extraction. Third molar. RESUMO ObjetivoEste estudo objetivou descrever os dados demográficos dos pacientes, posicionamento dos terceiros molares, complicações cirúrgicas, condição sistêmica, histórico de pericoronarite e antibioticoterapia e correlacionar esses achados. MétodosCom base em radiografias panorâmicas os dentes foram classificados conforme proposto por Pell e Gregory e Winter. Foi utilizado o teste Binomial para proporções a 5% de significância. ResultadosForam revisados os prontuários de 337 pacientes submetidos a 1178 exodontias durante o perído de 1993 a 2011. Os dentes superiores apresentaram-se predominantemente verticais (84,2%) (p<0,0001), classe I (49,55%) (p<0,0001), posição C (58,88%) (p<0,0001) e os inferiores mesioangulados (42,03%) (p<0,0122), classe II (60,22%) (p<0,0001), posição A (48,15%) (p<0,0001). As complicações ocorreram em apenas 2,88% das cirurgias, foram mais comuns em mulheres (69,7%) (p<0,0014) e em pacientes que não fizeram uso de antibióticos (71,43%) (p<0,0027). A maioria das complicações ocorreu após extrações de dentes inferiores (75,75%) (p<0,0001). A complicação mais comum foi a alveolite (52.51%) (p<0.0006). ConclusãoNeste estudo, as complicações não foram frequentes e acometeram mais mulheres e pacientes que não fizeram uso de antibióticos, sendo a alveolite a mais comumente observada.

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supporting

confidence: 84%

“…This creates controversy about prophylactic removal of third molars. The most frequent arguments for removal are recurrent pericoronitis, unfavorable eruption trajectory and prevention of tooth crowding, periodontal compromise and development of pathology [4][5] . It is not easy to establish the difficulty level in third molar extraction.…”

Section: Introductionmentioning

confidence: 99%

Third molar extractions: a retrospective study of 1178 cases

Salmen

Oliveira

Gabrielli

et al. 2016

RGO, Rev. Gaúch. Odontol.

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“…The methods for this clinical portion of the study are described in our companion article. 17 Briefly, though, patients aged 16 to 22 years were invited to participate if they had at least 1 third molar present and had never undergone third molar removal. We acquired data by means of a baseline questionnaire and clinical examination.…”

Section: Methodsmentioning

confidence: 99%

“…A companion article reports on general dentists’ recommendations for retention or removal of third molars and patient compliance with the recommendations. 17 …”

mentioning

confidence: 99%

A Prospective Study of Clinical Outcomes Related to Third Molar Removal or Retention

Huang

Cunha‐Cruz²,

Rothen³

et al. 2014

Am J Public Health

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Objectives We investigated outcomes of third molar removal or retention in adolescents and young adults. Methods We recruited patients aged 16 to 22 years from a dental practice–based research network in the Pacific Northwest from May 2009 through September 2010 who had at least 1 third molar present and had never undergone third molar removal. Data were acquired via questionnaire and clinical examination at baseline, periodic online questionnaires, and clinical examination at 24 months. Results A total of 801 patients participated. Among patients undergoing third molar removal, rates of paresthesia and jaw joint symptoms lasting more than 1 month were 6.3 and 34.3 per 100 person-years, respectively. Among patients not undergoing removal, corresponding rates were 0.7 and 8.8. Periodontal attachment loss at distal sites of second molars did not significantly differ by third molar removal status. Incident caries at the distal surfaces of second molars occurred in fewer than 1% of all sites. Conclusions Rates of paresthesia and temporomandibular joint disorder were higher after third molar removal. Periodontal attachment loss and incident caries at the distal sites of second molars were not affected by extraction status.

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“…This behaviour might be applied to third molar extractions. Despite variations in insurance cover for third molar extraction according to policy selected and type of health and dental cover chosen, some researchers suggest that dental insurance status makes most patients decide on third molar prophylactic extraction. In fact, some clinicians recommend that their patients use their dental insurance cover as they have already paid for it.…”

Section: Discussionmentioning

confidence: 99%