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

Abstract

Young patients may benefit from an early removal of mandibular M3, especially in the presence of certain cofactors.

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

“…There has been a lack of consensus on the periodontal status of mandibular M2 adjacent to extracted third molars . Many authors call for studies under strict standardized conditions .…”

“…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 .…”

“…6,8 Nevertheless, current scientific literature calls for further clinical standardized research to identify potential periodontal factors that may influence healing outcomes. 26 The aim of this study is to assess the clinical periodontal impact of mandibular M3 surgical removal by comparing the periodontal status of adjacent M2 before and after extraction. Clinical changes, between baseline and 6 months postsurgery, were assessed for PPD, clinical attachment levels (CAL), bleeding on probing (BOP), plaque index (PI), and gingival index (GI).…”

Influence of Non‐Impacted Third Molars on Pathologies of Adjacent Second Molars: A Retrospective Study

“…Nevertheless, removal of M3s, whether I‐M3 or non‐impacted (N‐M3), improves periodontal status of A‐M2s, leading to less frequent local inflammatory periodontal disease and positively affecting overall periodontal health 17 , 18 . These observed therapeutic benefits, irrespective of large individual variations, have led to debate regarding advantages and disadvantages of prophylactic extraction of asymptomatic M3s, including N‐M3s 19 . Although influence of asymptomatic N‐M3s on A‐M2s remains largely unknown, M2s adjacent to N‐M3s also present with various periodontal problems, especially gingival inflammation, increased periodontal probing depth (PD), and alveolar bone resorption (see http://www.joponline.org/doi/suppl/10.1902/jop.2016.160453/suppl_file/160453_supfig1.html in online Journal of Periodontology ) 4 .…”

“…Currently, there is no substantial evidence that occurrence of A‐M2 pathologies is associated with N‐M3s 4 . Interestingly, recent findings suggest that clinical status of A‐M2s can improve after early removal of erupted M3s, especially in the presence of certain inflammatory cofactors 19 …”