Management of third molars—Impacted wisdom tooth indications, complications and new evolution

Oral Surgery ◽  
2021 ◽  
Author(s):  
Zhigang Li ◽  
Nianhui Cui ◽  
Jian Pan
Keyword(s):  
Third Molars ◽  
Wisdom Tooth

Prevalence of patterns of impacted third molars

2020 ◽  
Author(s):  
Seyed Hadi Hosseini ◽  
Zahra Mazareii Fard ◽  
Donya Maleki
Keyword(s):  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Third Molars ◽  
Wisdom Tooth ◽  
Impacted Tooth ◽  
The North ◽  
Tooth Impaction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Aim: As the patterns of impaction can affect the treatment plan of removing or remaining the impacted tooth, the difficulty of surgery, and the post-surgical complications, this survey aimed for assessment of the mandibular wisdom tooth impaction patterns in terms of angulation and depth in the north population of Iran. Materials and Methods: 196 Panoramic radiographs were gathered from patients attending to the department of oral and maxillofacial surgery of GUMS in 2018-2019. To perform this retrospective study the prevalence of impaction, angulation, and the level of the eruption were assessed. The data were analyzed by SPSS 16. Results: This study found that the most common pattern of impacted mandibular third molars was level B in terms of depth and mesioangular in terms of angulation. Conclusion: The current study notes the importance of determining the angulation and level of wisdom tooth in designing the pre-surgical treatment and in post-surgical complaints

scholarly journals Does Extraction or Retention of the Wisdom Tooth at the Time of Surgery for Open Reduction and Internal Fixation of the Mandible Alter the Patient Outcome?

2015 ◽  
Vol 8 (4) ◽  
pp. 277-280 ◽  
Author(s):  
Douglas Hammond ◽  
Sat Parmar ◽  
Justin Whitty ◽  
Nick Pigadas
Keyword(s):  
Patient Outcome ◽  
Internal Fixation ◽  
Complication Rate ◽  
Open Reduction ◽  
Fracture Line ◽  
Third Molars ◽  
Fixation Procedure ◽  
Wisdom Tooth ◽  
Wisdom Teeth ◽  
Controversial Topic

Whether to extract or retain wisdom teeth present in a fracture line is a controversial topic. This study reviewed the records of all patients who had mandibular wisdom teeth at the time of the injury, and had an open reduction and internal fixation procedure between January 2009 and January 2012. The cohort of patients who concomitantly had their wisdom tooth extracted at the time of fixation had a greater complication rate (24.3%) compared with patients who did not (14.9%). This suggests that if third molars in the line of a fracture have caries, are fractured, show signs of pericoronitis, are periodontally involved, or are interfering with the occlusion are extracted at the time of fixation, this will increase the incidence of complications.

scholarly journals Wisdom Tooth—Complications in Extraction

2014 ◽  
Vol 15 (1) ◽  
pp. 34-36 ◽  
Author(s):  
Nishi Singh ◽  
Amiya Agrawal ◽  
Arvind Yadav ◽  
Siddhartha Chandel ◽  
Ankita Singhal
Keyword(s):  
Retrospective Study ◽  
Third Molar ◽  
Lingual Nerve ◽  
Root Tip ◽  
Third Molars ◽  
Wisdom Tooth ◽  
Mandibular Third Molar ◽  
Alveolar Osteitis ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

ABSTRACT The purpose of this study is to analyze the incidence of complications in a group of 171 patients in whom extractions of impacted mandibular third molar have been performed by two oral surgeons between the period April 2010 and March 2012. This retrospective study comprises evaluation of 270 impacted mandibular third molars which were classified into two groups A and B on the basis of procedure of osteotomy only and osteotomy and odontotomy both respectively. Total no of complications reported were 40 (14.81%). Maximum no of cases reported alveolar osteitis (AO) (11.11%) while other complications reported root tip fractures (2.22%), lingual nerve parasthesia and TMJ problems (each 0.74%) in descending frequency. Conclusion drawn is that the risk of complications in extractions of impacted mandibular third molars always exists, and extractions associated with both osteotomy and odontotomy are associated with higher risk of complications. How to cite this article Agrawal A, Yadav A, Chandel S, Singh N, Singhal A. Wisdom Tooth—Complications in Extraction. J Contemp Dent Pract 2014;15(1):34-36.

scholarly journals Early Postoperative Masticatory Efficiency After Surgical Extraction of a Partially Impacted Mandibular Third Molar

2019 ◽  
Vol 46 (2) ◽  
pp. 25-29
Author(s):  
D. Konstantinova ◽  
A. Nenova-Nogalcheva ◽  
P. Pechalova
Keyword(s):  
Third Molar ◽  
The Self ◽  
Clinical Group ◽  
Sieve Analysis ◽  
Third Molars ◽  
Wisdom Tooth ◽  
Self Assessment ◽  
Masticatory Efficiency ◽  
Mandibular Third Molar ◽  
Mandibular Third Molars

Abstract The extraction of mandibular third molars is a traumatic procedure accompanied by marked clinical symptoms in the postoperative period. The aim of the present study was to determine the effects of the removal of a partially impacted mandibular third molar on the masticatory efficiency in patients in the early postoperative period. Material and methods. A total of 47 participants, divided into two groups, took part in this pilot study. The first group included 33 patients with a mean age of 18.3 years (SD = 0.9 years), defined as the Control group; the second group involved patients with a mean age of 33.3 years (SD = 1.86), referred to as the Clinical group. The masticatory efficiency of the Clinical group patients was objectively double-checked using a Protab® test bite: once during the preliminary examination (prior to extraction of the wisdom tooth) and again 7 days after the surgical removal of the wisdom tooth. A sieve analysis was applied to determine the artificial test bite particle size and size distribution following mastication. Feedback on the Clinical group patients’ assessment of any subjective complaints was obtained through a questionnaire containing two questions considered relevant to patients’ masticatory efficiency. The data from the sieve analysis of each fraction were analyzed using the Statistics Software Package for Epidemiological and Clinical Research (IBM SPSS V.20.00). Results. The data processing of all parameters tested prior to and after extraction of the wisdom tooth revealed statistically significant differences. Only the duration of chewing after the third molar extraction matched the chewing duration in the healthy control subjects (p = 0.198). The analysis of the feedback on the self-assessment of patients from the Clinical group demonstrated that prior to extraction all subjects (100%) experienced pain to a varying degree, whereas in half of the patients (50%) the pain disappeared following extraction. The Spearman’s test for correlation between mean particle sizes as well as the questionnaire feedback indicated a strong positive relationship with food trapping. Accordingly, the larger mean particle size was linked to the self-assessment of food trapping around the wisdom tooth prior to extraction (Spear-man’s Rho = 0.57, p = 0.032). There was also a correlation between the chewing time and the sensation of pain in the teeth adjacent to the extraction wound. The results suggested that the shorter duration of chewing was associated with a greater sensation of pain (Spear-man’s Rho = -0.61, p = 0.026). Conclusion. The eruption of mandibular third molars causes difficulties in the masticatory process. A positive trend was observed towards normalizing of the chewing duration following extraction (t = -1.356, p = 0.198).

scholarly journals The Predictability of Difficultness of Lower Third Molar Odontectomy

2019 ◽  
Vol 70 (4) ◽  
pp. 1342-1345
Author(s):  
Ciprian Ioan Roi ◽  
Emilia Ianes ◽  
Pusa Nela Gaje ◽  
Diana Florina Nica ◽  
Andrei Roi ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Third Molar ◽  
Therapeutic Decision ◽  
Third Molars ◽  
Wisdom Tooth ◽  
Radiographic Data

The aim of this study was to establish an accurate algorithm for third molar odontectomy in order to help the surgeon to predict the duration and the difficultness of this surgical procedure. As material and methods, we used an algorithm that contains medical and radiographic data regarding lower wisdom tooth which was systematized in a preoperative questionnaire. In this study were included 27 patients with asymptomatic lower third molars during the period of 2015-2017. The prediction of the questionnaire was correlated with the difficulty and duration of the odontectomy. Results of our study showed that this algorithm can successfully predict the degree of difficulty of the lower wisdom tooth odontectomy and can guide the surgeon in the therapeutic decision. Moreover, this method is simple, easy and fast.

Features of the use of the drug etoricoxib in the planning of dental surgery

2020 ◽  
Vol 1 (12) ◽  
pp. 51-53
Author(s):  
A. V. Gvozdev ◽  
A. M. Panin ◽  
N. E. Kushlinsky ◽  
L. R. Fahrislamova ◽  
A. M. Tsitsiashvili
Keyword(s):  
Correlation Analysis ◽  
Third Molars ◽  
Dental Surgery

An assessment and correlation analysis was performed between the main indicators when using the drug etoricoxib for the removal of third molars.

Dental Inclusion of Canine and Wisdom Tooth in Orthodontics Chemical Necroses

2018 ◽  
Vol 69 (8) ◽  
pp. 2191-2196
Author(s):  
Cristian Constantin Budacu ◽  
Nicoleta Ioanid ◽  
Cristian Romanec ◽  
Mihail Balan ◽  
Liliana Lacramioara Pavel ◽  
...  
Keyword(s):  
Third Molar ◽  
Point Of View ◽  
Separate Entity ◽  
Wisdom Tooth ◽  
Facial Aesthetics ◽  
The Third ◽  
Edentulous Mandible ◽  
Canine Guidance ◽  
Upper Jaw ◽  
Functional Point

Canine plays an important role in the dento-maxillary system. From a functional point of view, it provides the canine guidance, by positioning it in the frontal area, has a role in facial aesthetics. It plays an important prosthetic role by having the longest root and one of the longest arcade teeth. Three molars represent the last teeth that erupt in the arches both in the jaw and in the mandible, which is why they remain the most frequently included.Canine incidence is quite common following the wisdom tooth. It can be unilateral or bilateral and is more common in the upper jaw. The canine may remain included at the vestibular, palatal or between the two bones. A separate entity is the incision of the canine in the edentulous mandible or jaw. The study included 213 cases with dento-alveolar pathology, of which 128 patients were selected with dental inclusion. Our study reports that the first three molars are frequent, followed by the canine as opposed to other studies conducted by Guzduz K in 2011 and Fardi A of the same year bringing the canines first (Fardi, Guzduz). Some studies attribute the first place to the superior canine in terms of frequency, but they are abstracted from the molar three inclusion that they consider as most frequently (Compoy). The most common tooth in inclusion is the third molar (lower and upper) followed by the upper canine; the most commonly affected are women for both canine and molar.

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