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[Complications during and after third molar extraction].

Jeannine Arrigoni1, J Thomas Lambrecht

  • 1Klinik für Zahnärztliche Chirurgie, -Radiologie, Mund- und Kieferheilkunde, Zentrum für Zahnmedizin der Universität Basel.

Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|January 14, 2005
PubMed
Summary
This summary is machine-generated.

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Surgical removal of third molars can lead to complications, especially infections. Prophylactic removal before age 25 is recommended to minimize risks like maxillary sinus perforations and infections.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Dentistry
  • Infection Control in Dentistry

Context:

  • Analysis of 3,980 third molar extractions from 1992-1999.
  • Focus on intraoperative and postoperative complications, particularly infections.
  • Evaluation of antiseptic treatment efficacy.

Purpose:

  • To assess the success rate of antiseptic procedures in third molar surgery.
  • To identify the incidence and types of complications associated with third molar removal.
  • To determine risk factors influencing complication rates.

Summary:

  • 188 intraoral complications included 153 maxillary sinus perforations (3.8%).
  • 159 postoperative complications included 102 infections (2.6%) and 1.4% severe issues.

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  • Significant correlation found between smoking and pericoronal infections.

    • Impact:

    • Recommends prophylactic third molar removal before age 25.
    • Highlights increased complication rates in older patients.
    • Informs surgical decision-making and patient counseling regarding third molar extraction risks.