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Related Experiment Videos

Third molar complications requiring hospitalization.

Martin Kunkel1, Thomas Morbach, Wilfried Kleis

  • 1Department of Oral and Maxillofacial Surgery, Mainz, Germany. kunkel@mkg.klinik.uni-mainz.de

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|August 22, 2006
PubMed
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Hospitalizations for third molar (M3) complications often stem from diseased teeth or their removal. Analysis revealed varied causes, with nonelective removal leading to the most complications and costs.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Public Health

Background:

  • Third molars (M3) are frequently associated with complications requiring hospitalization.
  • Understanding the patterns of these complications is crucial for effective management and prevention.

Purpose of the Study:

  • To describe the demographic and clinical characteristics of patients hospitalized due to third molar (M3)-related complications.
  • To compare complications arising from prophylactic M3 removal, nonelective M3 removal, and pericoronitis.

Main Methods:

  • A prospective cohort study involving patients admitted for M3-associated complications.
  • Clinical status of M3 (prophylactic removal, nonelective removal, M3 present) was the predictor variable.
  • Outcomes included infection parameters, treatment costs, length of hospital stay, and disability days.

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Main Results:

  • The study identified 45 deep space infections, 6 mandibular fractures, and other severe complications.
  • Fifteen complications arose from prophylactic surgery, 25 from nonelective removal, and 15 from pericoronitis.
  • Direct treatment costs totaled 147,000 euro, with nonelective removal being the most expensive.

Conclusions:

  • The majority of third molar (M3)-related hospitalizations are due to diseased teeth or their surgical removal.
  • No significant differences in infection markers or economic parameters were found between the groups studied.