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Updated: Jul 5, 2026

Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
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Pathologic changes in soft tissues associated with asymptomatic impacted third molars.

Gülsün Yildirim1, Hanife Ataoğlu, Ahmet Mihmanli

  • 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Selçuk, Konya, Turkey. ozgulsun@yahoo.com <ozgulsun@yahoo.com>

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
|April 29, 2008
PubMed
Summary
This summary is machine-generated.

Routine removal of asymptomatic impacted third molars is recommended. Pathologic changes, such as cysts, can develop even in asymptomatic cases, highlighting the need for prophylactic extraction.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Pathology
  • Preventive Dentistry

Background:

  • Impacted third molars are common dental findings.
  • The prophylactic removal of asymptomatic impacted third molars is a debated topic.
  • Understanding the incidence of pathologic changes is crucial for evidence-based guidelines.

Purpose of the Study:

  • To evaluate the necessity of routine prophylactic removal of asymptomatic impacted third molars.
  • To determine the frequency and types of pathologic conditions associated with these molars.
  • To assess the relationship between pathologic changes and patient/tooth factors.

Main Methods:

  • Histopathologic examination of 120 impacted third molar dental follicles.
  • Statistical analysis to evaluate associations between pathologic changes, age, gender, and angular position.

Main Results:

  • Pathologic conditions were identified in 23% of the examined dental follicles.
  • No statistically significant association was found between pathologic changes and the angular position of the third molar.
  • Pathologic changes were more prevalent in women aged 20 years and older.

Conclusions:

  • Asymptomatic impacted third molars have the potential to develop cystic changes.
  • Prophylactic removal of asymptomatic impacted third molars is advised to prevent the occurrence of pathologic alterations.
  • Early intervention can mitigate risks associated with developing dental pathology.