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Related Experiment Video

Updated: Jun 11, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Experience in third molar surgery: an update.

W Jerjes1, T Upile, F Nhembe

  • 1UCLH Head and Neck Centre, 250 Euston Road, London, NW1 2PG. waseem_wk1@yahoo.co.uk

British Dental Journal
|July 3, 2010
PubMed
Summary
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Surgeon experience significantly impacts third molar surgery outcomes. Less experienced surgeons (residents) had higher rates of trismus, infection, and nerve issues, while specialists saw more bleeding complications.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Outcomes Research
  • Patient Safety

Background:

  • Surgeon experience is a critical factor influencing surgical outcomes.
  • Previous studies highlight experience as a key determinant in third molar surgery success.
  • Understanding this relationship is vital for improving patient care and reducing complications.

Purpose of the Study:

  • To prospectively evaluate the association between surgeon experience level and postoperative complications following third molar extraction.
  • To quantify the specific types of complications related to surgeon expertise.

Main Methods:

  • A prospective clinical study involving 3,236 patients undergoing surgical removal of impacted third molars.
  • Postoperative complications were recorded and statistically compared based on surgeon's grade (specialist vs. resident).

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  • Patient demographics and pre-operative radiographic data were also analyzed.
  • Main Results:

    • Residents performing third molar surgery showed significantly higher incidences of trismus, infection, alveolar osteitis, and nerve paresthesia.
    • Specialists experienced a statistically significant higher rate of postoperative bleeding.
    • Complication rates varied significantly between surgical teams of different experience levels.

    Conclusions:

    • A clear correlation exists between surgeon experience and the occurrence of postoperative complications in third molar surgery.
    • Findings underscore the need for specialized training and supervision to mitigate risks.
    • The study's implications for surgical education, practice, and future research warrant further exploration.