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Updated: May 21, 2026
05:37
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
What are the risks of operative intervention?
1Department of Oral and Maxillofacial Surgery, University of California, San Francisco, San Francisco, CA 94143-0440, USA. tony.pogrel@ucsf.edu
Summary
Complications from wisdom tooth (third molar) removal are uncommon, with most patients experiencing mild issues that resolve quickly. Long-term problems are rare, but dentists should discuss risks and benefits before surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Research
- Surgical Complications
Background:
- Impacted third molars (wisdom teeth) often require surgical extraction.
- Understanding potential complications is crucial for patient management and informed consent.
Purpose of the Study:
- To review the literature on complications associated with operative treatment of impacted third molars (M3s).
- To identify studies with the highest level of evidence regarding M3 removal complications.
Main Methods:
- A comprehensive literature search was conducted across PubMed, Scopus, and the Cochrane Database.
- Keywords included "third molars," "wisdom teeth," "complications," and specific complication types.
- Case and anecdotal reports were excluded to focus on higher-evidence studies.
Main Results:
- Studies identified complications related to periodontics, temporomandibular joint (TMJ) issues, nerve injury, sinus communication, and other factors.
- Approximately 10% of patients undergoing M3 removal experience a complication.
Conclusions:
- Most complications following wisdom tooth extraction are mild and self-limiting.
- Long-term adverse effects are infrequent, with most patients recovering within 2-3 days.
- Clinicians must thoroughly discuss risks versus benefits and be prepared for complication management.
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