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The indications for third-molar extractions.

Martin B Steed1

  • 1Dr. Steed is an associate professor and chief, Department of Oral and Maxillofacial Surgery, College of Dental Medicine, Medical University of South Carolina, 173 Ashley Ave., BSB Room 449 MSC 507, Charleston, S.C. 29425, e-mail steedma@musc.edu. Address correspondence to Dr. Steed.

Journal of the American Dental Association (1939)
|June 1, 2014
PubMed
Summary
This summary is machine-generated.

The extraction of third molars remains controversial. Asymptomatic third molars may still have disease, and active surveillance is recommended over prophylactic extraction for disease-free, asymptomatic third molars.

Keywords:
Tooth extractionevidence-based dentistryliterature revieworal and maxillofacial surgeryoral surgical procedurespractice guidelinesthird molars

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Area of Science:

  • Dentistry
  • Oral Surgery

Background:

  • Indications for third-molar extraction are debated.
  • Current management often relies on identifying symptoms or disease linked to the third molar.

Purpose of the Study:

  • To evaluate the evidence for prophylactic extraction versus active surveillance of asymptomatic, disease-free third molars.

Main Methods:

  • Classification of third molars based on symptoms (Sx+, Sx-) and disease (D+, D-).
  • Review of evidence-based clinical data from prospective investigations.

Main Results:

  • Asymptomatic third molars do not always indicate an absence of disease.
  • Evidence supporting routine extraction versus retention of asymptomatic, disease-free (group D) third molars is insufficient.

Conclusions:

  • Active surveillance is recommended for retained third molars instead of waiting for symptoms.
  • Decisions for third molar management are typically clear, but evidence for group D is lacking.