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Lower third molars.

Parmananad Dhanrajani1, Mark Smith2

  • 1Department of Oral Surgeon, HCF Dental Centre, 403 George St, Sydney, NSW 2000, Australia.

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|May 5, 2015
PubMed
Summary
This summary is machine-generated.

Prophylactic removal of asymptomatic mesioangular impacted lower third molars is debated. This discussion weighs the benefits of early extraction against potential future complications and impacts on adjacent second molars.

Keywords:
Lower wisdom teethmesioangularthird molars

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Area of Science:

  • Dentistry
  • Oral Surgery

Background:

  • The management of asymptomatic impacted lower third molars remains a topic of ongoing clinical discussion.
  • Mesioangular impaction is a common presentation requiring careful consideration for treatment.

Purpose of the Study:

  • To discuss the advantages of prophylactic removal of asymptomatic mesioangular impacted lower third molars.
  • To evaluate the potential long-term clinical complications associated with leaving these teeth in situ.
  • To analyze the consequences of impacted lower third molars on the health and position of adjacent second molars.

Main Methods:

  • This communication reviews existing literature and clinical considerations regarding impacted lower third molars.
  • It involves a discussion of the merits of early surgical intervention versus conservative management.
  • Analysis focuses on potential sequelae such as pericoronitis, cysts, and damage to second molars.

Main Results:

  • The decision to remove or retain asymptomatic impacted lower third molars involves balancing risks and benefits.
  • Prophylactic removal may prevent future pathologies and complications.
  • Potential negative impacts on second molars, including caries and resorption, are considered.

Conclusions:

  • The prophylactic removal of asymptomatic mesioangular impacted lower third molars may be warranted to prevent future complications.
  • Careful assessment is necessary to weigh the risks of surgery against the potential sequelae of retention.
  • Long-term monitoring is crucial for both surgical and non-surgical management approaches.