Third Molars: Asset or Liability for College Athletes?

In brief: Many college athletes must forgo participation in competitive events because they are plagued by third molars (wisdom teeth) that do not completely erupt. The molar may remain partially impacted with a flap of gingival tissue that serves as a food trap and host for bacteria, which produce toxins that initiate an inflammatory reaction and a purulent exudate. If the exudate is trapped, the ensuing infection may spread to the buccal, sublingual, pterygomandibular, or submasseteric spaces via the fascial planes and lead to death. Treatment may include warm saline lavage with a blunted 18-gauge needle, antibiotic therapy, and analgesics. Palliative care can prevent infection or delay surgery until a more convenient time.