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Updated: Dec 11, 2025

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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[Asymptomatic third molars; To remove or not to remove?]

H Ghaeminia, R Hover, Th J M Hoppenreijs

    Nederlands Tijdschrift Voor Tandheelkunde
    |August 26, 2020
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    Summary
    This summary is machine-generated.

    Third molar removal can lead to complications like periodontal issues, nerve damage, and osteomyelitis. Dutch guidelines now suggest preventive removal for impacted third molars in younger patients to mitigate risks.

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    Area of Science:

    • Dentistry
    • Oral Surgery
    • Periodontology

    Background:

    • Third molars (wisdom teeth) often present diagnostic and treatment challenges.
    • Complications associated with third molar eruption and removal are significant concerns in dental practice.

    Purpose of the Study:

    • To highlight potential complications arising from third molar management.
    • To discuss current clinical guidelines regarding third molar removal, particularly in younger individuals.

    Main Methods:

    • Case review of three adult patients experiencing adverse outcomes post-third molar extraction or retention.
    • Analysis of newly published Dutch Clinical Guidelines on third molar management.

    Main Results:

    • Complications observed included permanent periodontal attachment loss, tooth loss due to retention, osteomyelitis, and mandibular fracture.
    • Guidelines recommend considering preventive removal of asymptomatic third molars in 17-year-olds, especially impacted ones with specific angulations.

    Conclusions:

    • Third molar removal carries inherent risks that necessitate careful consideration.
    • Preventive removal, guided by radiographic screening and updated guidelines, is advised for specific high-risk third molar presentations to avoid pathology.