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Teeth

Teeth

The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...

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Third molar surgery: Past, present, and the future.

Jose S Sifuentes-Cervantes¹, Francisco Carrillo-Morales², Jaime Castro-Núñez³

¹PGY 1, Oral and Maxillofacial Surgery Residency Program, School of Dental Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico.

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

|May 25, 2021

Summary

This review traces the evolution of third molar surgery, detailing historical extraction techniques and comparing them to modern approaches. It highlights key developments in mandibular and maxillary third molar removal procedures.

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Area of Science:

Oral and Maxillofacial Surgery
Surgical History

Background:

Third molar surgery is a prevalent ambulatory procedure in oral and maxillofacial surgery.
Numerous surgical approaches for third molar extraction have been documented since the 20th century.

Purpose of the Study:

To review the historical development of third molar extraction techniques.
To compare pioneering methods with contemporary surgical approaches.
To discuss current treatment philosophies and future therapeutic considerations.

Main Methods:

A literature review was conducted using electronic database searches (Medline).
Keywords included "mandibular/maxillary third molar," "impacted mandibular/maxillary third molar," "mandibular/maxillary third molar flap design," and "mandibular/maxillary third molar incision."
English-language articles were prioritized, supplemented by manual searches in major oral surgery journals and texts.

Main Results:

The article examines the historical progression of third molar surgical techniques.
Pioneering methods in third molar extraction are identified and contrasted with current practices.
Contemporary approaches and future treatment philosophies are presented.

Conclusions:

Understanding the evolution of third molar surgery provides valuable insights into current practices.
The review recognizes significant contributions to surgical techniques for impacted third molars.
This historical perspective informs future advancements in oral and maxillofacial surgery.