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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model

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Published on: January 13, 2023

Third molar extraction in middle-aged and elderly patient.

Jae-Young Kim¹

¹Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea.

Journal of the Korean Association of Oral and Maxillofacial Surgeons

|October 29, 2021

Summary

Extracting impacted third molars becomes more complex in older adults due to age-related factors. These include reduced healing, increased complication risks, and deeper impactions, making the procedure more challenging.

Keywords:

Middle age Third molar Tooth extraction

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Area of Science:

Oral and Maxillofacial Surgery
Geriatric Dentistry

Background:

Impacted third molar extraction is a common surgical procedure.
Older individuals present unique challenges for this routine surgery.

Purpose of the Study:

To identify and discuss factors complicating third molar extractions in middle-aged and elderly patients.
To highlight age-related considerations for oral surgeons.

Main Methods:

Literature review and clinical experience synthesis.
Analysis of age-associated changes impacting surgical outcomes.

Main Results:

Older patients exhibit decreased healing potential and higher complication risks.
Deeply impacted third molars and associated pathologies (cysts, caries, periodontitis) are more prevalent.
Increased incidence of ankylosis and systemic diseases in older populations contributes to extraction difficulty.

Conclusions:

Extraction of impacted third molars in middle-aged and elderly individuals is significantly more complex.
Age-related factors, including biological changes and dental conditions, necessitate careful pre-operative assessment and surgical planning.