Related Experiment Video
Updated: Aug 24, 2025
07:32
Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
Published on: February 23, 2024
1.2K
Are there difficulty variables in maxillary third molar surgery? A prospective observational cohort study.
Roberto Pippi1, Jacopo Bufacchi1, Salvatore DE Luca1
1Department of Odontostomatological and Maxillo Facial Sciences, Sapienza University, Rome, Italy.
Minerva Dental and Oral Science
|October 26, 2022
Summary
Surgical difficulty in extracting impacted maxillary third molars is influenced by factors like mouth opening reduction and tooth position. Surgeon experience also plays a role in managing complications during these dental procedures.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Anesthesia
- Surgical Outcomes
Background:
- Maxillary third molar extraction is a common dental procedure.
- Surgical difficulty and complications can arise during these extractions.
- Predicting and managing these factors is crucial for patient safety.
Purpose of the Study:
- To identify factors associated with surgical difficulty in impacted maxillary third molar extraction.
- To evaluate intraoperative and postoperative complications.
- To assess the influence of preoperative variables on surgical outcomes.
Main Methods:
- Prospective observational cohort study of outpatients undergoing impacted maxillary third molar extraction.
- Principal component analysis and multiple linear regression were employed.
- Correlation analysis between preoperative variables, surgical difficulty, and complication risk.
Main Results:
- Factors influencing surgical difficulty included limited mouth opening, palatal crown position, second molar contact, and surgeon seniority.
- Risk of intraoperative complications increased with reduced mouth opening and procedures like ostectomy or tooth sectioning.
- Surgeon seniority was linked to a lower risk of complications, though prediction of difficulty was limited.
Conclusions:
- Maxillary third molar extraction difficulty is significantly related to reduced mouth opening, palatal crown position, and second molar contact.
- These factors are key considerations for surgical planning and risk assessment.
- Further research may refine predictive models for surgical difficulty.
