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Third molars in the orthodontic therapeutic decision
Alexandre Hutin1,2, Sarah Gebeile-Chauty1,2
1Département d'Orthopédie Dento-Faciale, Faculté d'Odontologie, rue Guillaume Paradin, 69372 Lyon cedex 08, France.
L' Orthodontie Francaise
|January 31, 2023
Summary
Third molars, or wisdom teeth, require careful orthodontic consideration. Their management involves weighing risks against benefits, with extraction not always recommended, especially for preventing crowding.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Context:
- Third molars (wisdom teeth) are prevalent and often impact orthodontic treatment planning.
- Management decisions for third molars require careful consideration of potential risks and benefits.
Purpose:
- To review the literature on therapeutic possibilities for managing third molars in orthodontic contexts.
- To inform clinical decision-making regarding third molar extraction versus preservation.
Summary:
- Third molar avulsion is not always indicated; surgical risks like nerve damage exist. Pathological or adjacent-damaging molars are clear extraction candidates.
- Extraction is not recommended to prevent anterior crowding or for asymptomatic, non-pathological third molars.
- Orthodontic treatments like orthognathic surgery or distalization may involve third molars, which can be utilized via transplantation, mesialization, or prosthetic restoration.
Impact:
- Provides evidence-based guidance for clinicians on third molar management in orthodontics.
- Highlights the importance of individualized patient assessment and informed consent.
- Suggests that third molars can be valuable assets in orthodontic treatment, even in edentulous situations.
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