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The Establishment of a Murine Mandibular Molar Extraction Socket Healing Model
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Mandibular third molar extraction: perceived surgical difficulty in relation to professional training.

María Isabel Sánchez Jorge1, Rosa Acevedo Ocaña1, Carolina Valle Rodríguez1,2

  • 1Department of Oral Surgery and Oral Implantology, Faculty of Dentistry, University Alfonso X El Sabio, Madrid, Spain.

BMC Oral Health
|July 14, 2023
PubMed
Summary

Dentist training significantly impacts the perceived difficulty of mandibular third molar (MTM) extraction. Postgraduate training in oral surgery alters how professionals weigh surgical difficulty factors.

Keywords:
ExtractionMandibularPerceived difficultyProfessional trainingThird molar

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Area of Science:

  • Oral Surgery
  • Dental Education
  • Surgical Planning

Background:

  • Pre-operative assessment of surgical difficulty is crucial for treatment planning.
  • Mandibular third molar (MTM) extraction difficulty perception varies among dental practitioners.
  • Understanding factors influencing perceived difficulty aids in optimizing surgical training and patient care.

Purpose of the Study:

  • To investigate how varying levels of dental training influence the perceived difficulty of mandibular third molar (MTM) extraction cases.
  • To determine if training affects the perceived importance of patient-related, anatomical, radiographic, and operative factors in MTM extraction difficulty.

Main Methods:

  • A cross-sectional, descriptive, observational survey study was conducted.
  • 389 dental practitioners evaluated 30 MTM extraction cases and influencing factors using a visual analog scale (VAS).
  • Statistical analysis employed non-parametric tests (Mann Whitney, Kruskal-Wallis) via SPSS Statistics 28.0.

Main Results:

  • Practitioners without surgical training perceived MTM extraction as more difficult.
  • Professionals with oral surgery postgraduate training prioritized patient-related factors over operative factors.
  • A significant difference in perceived difficulty and factor importance was observed based on training level.

Conclusions:

  • Dental training level significantly influences the perceived difficulty of mandibular third molar extraction.
  • Training impacts practitioners' opinions on the relative importance of various factors contributing to surgical difficulty.
  • Enhanced surgical training may refine the assessment of MTM extraction complexity.