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Mandibular third-molar germectomy: case report
Hajar Ouaabbou1, Fouzia Hakkou1, Saliha Chbicheb1
1Department of Oral Surgery, Faculty of Dentistry, Mohammed V University in Rabat, Rabat, Morocco.
Introduction And Importance:
Third molars are often removed in order to prevent complications and various other problems associated with impacted teeth.
Case Presentation:
A healthy 17-year-old girl with no history was referred to the Department of Oral Surgery by her orthodontist to remove mandibular third-molar germs. Panoramic radiography showed the presence of impacted mandibular third-molar germs, vertically positioned, with incomplete root formation. The tooth germs (48, 38) were extracted under local-regional anesthesia. The postoperative period was uneventful.
Clinical Discussion:
Germectomy is still relevant in the management of mandibular third molars (MTM). It is a surgical removal of the dental germ at a particularly specific developmental period. However, the need to extract the MTM germs is still controversial.
Conclusion:
Germectomy is well justified in light of clinical symptomatology and/or a suspicious radiographic image. Nonetheless, in asymptomatic MTM, it is important to assess the procedure's cost-benefit ratio.
