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Third molars: a review.

S E Bishara, G Andreasen

    American Journal of Orthodontics
    |February 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    The role of third molars in causing anterior teeth misalignment remains unclear, with no definitive evidence linking them as the primary cause of post-treatment incisor changes. Management strategies and contraindications for third molar extraction are explored.

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    Area of Science:

    • Dentistry
    • Orthodontics
    • Oral Surgery

    Background:

    • The impact of third molars (wisdom teeth) on the alignment of anterior teeth is a long-standing debate in orthodontics.
    • Existing literature presents conflicting evidence regarding the causative role of third molars in post-treatment incisor crowding.

    Purpose of the Study:

    • To critically evaluate the evidence concerning the influence of third molars on anterior dentition alignment.
    • To discuss current management strategies for third molars and identify situations where their extraction is inadvisable.

    Main Methods:

    • Systematic review of existing literature on third molar eruption and its effect on incisor alignment.
    • Analysis of clinical case studies and expert opinions on third molar management.

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    Main Results:

    • No conclusive scientific evidence supports third molars as the major etiologic factor for post-treatment incisor alignment changes.
    • The study highlights the controversial nature of the topic and the lack of consensus in the scientific community.

    Conclusions:

    • The current evidence does not substantiate the claim that third molars are the primary cause of anterior teeth misalignment.
    • Management decisions regarding third molars should consider individual patient factors, and extraction is not universally indicated for preventing incisor relapse.