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Third molar surgery in general dental practice

L C Naidoo1

  • 1Department of Health, Pretoria.

The Journal of the Dental Association of South Africa = Die Tydskrif Van Die Tandheelkundige Vereniging Van Suid-Afrika
|February 1, 1997
PubMed
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A survey found that South African general dental practitioners have varied approaches to impacted third molar removal. Most dentists routinely use specific post-operative procedures, but steroid prescription is uncommon.

Area of Science:

  • Dentistry
  • Oral Surgery

Background:

  • Impacted third molars are common dental issues.
  • Treatment decisions for impacted third molars vary among practitioners.

Purpose of the Study:

  • To survey general dental practitioners in South Africa regarding their treatment procedures for impacted third molar removal.
  • To identify common practices and variations in managing impacted third molars.

Main Methods:

  • A questionnaire was mailed to 100 general dental practitioners.
  • Response rate was 67%, with 67 practitioners providing data.
  • Data analyzed to determine treatment preferences and common procedures.

Main Results:

  • 41.8% of respondents would attempt impacted third molar removal, while 51.2% would not.

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  • Professional experience and practice location (metropolitan vs. country) did not influence the decision to remove.
  • Commonly reported procedures included bone removal with a bur, wound suturing, and prescription of antibiotics, analgesics, and mouthwash.
  • Steroids were not routinely prescribed.

    • Conclusions:

    • There is a significant division among South African general dental practitioners regarding the surgical removal of impacted third molars.
    • Standard post-operative care protocols are generally followed, including antibiotics and analgesics.
    • Further research could explore the reasons behind the reluctance to perform the procedure among a portion of practitioners.