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UK National Third Molar project: the initial report

S F Worrall1, K Riden, R Haskell

  • 1North Staffordshire Hospital, Stoke-on-Trent, UK.

The British Journal of Oral & Maxillofacial Surgery
|May 13, 1998
PubMed
Summary
This summary is machine-generated.

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The National Third Molar project found that many referred patients had few or no extractions, with pericoronitis being the main reason for removal. Most third molar surgeries occurred under general anesthesia.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Public Health

Background:

  • Third molar management varies in the UK.
  • Assessing current clinical practices is crucial for evidence-based guidelines.

Purpose of the Study:

  • To evaluate the management of third molar teeth in UK clinical practice.
  • To analyze referral patterns and extraction indications for third molars.

Main Methods:

  • Prospective study recruiting patients from hospital and general dental practices.
  • Data collected on patient demographics, third molar status, and management decisions.
  • Analysis of 8298 patients with 25,001 third molars referred to hospital.

Main Results:

  • Over 50% of referred patients had zero or one third molar extracted.

Related Experiment Videos

  • 20% of assessed third molars were not extracted.
  • Pericoronitis was the most common indication for extraction (39.5%).
  • Nearly 70% of extractions were performed under general anesthesia.

    • Conclusions:

    • A significant proportion of hospital referrals for third molars did not result in extraction.
    • Clinical decision-making for third molar removal requires further investigation.
    • Anesthesia choices for third molar surgery reflect current UK practice.