Beruflich Dokumente
Kultur Dokumente
73:804-805, 2015
0278-2391/15/00009-9
http://dx.doi.org/10.1016/j.joms.2014.12.039
helsinki.fi
804
IRJA VENTA
805
Indication
Risk of inferior
alveolar nerve
injury
Risk of
pericoronitis
Clinical Findings
Maximum
Age
of Patient at
Removal
25 yr
25 yr
Irja Vent
a. Current Care Guidelines for Third Molar Teeth. J Oral
Maxillofac Surg 2015.
mandibular canal are superimposed on the radiograph and there is insufficient space for the tooth
to erupt or if the direction of eruption is unfavorable, then removal of the tooth is recommended
before the growth of the root end is complete to
prevent injury to the inferior alveolar nerve.
2. Acute pericoronitis in 20- to 25-year-old patients
can be prevented by electively removing the
partially erupted third molars in a vertical and
distoangular position and close to the occlusal surface. The patient also can prevent the development of pericoronitis by improving oral hygiene.
3. Postoperative bone defects of partially erupted
mandibular third molars that are in a horizontal
position or deeply inclined forward can be prevented by removal before 25 years of age.
4. Because partially erupted third molars increase
the amount of salivary bacteria that cause caries
and visible plaque in neighboring teeth, the
removal of partially erupted third molars considerably decreases visible plaque throughout
the dentition, the amount of bacteria causing
periodontal infection in neighboring teeth, and
the amount of salivary bacteria causing caries.
There are only 2 contraindications for removal: 1)
an unerupted, disease-free, symptomless third molar
totally covered with bone and 2) when removal constitutes an unreasonable risk to the general or local
health of the patient.
To conclude, many national guidelines have been
published, are underway, or are under consideration.
During our work, we became inspired by other national guidelines; the Finnish Current Care Guidelines
for the third molar could have a similar inspiring effect
on oral and maxillofacial surgeons worldwide.
Reference
1. Venta I, P
ollanen M, Ingman T, et al: Current care guidelines.
Third molar. Working group set up by the Finnish Medical Society
Duodecim and the Finnish Dental Society Apollonia, Helsinki.
Available at: http://www.kaypahoito.fi/web/english/guidelines/
guideline?id=ccg00003. Published December 18, 2014. Accessed
December 18, 2014