Xiao F. Ling; Tee L. Heng; Ahmad F. Bin Mohamad

doi:10.15562/jdmfs.v2i3.611

Early removal of asymptomatic mandibular third molar-is it safe?

Xiao F. Ling ,

Tee L. Heng ,

Ahmad F. Bin Mohamad ,

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Abstract

Objective: The purpose of this study was to compare the incidence of complications between surgical removal of third molar and germectomy, objectively and subjectively.Material and Methods: A prospective non randomized study for all patients who were undergoing minor oral surgery of mandibular third molar was carried out in Oral & Maxillofacial Department (OMF) Sultan Abdul Halim Hospital, Malaysia (HSAH). The indication for surgery was for orthodontic reason. The patients were divided into 3 groups according to their radiographic root morphology, namely group I (root not formed), group II (root partially formed), group III (roots fully formed)Results: A total of 44 patients were enrolled into this study, 2 teeth from each patient, henceforth involving 88 teeth. There was statistically difference in age among the 3 groups (p<0.05). Germectomy was the shortest procedure. In the objective evaluation post-operative 1 week, no sign of trismus and facial swelling was observed in these 3 groups. In the subjective evaluation, there were significant differences in ability to tolerate orally (p<0.05) and ability to perform daily activities (p<0.05) among the 3 groups.Conclusion: This study shows low incidence of complications in all 3 groups. Germectomy is a simple and safe procedure, thus, this prompted the author advocate the early removal of mandibular third molar.

Keywords: Germectomy Surgical Removal Mandibular Third Molar

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References

Waite PD, Reynolds RR. Surgical management of impacted third molars. Semin Orthod 1998;4: 113-123.
Beeman CS. Third molar management: a case for routine removal in adolescent and young adult orthodontic patients. J Oral Maxillofac Surg 1999;57: 824-830.
Sivolella S, Berengo M, Bressan E, et al. Osteotomy for lower third molar germectomy: randomized prospective crossover clinical study comparing piezosurgery and conventional rotatory osteotomy. J Oral Maxillofac Surg 2011;69: e15-23.
Chiapasco M, Crescentini M, Romanoni G. Germectomy or delayed removal of mandibular impacted third molars: the relationship between age and incidence of complications. J Oral Maxillofac Surg 1995;53: 418-433.
Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 2003;61: 1379-1389.
Sisk AL, Hammer WB, Shelton DW, et al. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 1986;44: 855-859.
Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc 2007;73: 325.
Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am 2007;19: 117-128.
Pogrel MA. What is the effect of timing of removal on the incidence and severity of complications?. J Oral Maxillofac Surg 2012;70: S37-40.
Chossegros C, Guyot L, Cheynet F, et al. Is lingual nerve protection necessary for lower third molar germectomy? a prospective study of 300 procedures. Int J Oral Maxillofac Surg 2002;31: 620-624.
Knutsson K, Lysell L, Rohlin M. Postoperative status after partial removal of the mandibular third molar. Swed Dent J 1989;13: 15-22.
Chukwuneke FN, Oji C, Saheeb DB. A comparative study of the effect of using a rubber drain on postoperative discomfort following lower third molar surgery. Int J Oral Maxillofac Surg 2008;37: 341-344.
UStÃ¼n Y, Erdogan O, Esen E, et al. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96: 535-559.
Cerqueira PRF, Vasconcelos BC do E, Bessa-Nogueira RV. Comparative study of the effect of a tube drain in impacted lower third molar surgery. J Oral Maxillofac Surg 2004;62: 57-61.
Chuang S-K, Perrott DH, Susarla SM, et al. Age as a risk factor for third molar surgery complications. J Oral Maxillofac Surg 2007;65: 1685-1692.
Nemcovsky CE, Libfeld H, Zubery Y. Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth. A radiographic survey of 202 cases. J Clin Periodontol 1996;23: 810-815.
Jones ML, Armstrong R, Kostopoulou O, et al. Treatment strategies for lower third molars following orthodontic care. Br J Orthod 1997;24: 319-324.
Leone SA, Edenfield MJ, Cohen ME. Correlation of acute pericoronitis and the position of the mandibular third molar. Oral Surg Oral Med Oral Pathol 1986;62: 245-250.

How to Cite

Ling, X. F., Heng, T. L., & Bin Mohamad, A. F. (2017). Early removal of asymptomatic mandibular third molar-is it safe?. Journal of Dentomaxillofacial Science, 2(3), 172–175. https://doi.org/10.15562/jdmfs.v2i3.611

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[1] Waite PD, Reynolds RR. Surgical management of impacted third molars. Semin Orthod 1998;4: 113-123.

[2] Beeman CS. Third molar management: a case for routine removal in adolescent and young adult orthodontic patients. J Oral Maxillofac Surg 1999;57: 824-830.

[3] Sivolella S, Berengo M, Bressan E, et al. Osteotomy for lower third molar germectomy: randomized prospective crossover clinical study comparing piezosurgery and conventional rotatory osteotomy. J Oral Maxillofac Surg 2011;69: e15-23.

[4] Chiapasco M, Crescentini M, Romanoni G. Germectomy or delayed removal of mandibular impacted third molars: the relationship between age and incidence of complications. J Oral Maxillofac Surg 1995;53: 418-433.

[5] Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 2003;61: 1379-1389.

[6] Sisk AL, Hammer WB, Shelton DW, et al. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 1986;44: 855-859.

[7] Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc 2007;73: 325.

[8] Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am 2007;19: 117-128.

[9] Pogrel MA. What is the effect of timing of removal on the incidence and severity of complications?. J Oral Maxillofac Surg 2012;70: S37-40.

[10] Chossegros C, Guyot L, Cheynet F, et al. Is lingual nerve protection necessary for lower third molar germectomy? a prospective study of 300 procedures. Int J Oral Maxillofac Surg 2002;31: 620-624.

[11] Knutsson K, Lysell L, Rohlin M. Postoperative status after partial removal of the mandibular third molar. Swed Dent J 1989;13: 15-22.

[12] Chukwuneke FN, Oji C, Saheeb DB. A comparative study of the effect of using a rubber drain on postoperative discomfort following lower third molar surgery. Int J Oral Maxillofac Surg 2008;37: 341-344.

[13] UStÃ¼n Y, Erdogan O, Esen E, et al. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96: 535-559.

[14] Cerqueira PRF, Vasconcelos BC do E, Bessa-Nogueira RV. Comparative study of the effect of a tube drain in impacted lower third molar surgery. J Oral Maxillofac Surg 2004;62: 57-61.

[15] Chuang S-K, Perrott DH, Susarla SM, et al. Age as a risk factor for third molar surgery complications. J Oral Maxillofac Surg 2007;65: 1685-1692.

[16] Nemcovsky CE, Libfeld H, Zubery Y. Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth. A radiographic survey of 202 cases. J Clin Periodontol 1996;23: 810-815.

[17] Jones ML, Armstrong R, Kostopoulou O, et al. Treatment strategies for lower third molars following orthodontic care. Br J Orthod 1997;24: 319-324.

[18] Leone SA, Edenfield MJ, Cohen ME. Correlation of acute pericoronitis and the position of the mandibular third molar. Oral Surg Oral Med Oral Pathol 1986;62: 245-250.