Original Article

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

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

Xiao F. Ling
Department of Oral & Maxillofacial Surgery, Sultan Abdul Halim Hospital, Sungai Petani, Kedah, Malaysia. Email: drxfling@hotmail.com

Tee L. Heng
Department of Oral & Maxillofacial Surgery, Sultan Abdul Halim Hospital, Sungai Petani, Kedah, Malaysia

Ahmad F. Bin Mohamad
Department of Oral & Maxillofacial Surgery, Sultan Abdul Halim Hospital, Sungai Petani, Kedah, Malaysia
Online First: December 01, 2017 | Cite this Article
Ling, X., Heng, T., Bin Mohamad, A. 2017. Early removal of asymptomatic mandibular third molar-is it safe?. Journal of Dentomaxillofacial Science 2(3): 172-175. DOI:10.15562/jdmfs.v2i3.654


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.

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.

UStün 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.


No Supplementary Material available for this article.
Article Views      : 87
PDF Downloads : 63