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.


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