IMPACTED THIRD MOLAR: TO EXTRACT OR NOT TO EXTRACT, THAT IS THE QUESTION…

Year 2021, Volume: 3 Issue: 2, 66 - 82, 30.06.2021

Melda Pelin Akkitap , Birsay Gümrü

Abstract

The third molars are the last teeth that erupt in the oral cavity and are also the most commonly impacted teeth in the jaws. Management of the impacted third molars by dental professionals is based on individual assessment of the clinical symptoms and the radiological findings indicative of oral pathology. Although extraction is definitely indicated in case of a pathological condition due to impacted third molars, no consensus has yet been reached on the management of asymptomatic third molars. Many studies revealed that the decision of whether or not to extract the asymptomatic impacted third molars was a challenging and controversial issue among professionals, and that accompanying pathological conditions as well as postoperative complications associated with the extraction of the impacted third molars played a critical role in this decision.
In this review, the clinical and radiological evaluation, classification, associated pathologies, and management of the impacted third molars are discussed comprehensively, and it is aimed to assist dental professionals in the decision of prophylactic extraction of the third molars as well as to provide guidance in the treatment planning of the associated pathologies.

Keywords

impacted third molar, asymptomatic, extraction, pathology

GÖMÜLÜ ÜÇÜNCÜ MOLAR: ÇEKMEK YA DA ÇEKMEMEK, İŞTE BÜTÜN MESELE…

Abstract

Üçüncü molar dişler; oral kavitede en son süren ve aynı zamanda çenelerde en sık gömülü kalan dişlerdir. Gömülü üçüncü molar dişler için diş hekimlerinin yaklaşımı oral patolojinin göstergesi olan klinik semptomlar ve radyolojik bulguların değerlendirilmesine dayanmaktadır. Gömülü üçüncü molar dişlere bağlı patoloji mevcut olması durumunda çekim kesinlikle endike iken, asemptomatik üçüncü molar dişlerin tedavisi konusunda henüz bir fikir birliğine varılamamıştır. Birçok çalışma asemptomatik gömülü üçüncü molar dişlerin çekilip çekilmemesi kararının diş hekimleri için zorlayıcı ve tartışmalı bir konu olduğunu ve eşlik eden patolojik durumların yanı sıra gömülü üçüncü molar dişlerin çekimi ile ilişkili postoperatif komplikasyonların bu kararda kritik bir rol oynadığını ortaya koymuştur.
Bu derlemede, gömülü üçüncü molar dişlerin klinik ve radyolojik değerlendirmesi, sınıflandırması, ilişkili patolojileri ve tedavi yaklaşımları kapsamlı bir şekilde tartışılmakta, profilaktik çekim kararı konusunda hekimlere yardımcı olmak ve ilişkili patolojilerin tedavi planlamasında rehberlik sağlamak amaçlanmaktadır.

Keywords

gömülü üçüncü molar diş, asemptomatik, çekim, patoloji

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