OriginalArticle
Indication for extraction of impacted third molars:
Cross-sectional study
CAIO GONÇALVES SILVA1 | VICTOR HUGO FERREIRA2 | EVERALDO PINHEIRO LIMA3 | SUZANA CELIA CARNEIRO2 | JEFFERSON FIGUEIREDO LEAL1 | BELMIRO CAVALCANTI VASCONCELOS1
ABSTRACT Introduction: Removal of third impacted asymptomatic molars has been the subject of considerable controversy. Therefore, this study aims to verify the indication of removal of lower third molars by oral and maxillofacial surgeons after evaluating radiographic images. Methods: This was an observational cross-sectional study developed with professionals participating in the XXIII Brazilian Conference on Oral and Maxillofacial Surgery (COBRAC-2015) held in Salvador, Bahia, Brazil, in which the participants were divided into groups according to the level of training. Results: The results show that most oral and maxillofacial surgeons tend to indicate the removal of asymptomatic impacted third molars (ITMs), and this decision-making is independent of the level of training, and the number of years of experience does not influence it. Conclusions: It can be concluded that there is insufficient evidence in the current literature to determine routine prophylactic removal of asymptomatic ITMs. The indication or not of removal of asymptomatic ITMs should take into account the patients acceptance as well as the clinical knowledge of the professional to guide the decision making. Keywords: Molar, third. Tooth, impacted. Surgery, oral.
Universidade do Pernambuco, Faculdade de Odontologia, Setor de Cirurgia e Traumatologia Bucomaxilofacial (Camaragibe/PE, Brazil). Hospital da Restauração, Departamento Cirurgia e Traumatologia Bucomaxilofacial (Recife/PE, Brazil). 3 Sindicato dos Odontologistas de Pernambuco, Curso de Especialização em Implantodontia (Recife/PE, Brazil). 1
How to cite: Silva CG, Ferreira VH, Lima EP, Carneiro SC, Leal JF, Vasconcelos BC. Indication for extraction of impacted third molars: Cross-sectional study. J Braz Coll Oral Maxillofac Surg. 2019 Sept-Dec;5(3):24-8. DOI: https://doi.org/10.14436/2358-2782.5.3.024-028.oar
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Submitted: February 17, 2019 - Revised and accepted: May 26, 2019 » The authors report no commercial, proprietary or financial interest in the products or companies described in this article. » Patients displayed in this article previously approved the use of their facial and intraoral photographs. Contact address: Caio Gonçalves Silva Av. Gal. Newton Cavalcanti, 1.650, Tabatinga – Camaragibe/PE CEP: 54.753-220 – E-mail: caiocgsilva@gmail.com
© Journal of the Brazilian College of Oral and Maxillofacial Surgery
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J Braz Coll Oral Maxillofac Surg. 2019 Sept-Dec;5(3):24-8
