Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/588018d27f8c9d0a098b4e32
Revista de Odontologia da UNESP
Original Article

Pathological changes and mandibular angle fractures justify the prophylactic extraction of third lower molars?

Alterações patológicas e fraturas do ângulo mandibular justificam a extração profilática de terceiros molares inferiores?

Duarte, Bruno Gomes; Dias-Ribeiro, Eduardo; Rocha, Julierme Ferreira; Sampieri, Marcelo Bonifácio da Silva; Sant’Ana, Eduardo; Gonçalves, Eduardo Sanches

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Abstract

Currently, the removal of impacted mandibular third molars is presented as a common surgical procedure in the dental offices, and most of them are prophylactically extracted. The indication of its removal presents unclear in the literature, since the maintenance of these relates to pathological or traumatic complications and the surgical procedure does not present some complications, this fact may contraindicate the surgical prophylaxis intervention. This paper aims, through a literature review, address information on the prophylactic removal of asymptomatic and impacted third molars, in order to inquire about the correlation between them with mandibular fractures and the possible pathological folliclular changes.

Keywords

Tooth extraction, third molar, oral surgery

Resumo

Atualmente, a remoção dos terceiros molares inferiores retidos apresenta-se como um procedimento cirúrgico comum dentro dos consultórios odontológicos, sendo que a maioria é extraída profilaticamente. A indicação de remoção apresenta-se indefinida na literatura atual, uma vez que a manutenção dos mesmos relaciona-se com complicações patológicas ou traumáticas; entretanto, o procedimento cirúrgico propriamente dito não se apresenta livre de complicações, fato este que pode contraindicar a intervenção cirúrgica profilática. Este trabalho objetiva, por meio de revisão da literatura, abordar informações sobre a remoção profilática dos terceiros molares inferiores retidos e assintomáticos, visando inquirir sobre a correlação entre os mesmos com as fraturas mandibulares e as possíveis alterações foliculares patológicas.

Palavras-chave

Extração dentária, terceiro molar, cirurgia maxilofacial

References



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