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; SantAna, Eduardo; Gonçalves, Eduardo Sanches
Rev. odontol. UNESP, vol.40, n2, p.96-102, 2011
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
1. Marciani RD. Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral Maxillofac Surg Clin North Am. 2007; 19: 1-13.
2. Araújo A, Gabrielli MFR, Medeiros PJ. Cirurgia dos dentes inclusos. In: Araújo A, Gabrielli MFR, Medeiros PJ.. Aspectos atuais da cirurgia e traumatologia bucomaxilofacial. São Paulo: Editora Santos; 2007. p. 69-105.
3. Miloro M, Ghali GE, Larsen PE, Waite PD. Princípios de cirurgia bucomaxilofacial de Peterson. São Paulo: Editora Santos; 2008.
4. Duan DH, Zhang Y. Does the presence of mandibular third molars increase the risk of angle fracture and simultaneously decrease the risk of condylar fracture? Int J Oral Maxillofac Surg. 2008; 37: 25-8.
5. Werkmeister R, Fillies T, Joos U, Smolka K. Relationship between lower wisdom tooth position and cyst development, deep abscess formation and mandibular angle fracture. J Craniomaxillofac Surg. 2005; 33: 164-8.
6. Adeyemo WL. Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 448-52.
7. Baykul T, Saglam AA, Aydin U, Başak K. Incidence of cystic changes in radiographically normal impacted lower third molar follicles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99: 542-5.
8. Girod SC, Gerlach KL, Krueger G. Cysts associated with long-standing impacted third molars. Int J Oral Maxillofac Surg. 1993; 2: 110-2.
9. Güven O, Keskin A, Akal UK. The incidence of cysts and tumors around impacted third molars. Int J Oral Maxillofac Surg. 2000; 29: 131‑5.
10. Saravana GH, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg. 2008; 46: 552-3.
11. Subhashraj K. A study on the impact of mandibular third molars on angle fractures. J Oral Maxillofac Surg. 2009; 67: 968-72.
12. Halmos DR, Ellis E 3rd, Dodson TB. Mandibular third molars and angle fractures. J Oral Maxillofac Surg. 2004; 62: 1076-81.
13. Iida S, Hassfeld S, Reuther T, Nomura K, Mühling J. Relationship between the risk of mandibular angle fractures and the status of incompletely erupted mandibular third molars. J Craniomaxillofac Surg. 2005; 33: 158-63.
14. Zhu SJ, Choi BH, Kim HJ, Park WS, Huh JY, Jung JH, et al. Relationship between the presence of unerupted mandibular third molars and fractures of the mandibular condyle. Int J Oral Maxillofac Surg. 2005; 34: 382-5
15. van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 79: 142-5.
16. Al-Khateeb TH, Bataineh AB. Pathology Associated With Impacted Mandibular Third Molars in a Group of Jordanians. J Oral Maxillofac Surg. 2006; 64: 1598-602.
17. Yildirim G, Ataoğlu H, Mihanli A, Kiziloğlu D, Avunduk MC. Pathologic changes in soft tissues associated with asymptomatic impacted third molars. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106: 14-8.
18. Almendros-Marqués N, Alaejos-Algarra E, Quinteros-Borgarello M, Berini-Ayte´s L, Gay-Escoda C. Factors influencing the prophylactic removal of asymptomatic impacted lower third molars. Int. J. Oral Maxillofac. Surg. 2008; 37: 29-35.
19. Mesgarzadeh AH, Esmailzadeh H, Abdolrahimi M, Shahamfar M. Pathosis associated with radiographically normal follicular tissues in third molar impactions: a clinicopathological study. Indian J Dent Res. 2008; 19: 208-12.
20. Iizuka T, Tanner S, Berthold H. Mandibular fractures following third molar extraction. A retrospective clinical and radiological study. Int J Oral Maxillofac Surg. 1997; 26: 338-43
21. Ma’Aita J, Alwrikat A. Is the mandibular third molar a risk factor for mandibular angle fracture?. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 89: 143-6
22. Fuselier JC, Ellis III EE, Dodson TB. Do the mandibular third molar alter the risk of angle fracture?. J Oral Maxillofac Surg. 2002; 60: 514‑8.
23. Iida S, Nomura K, Okura M, Kogo M. Influence of the incompletely erupted lower third molar on mandibular angle and condylar fractures. J Trauma. 2004; 57: 613-7.
24. Wagner KW, Otten JE, Schoen R, Schmelzeisen R. Pathological mandibular fractures following third molar removal. Int J Oral Maxillofac Surg. 2005; 34: 722-6.
25. Woldenberg Y, Gatot I, Bodner L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented? Med Oral Patol Oral Cir Bucal. 2007; 12: E70-2.
26. Inaoka SD, Carneiro SCAS, Vasconcelos BCE, Leal J, Porto GG. Relationship between mandibular fracture and impacted lower third molar. Med Oral Patol Oral Cir Bucal. 2009; 14: E349-54.
27. Bouloux GF, Steed MB, Perciaccante VJ. Complications of third molar surgery. Oral Maxillofac Surg Clin North Am. 2007; 19:117-28.
28. Chuang SK, Perrott DH, Susarla SM, Dodson TB. Age as a risk factor for third molar surgery complications. J Oral Maxillofac Surg. 2007; 65: 1685-92.
29. Kunkel M, Morbach T, Kleis W, Wagner W. Third molar complications requiring hospitalization. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 300-6.
30. Kao Y-H, Huang I-YE, Chen C-M, Wu C-W, Hsu K-J, Chen C-M. Late mandibular fracture after lower third molar extraction in a patient with stafne bone cavity: a case report. J Oral Maxillofac Surg. 2010; 68: 1698-70.
31. Bagheri SC, Khan HA. Extraction versus nonextraction management of third molars. Oral Maxillofac Surg Clin North Am. 2007; 19: 15‑21.
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