Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults

Mettes, T.G.P.H.; Nienhuijs, M.E.L.; Sanden, W.J.M. van der; Verdonschot, E.H.A.M.; Plasschaert, A.J.M.

doi:10.1002/14651858.cd003879.pub2

Cited by 78 publications

(72 citation statements)

References 16 publications

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“…Despite this conclusion, the Cochrane Oral Health Group systematic review conducted in 2005 found no evidence to support or to refute the prophylactic removal of impacted wisdom teeth. 7 It would be ideal if health managers (and the clinician!) could somehow know exactly which teeth will cause problems in We now know that the development of symptoms associated with these teeth is no longer completely due to chance.…”

Section: Discussionmentioning

confidence: 99%

“…In 2005 a Cochrane Oral Health Group systematic review found no evidence to support or to refute the prophylactic removal of impacted wisdom teeth. 7 The main clinically relevant questions are: 'What percentage of pathologyfree impacted third molars will remain free of disease if retained?' and 'How can we predict the likelihood of development of disease in these teeth?…”

Section: Introductionmentioning

confidence: 99%

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Incidence of symptoms in previously symptom-free impacted lower third molars assessed in general dental practice

et al. 2009

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million per annum 1 and around £22 million to the private sector. 2 The enormous number of teeth removed in the UK prompted researchers to assess the type of practice conducted here and in 1998 a study had estimated that around 20-30% of third molars that were removed in the UK did not fulfi l the American National Institutes of Health criteria for removal and were, therefore, removed prophylactically. 3 This was followed by the publication of guidelines by the NICE 4 and SIGN 5 on the management of impacted lower third molars and, possibly as a result, the number of impacted wisdom teeth removed in the UK started to fall. In addition, it is believed that changes in the legislation on the prescription of general anaesthesia have also resulted

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence of symptoms in previously symptom-free impacted lower third molars assessed in general dental practice

et al. 2009

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“…D'après de nombreux auteurs le bénéfice maximal de l'extraction des dents de sagesse concerne les patients jeunes du fait notamment de suites opé-ratoires plus favorables [4,7,68] . Le risque de complication des extractions est évalué par Crosse [19] à 12 % chez les 12-29 ans et à 22 % chez les 25-81 ans.…”

Section: Les Bénéfices Liés à L'avulsion Précoce Des Dents De Sagesseunclassified

“…Au total l'évaluation du rapport bénéfices/risques de l'extraction de dents de sagesse asymptomatiques est délicate. Dans le cadre d'une revue systématique d'études contrôlées randomisées effectuées au profit du Cochrane collaboration [93] , les auteurs n'ont trouvé aucune preuve permettant de soutenir ou au contraire de réfuter la pratique consistant à extraire des dents de sagesse asymptomatiques.…”

Section: Limites Des Publicationsunclassified

Indications d'avulsion des dents de sagesse mandibulaires dans le cadre militaire

Gunepin¹,

Derache

Bedrune

et al. 2008

Med Buccale Chir Buccale

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RÉSUMÉLa décision d'extraire ou non des dents de sagesse mandibulaires, notamment asymptomatiques, est souvent mal comprise par les personnels militaires. Cet acte chirurgical est perçu comme systématique et allant à l'encontre des recommandations des praticiens civils. L'objectif de ce travail est de mettre en exergue le fait que les décisions des praticiens militaires se prennent conformément aux recommandations de bonnes pratiques civiles avec une évaluation du rapport béné-fices/risques de l'intervention pour les patients. Cependant, les services de santé des armées, français et étran-gers, doivent impérativement prendre en considération certains paramètres inhérents aux conditions de vie des militaires, notamment au cours des opérations extérieures, afin d'orienter les choix thérapeutiques dans le but de maintenir la capacité opérationnelle des Forces. SUMMARY The removal of mandibular third molars is frequent in French and foreign armies. This doesn't mean that theses extractions are systematic for all soldiers. The military practitioners follow the same recommendations than their civilian colleagues by establishing a ratio benefits/risks for their patients. In the civilian area, the consequences of the surgical approach (extractions of third molars) are well known, but the benefits of the conservative approach are not well documented (few number of studies, biais in the constitution of groups of patients… ). This is why the indications for the removal of mandibular third molars are not always easy to take by civilian practitioners. In the army, other parameters are taken into account. The military conditions of life, especially during operations, enforce a particular ratio benefits/risks for soldiers. In fact, military dentists take operations particularities into consideration: tiredness, stress, boredom sometimes lead to decrease the oral/food/personal hygiene of soldiers. All conditions are gathered to increase mandibular third molars problems (pericoronatis for example). These pathologies are a great handicap for soldiers but also for all Units. A medical evacuation on a battle field generates a lack of operational capabilities (medical team, escort, vehicles, helicopter…) and a real risk for soldiers (improvised explosive device, road accident…). All these military particularities and their dental consequences are published through international medical journals and impact directly the indications for the removal of mandibular third molars

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“…They also noted that the methodological quality of the literature reviews was generally poor and none of the reviews was systematic [8]. Mettes et al [9] also showed no evidence to support nor refute regular prophylactic removal of asymptomatic impacted third molars in adults. They also found prophylactic removal of asymptomatic impacted third molars in adolescents neither reduces nor prevents late incisor crowding.…”

Section: Introductionmentioning

confidence: 99%

The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment : A Systematic Review

Zawawi¹,

Melis²

2014

SDJ

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Aims. To evaluate the role of third molars in the development of crowding or relapse after orthodontic treatment in the anterior segment of the dental arch. Methods. PubMed search of the literature was performed selecting all the articles relevant to the topic and limiting the studies to controlled trials on humans and written in English language. Systematic review was conducted according to the PRISMA (preferred reporting items for systematic reviews and meta-analyses) statement. Results. A total of 12 clinical studies were included in the review. A high risk of bias was found in most of the articles, either because the relative items assessed were inadequate or because they were unclearly described. The third molars were not correlated with more severe anterior tooth crowding in most of the studies. However, four of them described a different outcome. Conclusion. Definitive conclusions on the role of the third molars in the development of anterior tooth crowding cannot be drawn. A high risk of bias was found in most of the trials, and the outcomes were not consistent. However, most of the studies do not support a cause-and-effect relationship; therefore, third molar extraction to prevent anterior tooth crowding or postorthodontic relapse is not justified.

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Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults

Abstract: Notes This trial has been stopped this year (2004). At this moment the reason has not been communicated to the reviewers 13 Interventions for treating asymptomatic impacted wisdom teeth in adolescents and adults (Review)

Cited by 78 publications

References 16 publications

Incidence of symptoms in previously symptom-free impacted lower third molars assessed in general dental practice

Incidence of symptoms in previously symptom-free impacted lower third molars assessed in general dental practice

Indications d'avulsion des dents de sagesse mandibulaires dans le cadre militaire

The Role of Mandibular Third Molars on Lower Anterior Teeth Crowding and Relapse after Orthodontic Treatment : A Systematic Review

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