Removal of Symptomatic Third Molars May Improve Periodontal Status of Remaining Dentition

Brookes, Carolyn Dicus; Partrick, Maura; Blakey, George H.; Faulk, Jan; Offenbacher, Steven; Phillips, Ceib; White, Raymond P.

doi:10.1016/j.joms.2012.06.012

Cited by 3 publications

(8 citation statements)

References 2 publications

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“…Differences were discovered in the periodontal outcomes to the majority of previously published studies (Nunn et al., ; Marciani, ; Blakey et al., , ; Dicus‐Brookes et al., ). Our results support the findings of White et al.…”

Section: Discussionmentioning

confidence: 75%

“…Aspects associated with the study design and the selection of study participants might provide possible explanations for these differing results. Most studies have recruited their patients from dental clinics (Blakey et al., , ; Dicus‐Brookes et al., ), suggesting different periodontitis profiles compared to the general population. In contrast, SHIP is a population‐based study having recruited subjects from the general population.…”

Section: Discussionmentioning

confidence: 99%

“…Even without periodontal symptoms, periodontal damage on the distal aspect of second molars can be present (Marciani, ). In clinical studies with small sample sizes, the presence of third molars was associated with local progression of periodontal probing depth on the distal site of second molars (Blakey et al., , ; Dicus‐Brookes et al., ). Further, visible third molars were described as risk factors for increased periodontal probing depths (White et al., ; Garaas et al., ).…”

Section: Introductionmentioning

confidence: 99%

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Third molars and periodontal damage of second molars in the general population

Kindler

Holtfreter

Koppe

et al. 2018

J Clinic Periodontology

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Third molars and periodontal damage of second molars in the general population

Kindler

Holtfreter

Koppe

et al. 2018

J Clinic Periodontology

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“…It was reported that pericoronitis may be an indicator of underlying periodontal disease [7]. Removing third molars with pericoronitis was suggested to improve the periodontal health of neighboring second molars [8].…”

Section: Introductionmentioning

confidence: 99%

“…The high prevalence of at least 4 mm PD seen around the third molars and the larger mean PD seen in the first or second molar teeth when the third molars are exposed in the oral cavity have shown that the third molar teeth appearing in the mouth may be a risk indicator for the early stage of periodontal disease [17,33]. In another study, after the extraction of third molar teeth, the clinical periodontal status of patients with mild pericoronitis was evaluated and a significant improvement was reported in the periodontal status of second molars and other teeth [8]. This may suggest that the presence of pericoronitis would affect the periodontal state in the mouth.…”

mentioning

confidence: 99%

Association of Oral Hygiene and Periodontal Health with Third Molar Pericoronitis: A Cross-Sectional Study

Caymaz

Buhara

2021

BioMed Research International

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Background. Pericoronitis is a painful inflammatory condition commonly associated with third molar teeth. The purpose of this study was to investigate the relationship between oral hygiene and periodontal health status and the presence of pericoronitis in semi-impacted third molar teeth. Methods. A cross-sectional study was conducted, and 54 patients having at least one mandibular vertically semi-impacted third molar tooth with or without pericoronitis were consecutively enrolled. Subjects with pericoronitis and subjects with healthy third molars were selected according to symptoms in the gingiva overlying semi-impacted third molar teeth. Periodontal health status and oral hygiene were evaluated with the measures of plaque index (PI), gingival index (GI), and total number of sites with a probing depth PD ≥ 4 mm . The clinical data collected in this study was analyzed with Mann–Whitney U test using SPSS 20.0 package program. Results. The PI scores were found to be significantly higher in patients with pericoronitis ( p < 0.05 ). Although the GI scores and PD scores were higher in patients with pericoronitis, the difference did not reach statistical significance when compared with those in healthy subjects ( p > 0.05 ). Conclusion. The findings obtained in this study suggest that the amount of dental plaque was positively associated with third molar pericoronitis. Gingival and periodontal health conditions were similar between patients with and without pericoronitis. Improving oral hygiene and controlling dental plaque may help prevent third molar pericoronitis.

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Does surgical removal of mandibular third molar influence the periodontal status of the adjacent second molars? A systematic review

Ménager

Ruperto

Fricain

et al. 2023

J Oral Med Oral Surg

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Objective: This study aimed to assess the influence of mandibular third molar surgical removal on the periodontal status of adjacent second molars and to investigate the potential impact of the flap design. Methods: A systematic review of the literature, registered in PROSPERO, has been carried out from Pubmed and Scopus databases following PRISMA guidelines from January 2010 to January 2022. PICO method was used to select the relevant articles. Studies comparing the periodontal status of the second molar before and after mandibular third molar removal were considered. Results: Twenty-three studies involving 1067 patients were included. The two main parameters studied were periodontal pocket depth and clinical attachment level. The envelope flap and the triangular flap were the most commonly used flap techniques. Periodontal health of adjacent second molar was maintained or improved in most of the included studies. The flap design did not seem to have a significant influence either. Conclusion: Avulsion of impacted third molar in healthy young adults does not impair the periodontal health of adjacent second molars. Further studies, with higher levels of evidence, are needed to confirm these results and to identify possible risk factors (such as age, impaction depth or periodontal disease) responsible for poorer healing.

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Removal of Symptomatic Third Molars May Improve Periodontal Status of Remaining Dentition

Cited by 3 publications

References 2 publications

Third molars and periodontal damage of second molars in the general population

Third molars and periodontal damage of second molars in the general population

Association of Oral Hygiene and Periodontal Health with Third Molar Pericoronitis: A Cross-Sectional Study

Does surgical removal of mandibular third molar influence the periodontal status of the adjacent second molars? A systematic review

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