Summary of the Proceeding of the Third Molar Multidisciplinary Conference

Dodson, Thomas B.; Cheifetz, Ira D.; Nelson, William J.; Rafetto, Louis K.

doi:10.1016/j.joms.2012.05.001

Cited by 13 publications

(8 citation statements)

References 2 publications

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“…It has now been accepted in USA as a standard and is no longer a controversial treatment option at Third Molar Multidisciplinary Conference in Washington, DC, on October 19, 2010, and AAOMS ParCare 2012 [20, 38]. There are several technique variations to perform a standard coronectomy procedure [6, 7, 9, 10, 14, 16, 17].…”

Section: Discussionmentioning

confidence: 99%

Modified and Grafted Coronectomy: A New Technique and a Case Report with Two-Year Followup

Leizerovitz¹,

Leizerovitz²

2013

Case Reports in Dentistry

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Purpose. A standard coronectomy (intentional partial odontectomy) is recommended for mandibular third molar (MTM) extraction cases with a high risk of inferior alveolar nerve injury (IANI). However, complications such as inadvertent intraoperative root removal, post-op root migration, second molar (MSM) periodontal defects and others do exist. This report presents a new technique, the Modified and Grafted Coronectomy (MGC), describes the measures to prevent or minimize the known drawbacks of the standard coronectomy, and reviews the literature for comparison with three other IANI-prevention techniques. Materials and Methods. MGC was performed on two MTMs with nerve involvement and severe periodontal pockets on the distal of MSM. Modifications were: stabilizing the root stump to prevent intraoperative movement, creation of a large intrabony space for bone graft material, and grafting for periodontal healing while minimizing the possibility of post-op root migration. Results. Excellent overall periodontal improvement, with probing depths reduced to 3-4 mm. Panoramic radiograph displayed remarkable bone regeneration. No residual root migration was evident at the two year follow up. Conclusion. MGC may be a good alternative, especially in cases with periodontal defects on the distal of MSM. It may also help to minimize inadvertent intraoperative root removal and postoperative root migration.

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Section: Discussionmentioning

confidence: 99%

Modified and Grafted Coronectomy: A New Technique and a Case Report with Two-Year Followup

Leizerovitz¹,

Leizerovitz²

2013

Case Reports in Dentistry

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“…Pericoronitis is a term used to describe the inflammation around the crown of a tooth, usually of an incompletely erupted mandibular third molar and refers to a polymicrobial mixed infectious periodontal pathology 1,2 . The microbiota that develops in the distally located pseudo-pocket is the major cause.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of periodontal pathogens of the mandibular third molar pericoronitis by using real time PCR

Şençimen

Saygun

Gülses³

et al. 2014

International Dental Journal

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“…As the average age of the subjects in the present study was 14.5 years in PR1 and 16.8 years in PR2, a more conservative strategy would be to follow third molar development and position, by clinical and radiographic evaluation, until adulthood 2 . Also, active monitoring at 24-month intervals is recommended to allow the disclosure of clinical progression of periodontal disease 37 and this was the time period evaluated in this study. In contrast, when these teeth are the cause of some painful symptoms, there is a general consensus for extraction.…”

Section: Discussionmentioning

confidence: 99%

The ability of orthodontists and maxillofacial surgeons in predicting spontaneous eruption of mandibular third molar using panoramic serial radiographs

Libdy

Rabello

Marques

et al. 2020

Dental Press J. Orthod.

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Objective: To evaluate the skill of orthodontists and oral/maxillofacial surgeons (OMFS) in providing a prognosis of mandibular third molars spontaneously erupted, through follow-up panoramic analysis. Methods: 22 orthodontic patients treated without extraction, presenting spontaneously erupted mandibular third molars (n = 44) were analyzed through panoramic serial radiographs. The first panoramic radiograph was obtained just after orthodontic treatment (PR1), in patients aging from 13 to 19 years. A second panoramic radiograph (PR2), was obtained in average two years later. The radiographs were randomly analyzed by 54 specialists, 27 orthodontists and 27 OMFS, to obtain the opinion about the approach to be adopted to these teeth in PR1. Then, another opinion was collected by adding a serial radiograph (PR1+2). Results: The concordance of the answers was moderate for OMFS (Kappa 0.44; p< 0.0001) and significant for orthodontists (Kappa 0.39; p< 0.0001). In the analysis of the first radiograph (PR1) of the spontaneously erupted molars, OMFS indicated extraction in 44.5% of cases, while orthodontists indicated in 42%, with no difference between groups (p= 0.22). In PR1+2 analysis, orthodontists maintained the same level of extraction indication (45.6%, p= 0.08), while surgeons indicated more extractions (63.2%, p< 0.0001). Conclusions: Orthodontists and OMFS were not able to predict the eruption of the third molars that have erupted spontaneously. Both indicated extractions around half of the third molars. A follow-up analysis, including one more radiograph, did not improve the accuracy of prognosis among orthodontists and worsened for OMFS.

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Summary of the Proceeding of the Third Molar Multidisciplinary Conference

Cited by 13 publications

References 2 publications

Modified and Grafted Coronectomy: A New Technique and a Case Report with Two-Year Followup

Modified and Grafted Coronectomy: A New Technique and a Case Report with Two-Year Followup

Evaluation of periodontal pathogens of the mandibular third molar pericoronitis by using real time PCR

The ability of orthodontists and maxillofacial surgeons in predicting spontaneous eruption of mandibular third molar using panoramic serial radiographs

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