The surgical-orthodontic management of combined impacted maxillary second and third molars

Butler, Matthew J.; Rathod, Neelam; Kerai, Thamesh; Raza, Anam; Ganesan, Kandasamy

doi:10.1007/s10006-021-01011-4

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…Therefore, either SRIMTM or extraction of the second molar is required depending on the extent of carious involvement. A study conducted by McArdle and Renton [12,13] suggests prophylactic removal of the third molar to prevent the consequences of distal cervical caries in the lower second molar. Authors observed a relatively low frequency (7.87%) of root resorption in adjacent teeth, which aligns with the findings of most previous studies [14,15,16], but differs from earlier investigations [17,18].…”

Section: Discussionmentioning

confidence: 99%

Unraveling the Outcomes: A Retrospective Analysis of Aberrantly Positioned Impacted Third Molar Extractions

Mugalbayeva,

Mirzakulova,

Zaitenova

et al. 2024

Farmaciâ Kazahstana

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In the realm of dentistry, the extraction of third molars occupying abnormal positions poses a formidable challenge. These enigmatic teeth, deviating from their anticipated anatomical location, demand meticulous evaluation and specialized approaches to ensure their successful removal. Intriguingly, the evaluation of such cases has remained unexplored in the context of Kazakhstan until now. Aim: The objective of this study is to examine the occurrence of mandibular third molar impaction and its correlation with factors such as impaction type, impaction side, age, and gender among patients. Methods: A retrospective review was conducted on the medical records of 2351 patients who underwent surgical extraction of impacted mandibular third molars. Results: The findings revealed a remarkable prevalence of mesioangular impaction (56.15%) in the lower third molars. The highest number of patients were observed in the age group of 18–30 years (25.05%), and a majority of cases involved the left side (75.75%). A notable female predominance (66.35%) was also observed. The most frequent indication for surgical removal was recurrent pericoronitis (24.25%). Conclusion: This pioneering study in Kazakhstan provides insights into extraction success for impacted third molars. It reveals a remarkable prevalence of mesioangular impaction in the lower molars, predominantly on the left side with a notable female predominance. Recurrent pericoronitis is the primary reason for surgical removal. Early removal of symptomatic impacted molars prevents future complications, but careful patient selection is crucial. Further research is needed to understand these findings in the Kazakhstani population.

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Section: Discussionmentioning

confidence: 99%

Unraveling the Outcomes: A Retrospective Analysis of Aberrantly Positioned Impacted Third Molar Extractions

Mugalbayeva,

Mirzakulova,

Zaitenova

et al. 2024

Farmaciâ Kazahstana

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“…In previous study, the usage of the palatal approach may be risky and difficult in surgical removal of these teeth without showing a clear description of the surgical techniques [ 10 ]. The palatal approach needs considerable care to prevent tearing of the flap and damage to the greater palatine neurovascular bundle which can lead to significant intra-operative and post-operative complications [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…The palatal approach needs considerable care to prevent tearing of the flap and damage to the greater palatine neurovascular bundle which can lead to significant intra-operative and post-operative complications [ 19 , 20 ]. M Butler et al declared the difficulty of this procedure is further compounded by poor access to the surgical site without any direct evidence [ 10 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…As CBCT provides better spatial information on the impacted teeth, it is necessary to evaluate the position between IMTM and the adjacent second molar pre-operatively. The relationship between the impacted maxillary third molar and the adjacent second molar was mostly described by orthodontists [ 9 , 10 ], however, there are limited oral surgery publications available to discuss such issues. To our knowledge, there is no classification available yet to describe the buccal-palatal position of IMTM, particularly in cases that require surgical removal, and this classification should guide the clinicians in deciding the appropriate surgical approach.…”

Section: Introductionmentioning

confidence: 99%

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Palatal approach for surgical removal of mesioangularly impacted maxillary third molar - a pilot study

Sun¹,

Sun²,

Yu³

et al. 2023

BMC Oral Health

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Objective This study aimed to investigate the application of the palatal approach for surgical removal of IMTM, and to evaluate its success rate, surgical duration, postoperative outcomes, and incidence of complications. Method Patients with mesioangularly IMTM (Archer Classification Class B) in the none-buccal position to the adjacent second molar, which were indicated for surgical removal, were enrolled in this study. The patients were assigned into two groups according to the surgical approach: the buccal or palatal approach. The impacted tooth positions, diagnosis, past dental and medical history, and radiographic examination were recorded pre-operatively. The duration, surgery details, and surgical complications were documented during the surgery. Result 40 teeth were enrolled in our study. All teeth were removed completely. The operation time was significantly shorter in the palatal approach group compared to the buccal approach group (13.3 ± 2.8 min vs. 22.3 ± 5.5 min, P<0.001). The incidence of traumatic ulcers of the lips was significantly higher in the buccal approach group than in the palatal approach group (7/20 vs. 0/20, P = 0.008). Conclusion It is more efficient to perform surgery with a palatal approach if a Class B mesioangularly IMTM is located in the non-buccal aspect of the adjacent second molar. Clinical trial registration number ChiCTR2000040063

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The surgical-orthodontic management of combined impacted maxillary second and third molars

Cited by 2 publications

References 15 publications

Unraveling the Outcomes: A Retrospective Analysis of Aberrantly Positioned Impacted Third Molar Extractions

Unraveling the Outcomes: A Retrospective Analysis of Aberrantly Positioned Impacted Third Molar Extractions

Palatal approach for surgical removal of mesioangularly impacted maxillary third molar - a pilot study

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