Dentists Perspective Regarding Prophylactic Removal Of Asymptomatic And Impacted Third Molars
DOI:
https://doi.org/10.51985/JBUMDC2018118Keywords:
Asymptomatic tooth, Impacted third molar NHS guidelines, Prophylactic tooth removal.Abstract
Objective: To determine dentist’s perspective regarding NHS guidelines for prophylactic removal of Impacted Third molars
among dentists of Karachi.
Study Design and Setting: It was a cross sectional study design based on the questionnaire. Questionnaire was filled by
total 110 general dentists selected by random sampling and was practicing in various private and government setups of
Karachi to know about their preference regarding prophylactic removal of asymptomatic third molar.
Methodology:The questionnaire comprised of total 13 questions to find out dentists view point about the prophylactic
removal of impacted third molar. The results were then analyzed using SPSS version 23. Frequencies, percentages of
different variables used in the study were calculated to identify the co-relation among different attributes. P-value of less
than or equal to 0.05 was considered statistically significant.
Results:The study reflected that 71.8% dentists were aware with the NHS Guidelines for removal of asymptomatic &
impacted third molars while 28.2% dentists preferred conventional approach. The study also revealed Mesioangular
impaction as being the most commonly observed type of impaction in the dental practice.
Conclusion: It was concluded from this study that majority of dentists were aware of the guidelines provided by NHS and
regarding the angulation of impacted teeth most of the impactions seen at the dental office were Mesioangular.
References
Adeyemo WL, Ogunlewe MO, Ladeinde AL, Abib GT et al. Prevalence and surgical morbidity of impacted mandibular third molar removal in the aging population: a retrospective study at the Lagos University Teaching Hospital. Afr J Med Sci, 2006;35(4):479-483.
WasiuLanreAdeyemo. Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Elsevier 2006;102(4):448-452.
GintarasJuodzbalys, PovilasDaugelaAlling CC, Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification. J Oral Maxillofac Res. 2013;4(2).
Marciani RD. Complications of third molar surgery and their management. Atlas Oral MaxillofacSurgClin North Am. 2012;20(2):233-51.
SaifRaufSiddiqui, SuyashAgrawal, Harjeet Singh Monga, Abhishek Gaur. Prophylactic Removal of the Third Molars: Justified or Not. JIOH.2015;7(11):132-35.
Mimoza E. Selmani,JulijanaGjorgova,Manushaqe E. Selmani et al. Effects of Lower Third Molar Angulation and Position on Lower Arch Crowding. Int J Orthod. 2016; 27(1):45-49.
B. Krishnan,Mohammad Hossni El Sheikh, El-GehaniRafaand H. Orafi. Indications for removal of impacted mandibular third molars: a single institutional experience in Libya. J Maxillofac Oral Surg. 2009;8(3):246–248.
Laskin D. Evaluation of the third molar problem. J Am Dent Assoc 1971; 82: 824–9.
Costa MG, Pazzini CA, Pantuzo MC, Jorge ML,. Is there justification for prophylactic extraction of third molars? A systematic review. Braz. Oral Res. 2013; 27(2): 183-188.
Normando, David. “Third Molars: To Extract or Not to Extract?” Dental Press J Orthod. 2015:17–18.
L. W. McArdle& T. Renton. The effects of NICE guidelines on the management of third molar teeth. Br Dent J. 2012;213(8):394.
Cutilli T, Bourelaki T, Scarsella S, Fabio DD, Pontecorvi E, Cargini P. Pathological (late) fractures of the mandibular angle after lower third molar removal: a case series. J Med Case Rep. 2013;7:121–121.
Divya.T et al. Third Molar Impaction- A Review. J. Pharm. Sci. & Res. 2014; 6(11): 363-367.
National Institute for Clinical Excellence. Guidance on the extraction of wisdom teeth. London: NICE, 2000. Online article available at http://egap.evidence.nhs.uk/guidance-on-the-extraction-of-wisdom-teeth-ta1 (accessed August 2012)
MarwaHatemImanBugaighisElsanousiM.Taher. Pattern of third molar impaction in Libyan population: A retrospective radiographic study. Saudi J. Oral. Dent. Res. 2016;7(1):7-12.
Manganaro AM. The likelihood of finding occulthistopathology in routine third molar extractions.Gen Dent 1998;46:200–2
Mesgarzadeh AH, Esmailzadeh H, Abdolrahimi M et al. Pathosis associated with radiographicallynormal follicular tissues in third molar impactions.Indian J Dent Res 2008;19:208–12.
Kotrashetti VS, Kale AD, Bhalaerao SS, et al. Histopathologic changes in soft tissue associated withradiographically normal impacted third molars.Indian J Dent Res 2010;21:385–90.
Allen RT, Witherow H, Collyer J, Roper-Hall R, Nazir MA, Mathew G (2009). The mesioangular third molar--to extract or not to extract? Analysis of 776 consecutive third molars. Br Dent J 206(11);E23:586-587
Nunn, ME, et al. Retained Asymptomatic Third Molars and Risk for Second Molar Pathology. J Dent Res. 2013 Oct.
Bui CH, Selodin EB, Dodson TB. Types, frequencies and risk factors for complications after third molar extraction. J Oral Maxillofac Surg. 2003; 61: 1379
Bouloux GF, Steed MB, and Perciaccante VJ. Complications of third molar surgery. Oral and Maxillofacial Surgery Clinics of North America. 2007; 19:117-128
Marciani RD. Third molar removal: An overview of indications, imaging, evaluation, and assessment of risk.. Oral and Maxillofacial Surgery Clinics of North America. 2007; 19:1-13.
Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc. 2007;73(4):325.
Rood JP, Shehab BA. The radiological prediction of inferior alveolar nerve injury during third molar surgery. Br J Oral Maxillofac Surg. 1990;28(1):20-5.
Chuang SK, Perrott DH, Susarla SM, Dodson TB. Risk factors for inflammatory complications following third molar surgery in adults. J Oral Maxillofac Surg. 2008;66(11):2213-8.
Cheung LK, Leung YY, Chow LK, Wong MC, Chan EK, Fok YH. Incidence of neurosensory deficits and recovery after lower third molar surgery: a prospective clinical study of 4338 cases. Int J Oral Maxillofac Surg. 2010;39(4):320-6. Epub 2010 Jan 12.
Renton T, Hankins M, Sproate C, McGurk M. A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. Br J Oral Maxillofac Surg. 2005;43(1):7-12.
Blakey GH, Marciani RD, Haug RH, Phillips C, Offenbacher S, Pabla T, et al. Periodontal pathology associated with asymptomatic third molars. J Oral MaxillofacSurg 2002;60(11):1227-33.
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 RadiolEndod 2006;102(4):448-52.
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Copyright (c) 2019 Wahab Buksh Kadri, Sameera Asif, Atif Zubairi, Sarah Jamil, Tooba Kamran, Zahra Hassan, Hania Idrees
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