Extraction of third molars: surgical approaches and management of postoperative complications
DOI:
https://doi.org/10.55892/jrg.v7i15.1567Keywords:
Third molar extraction, Postoperative complications, Surgical planningAbstract
The extraction of wisdom teeth, or third molars, is a common practice in dentistry due to the complications associated with their eruption, such as impaction, infections, cysts, and periodontal diseases. These teeth, often seen as evolutionary remnants, present clinical challenges that justify removal in many cases, especially when they erupt between the ages of 17 and 25. The decision to extract should be based on a careful analysis of the risks and benefits, considering clinical, ethical, and quality-of-life aspects of the patient. Surgical planning, which includes the use of advanced imaging techniques like cone-beam computed tomography, is crucial to minimize risks and optimize the surgical approach. Minimally invasive techniques, such as piezosurgery, contribute to faster and less painful recovery. However, postoperative complications, such as dry socket, infections, edema, and nerve injuries, remain significant concerns that require effective prevention and management strategies. Clear communication between the surgeon and the patient is essential to align expectations and ensure informed consent. Prophylactic extraction remains a controversial topic, and individualized clinical judgment is critical for decision-making.
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