Third molar extraction and its complications: literature review
DOI:
https://doi.org/10.33448/rsd-v10i15.22873Keywords:
Postoperative complications; Dental extraction; Third molar.Abstract
Third molar extraction is a dental practice with a potential risk of causing complications. Therefore, it is necessary to carry out an adequate planning to prevent transoperative accidents and postoperative complications, since although surgeries are scheduled and performed by specialized and trained professionals, they are not free from complications. Nineteen studies indexed in the BVS, Lilacs, Scielo and Pubmed databases were selected. The selection of articles took place according to the inclusion and exclusion criteria. The full reading of the papers was the basis for writing the review. Given the above third molar exeresis implies complications such as alveolitis, hemorrhages, nerve injuries and fractures. Although well described in the literature, fortunately, they are not routine, but they do exist. Therefore, it is inferred the importance of knowledge and mastery of the subject, both for acting in prevention and for handling the situation.
References
American Association of Oral and Maxillofacial Surgeons. (2016). Management of Third Molar Teeth. https://www.aao ms.org/docs/govt_affairs/advocacy_white_papers/management_third_molar_white_paper.pdf
Costa, H. C., Póvoa, I. H. X., Barros, W. L., Queiroz, G. E. R., Avelar, J. C. (2020). Complicações e intercorrências associadas a exodontia de terceiros molares na clínica de odontologia da faculdade vértice-univertix, Anais XIII FAVE. Recuperado de https://fave.univertix.net/wp-content/uploads/2020/11/A-3-COMPLICACOES-E-INTERCORRENCIAS-ASSOCIADAS-A-EXODONTIA-DE-TERCEIROS-MOLARES.pdf
Cho, H., Lynham, A. J., Hsu, E. (2017). Postoperative interventions to reduce inflammatory complications after molar surgery: review of the current evidence. Review Aust Dent J 62 (4), 412-419. Recuperado de https://onlinelibrary.wiley.com/doi/10.1111/adj.12526
Ferreira, A. C. P., Mandarino, S. C. A. (2019). Complications obtained at the post-operative exodontia of third-party molars. Cadernos de Odontologia do UNIFESO, 1 (1), 26-36. Recuperado de http://www.revista.unifeso.edu.br/index.php/cadernosodontologiaunifeso/article/view/1774/707
Filho, M. J. S. F., Silva, H. R. F., Rosário, M. S. R., Takano, V. Y. S., Nascimento, J. R., Aguiar, J. L., Milério, L. R., Pimenta, Y. S. (2020). Acidentes e complicações associadas a exodontia de terceiros molares – Revisão de Literatura. Braz. J. of Develop. 6 (11), 93650-65. https://www.brazilianjournals.com/index.php/BRJD/article/view/20781/16602
Gopee, P., Rikhotso, E. (2017). Impacted mandibular third molars: the efficacy of prophylactic antibiotics and chlorhexidine mouthwash in preventing postoperative infections. S. Afr. Dente J. 72 (5), 213-218. http://www.scielo.org.za/pdf/sadj/v72n5/04.pdf
Gu, L., Zhu, C., Chen. K., Liu, X., Tang, Z. (2018). Anatomic study of the position of the mandibular canal and corresponding mandibular third molar on cone-beam computed tomography image. Surg Radiol Anat, 40 (6), 609-614. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958164/
Kindler, S., Ittermann, T., Bülow, R., Holtfreter, B., Klausenitz, C., Metelmann, P., Mksoud, M., Pink, C., Seebauer, C., Kocher, T., Koppe, T., Krey, K. F., Metelmann, H. R., Völzke, H., Daboul, A. (2019). Does craniofacial morphology affect third molars impaction? Results from a population-based in northeastern Germany. PLoS One 14 (11), 1-16. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6874347/
Leung, Y. (2019). Management and prevention of third molar surgery-related trigeminal nerve injury: time for rethink. J Korean Assoc Oral Maxillofac Surg, 45 (5), 233-240. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6838349/
Machado, W. M. (2020). Acidentes e complicações associados a extração de terceiro molar. Trabalho de conclusão de curso [Título de cirurgião dentista] – Centro Universitário Uniguairacá de Guarapuava. http://200.150.122.211:8080/jspui/bitstream/23102004/251/1/Acidentes%20e%20compl ica%c3%a7%c3%b5es%20associados%20a%20extra%c3%a7%c3%a3o%20de%20terceiro%20molar.pdf
Matzen, L. H., Berkhout, E. (2019). Cone beam CT imaging f the mandibular third molar: a posicion paper prepared by the European Academy of DentoMaxilloFacial Radiology (EADMFR). Dentomaxillofac Radiol 48 (5), 1-5. https://www.birpublications.org/doi/pdf/10.1259/dmfr.20190039
Matzen, L. H., Wenzel, A. (2015). Efficacy of CBCT for assessment of impacted mandibular third molars: a review - based on a hierarchical model of evidence. Dentomaxillofac Radiol 44 (1), 1-11. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4277437/
Neto, O. B., Igarçaba, M., Fernandes, B. R., Pereira, R., Ribeiro, J., Vieira, E. H. (2017). Principais complicações das cirurgias de terceiros molares: revisão de literatura, Rev Ciência Atual, 10 (2), 1-8. http://www.cnad.edu.br/revista-ciencia-atual/index.php/cafsj/article/view/201/pdf.
Ryalat, S., Alryalat, S. A., Kassob, Z., Hassona, Y., Al-Shayyab, M. H. (2018). Impaction of lower third molars and their association with age: radiological perspectives. BMC Oral Health 18 (1), 1-5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885350/
Rodrigues, V. P. (2014). Avaliação da precisão da radiografia panorâmica no planejamento cirúrgico para extração de terceiros molares inferiores. Brasília. Trabalho de conclusão de curso [Graduação em odontologia] – Departamento de Odontologia da Faculdade de Ciências da Saúde da Universidade de Brasília. https://bdm.unb.br/bitstream/10483/9494/1/2014_WanessaPortilhoRodrigues.pdf
Sayed, N., Bakathir, A., Pasha, M., Al-Sudairy, S. (2019). Complications of Third Molar Extraction: a retrospective study from a tertiary healthcare centre in Oman. Clinical and Basic Research, 19 (5), 230-235. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839670/
Santosh, P. (2015). Impacted Mandibular Third Molar: Review of literature and a proposal of a combined clinical and radiological classification, Ann Med Health Sci Res, 5 (4), 229-234. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512113/
Seguro, D., Oliveira, R. V. (2014). Complicações pós-cirúrgicas na remoção de terceiros molares inclusos. Revista UNING 20 (1), 30-34. http://revista.uninga.br/index.php/uningareviews/article/view/1572
Severino, A. J. (2013). Metodologia do trabalho científico [livro eletrônico], Cortez, https://www.ufrb.edu.br/ccaab/images/AEPE/Divulga%C3%A 7%C3%A3o/LIVROS/Metodologia_do_Trabalho_Cient%C3%ADfico_-_1%C2%AA_Edi%C3%A7%C3%A3o_-_Antonio_Joaquim_Severino_-_2014.pdf
Sreesha, A., Ummar, M., Sooraj, S., Aslam, S., Roshni, A., Jabir, K. (2020). Posoperative pain, edema and trismus following third molar surgery – A comparative study between submucosal and intravenous dexamethasone. J Family Med Prim Care 9 (5), 2454-2459. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7380777/
Vieira, A. L., Rosado, L. P. L., Oliveira, M. L. B., Nunes, W. J. P., Junqueira, R. B., Castro, M. A. A., Carvalho, M. F., Verner, F. S. (2020). Influência de diferentes exames por imagem no planejamento cirúrgico de terceiros molares inferiores: uma revisão de literatura. HU Rev, 45 (1), 13-21. https://periodicos.ufjf.br/index.php/hurevista/article/view/29530/20966
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