Prophylactic third molar removal: are oral surgeons and orthodontists aligned in preventive approaches?

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dc.contributor.authorGüldiken, İpek Necla
dc.contributor.authorGülsever, Serap
dc.contributor.authorMalkoç, Yağmur
dc.contributor.authorÇukurova Yılmaz, Zeynep
dc.contributor.authorÖzcan, Mutlu
dc.date.accessioned2025-06-10T09:47:45Z
dc.date.available2025-06-10T09:47:45Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground: There is a general consensus among dental professionals regarding the extraction of impacted third molars in the presence of clinical symptoms. However, there is less agreement on the management of asymptomatic third molars. The objective of this study is to compare the perspectives of oral surgeons and orthodontists regarding the indications for the extraction of asymptomatic third molars. It is possible that healthcare professionals from different specialties may approach the extraction of these teeth in different ways. Methods: In this cross-sectional study, a web-based questionnaire has been employed to collect data by inquiring about the reasons why participants prefer the extraction of asymptomatic third molars. Descriptive statistics were employed to evaluate the data obtained. The level of significance was set at P < 0.05. Results: Prophylactic extraction of partially impacted molars was more favored among the participants (P < 0.05). The orthodontists preferred prophylactic extraction due to the risk of late anterior dental crowding (LADC); however, the oral surgeons preferred pre-pregnancy extractions (P < 0.05). The extraction decision for partial impaction was higher in females when the risk of distal caries was considered. For fully impacted ones, it was higher in males when the risk of caries and pericoronitis were considered (P < 0.05). Conclusions: Orthodontists preferred extraction because of the risk of LADC and caries, while oral surgeons focused on preventing pericoronitis, pathology, focal infection, and symptoms during pregnancy. This divergence between the participants may inform the guidelines for prophylactic management of third molars. These findings may be pertinent in gender medicine. Clinical relevance: This study has been enlightening for departments to consult each other before the extraction of a patient’s asymptomatic third molar.
dc.identifier.citationGüldiken, İ. N., Gülsever, S., Malkoç, Y., Çukurova Yılmaz, Z. ve Özcan, M. (2024). Prophylactic third molar removal: are oral surgeons and orthodontists aligned in preventive approaches?. BMC Oral Health, 24(1). http://dx.doi.org/10.1186/s12903-024-04819-0
dc.identifier.doi10.1186/s12903-024-04819-0
dc.identifier.issn1472-6831
dc.identifier.issue1
dc.identifier.pmid39261783
dc.identifier.scopus2-s2.0-85203702895
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://dx.doi.org/10.1186/s12903-024-04819-0
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12936
dc.identifier.volume24
dc.identifier.wosWOS:001310631200004
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGülsever, Serap
dc.institutionauthorMalkoç, Yağmur
dc.institutionauthorÇukurova Yılmaz, Zeynep
dc.institutionauthorid0000-0003-4704-7810
dc.institutionauthorid0000-0002-7723-5452
dc.language.isoen
dc.relation.ispartofBMC Oral Health
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAsymptomatic Third Molar
dc.subjectGuidelines
dc.subjectImpacted Teeth
dc.subjectProphylactic Extraction
dc.titleProphylactic third molar removal: are oral surgeons and orthodontists aligned in preventive approaches?
dc.typeArticle

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