J Korean Assoc Oral Maxillofac Surg.  2010 Apr;36(2):119-124. 10.5125/jkaoms.2010.36.2.119.

Complications of impacted third molar extraction: retrospective study

Affiliations
  • 1Department of Oral and Maxillofacial surgery, College of Dentistry, Dankook University, Cheonan, Korea. kkwoms@dku.edu

Abstract

INTRODUCTION
Surgical extraction of third molar is one of the most frequently performed procedures in oral and maxillofacial surgery unit as the impacted wisdom teeth could cause various complications. Even though, however, extraction of the impacted wisdom teeth is an obligation for the reason of possible complication even for general practitioners, it has been avoided. Various factors concerning surgical extraction of impacted third molar are considered: general condition of patients, relationship with relative anatomies, aspects of impaction, surgeon's skill.
MATERIALS AND METHODS
The consideration and crossing analysis of these factors with 2,463 patients who visit Dankook University dental hospital to extract those impacted third molar.
RESULTS
1. Gender doesn't affect. 2. Medical problems have more complications. 3. There are more complications in high difficulty index (DI) impacted teeth. 4. When inferior alveolar canal overlap mandibular third molar, complication rate is 26.92%. 5. The most common complication was swelling and pain. 6. There is no statistical difference between the incidence of complication and surgeon's experience.
CONCLUSION
In regard to these results, it seems that clinical or radiological examination can predict potential complications of wisdom teeth, and it is helpful to bear in mind the fact.

Keyword

Third molar; Complications; Tooth extraction

MeSH Terms

General Practitioners
Humans
Incidence
Molar, Third
Retrospective Studies
Surgery, Oral
Tooth Extraction
Tooth, Impacted
Ursidae

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Which factors are associated with difficult surgical extraction of impacted lower third molars?
Kyeong-Lok Park
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