Asymptomatic impacted third molar- removal/retention? A questionnaire based study.

Original Research

Abstract

BACKGROUND: Third molars generally erupt into the oral cavity between the ages of 17 to 24 years. Impaction may be associated with pathological changes, such as swelling and ulceration of the gingiva around the teeth,root resorption in relation to second molars, caries in the second molars, and the development of cysts or tumours. Whereas surgical removal can cause pain, swelling, trismus, dry socket, hemorrhage, paresthesia and many more conditions.
AIM: To study the decisions made by dentists on removal or retention of asymptomatic impacted third molar.
MATERIALS AND METHOD: This study recruited 100 participants (50 OMS & 50 other speciality dentists) among the dentists of a private Dental College. The judgement on removal or retention of asymptomatic impacted third molar under various situations was assessed using a questionnaire which had 15 questions. The response was calculated in percentage and results were tabulated. Bar graphs were also plotted comparing the response given by the OMS and others for each situation.
RESULTS: Most of the decisions made by the dentists were in accordance with clinical guidelines for management of unerupted third molars.Whereas some of the decisions were in contrary to the guidelines probably due to lack of knowledge about the guidelines among the dentists or because of experience which has influenced their decisions.These conflicting results have hindered the decision making process.
CONCLUSION: All asymptomatic & pathology free impacted third molars need not be considered for prophylactic removal but should be reviewed periodically.