Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification

Objectives: The purpose of present article was to review impacted mandibular third molar aetiology, clinical anatomy, radiologic examination, surgical treatment and possible complications, as well as to create new mandibular third molar impaction and extraction difficulty degree classification based...

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Main Authors: Gintaras Juodzbalys, Povilas Daugela
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2013-06-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2013/2/e1/v4n2e1ht.htm
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author Gintaras Juodzbalys
Povilas Daugela
author_facet Gintaras Juodzbalys
Povilas Daugela
author_sort Gintaras Juodzbalys
collection DOAJ
description Objectives: The purpose of present article was to review impacted mandibular third molar aetiology, clinical anatomy, radiologic examination, surgical treatment and possible complications, as well as to create new mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were mandibular third molar, impacted mandibular third molar, inferior alveolar nerve injury third molar, lingual nerve injury third molar. The search was restricted to English language articles, published from 1976 to April 2013. Additionally, a manual search in the major anatomy and oral surgery journals and books was performed. The publications there selected by including clinical and human anatomy studies.Results: In total 73 literature sources were obtained and reviewed. Impacted mandibular third molar aetiology, clinical anatomy, radiographic examination, surgical extraction of and possible complications, classifications and risk factors were discussed. New mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results was proposed. Conclusions: The classification proposed here based on anatomical and radiological impacted mandibular third molar features is promising to be a helpful tool for impacted tooth assessment as well as for planning for surgical operation. Further clinical studies should be conducted for new classification validation and reliability evaluation.
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spelling doaj-art-ad0f5be2a2bc4e4fbd34d5b3545ecf452025-08-02T16:34:46ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2013-06-0142e110.5037/jomr.2013.4201Mandibular Third Molar Impaction: Review of Literature and a Proposal of a ClassificationGintaras JuodzbalysPovilas DaugelaObjectives: The purpose of present article was to review impacted mandibular third molar aetiology, clinical anatomy, radiologic examination, surgical treatment and possible complications, as well as to create new mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results.Material and Methods: Literature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were mandibular third molar, impacted mandibular third molar, inferior alveolar nerve injury third molar, lingual nerve injury third molar. The search was restricted to English language articles, published from 1976 to April 2013. Additionally, a manual search in the major anatomy and oral surgery journals and books was performed. The publications there selected by including clinical and human anatomy studies.Results: In total 73 literature sources were obtained and reviewed. Impacted mandibular third molar aetiology, clinical anatomy, radiographic examination, surgical extraction of and possible complications, classifications and risk factors were discussed. New mandibular third molar impaction and extraction difficulty degree classification based on anatomical and radiologic findings and literature review results was proposed. Conclusions: The classification proposed here based on anatomical and radiological impacted mandibular third molar features is promising to be a helpful tool for impacted tooth assessment as well as for planning for surgical operation. Further clinical studies should be conducted for new classification validation and reliability evaluation.http://www.ejomr.org/JOMR/archives/2013/2/e1/v4n2e1ht.htmtooth impactedmolarthirdalveolar nerveinferiorlingual nerve injuriesmandibular canalclassification.
spellingShingle Gintaras Juodzbalys
Povilas Daugela
Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification
eJournal of Oral Maxillofacial Research
tooth impacted
molar
third
alveolar nerve
inferior
lingual nerve injuries
mandibular canal
classification.
title Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification
title_full Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification
title_fullStr Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification
title_full_unstemmed Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification
title_short Mandibular Third Molar Impaction: Review of Literature and a Proposal of a Classification
title_sort mandibular third molar impaction review of literature and a proposal of a classification
topic tooth impacted
molar
third
alveolar nerve
inferior
lingual nerve injuries
mandibular canal
classification.
url http://www.ejomr.org/JOMR/archives/2013/2/e1/v4n2e1ht.htm
work_keys_str_mv AT gintarasjuodzbalys mandibularthirdmolarimpactionreviewofliteratureandaproposalofaclassification
AT povilasdaugela mandibularthirdmolarimpactionreviewofliteratureandaproposalofaclassification