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Molar
Indications & Contraindications
Adapted from: Manual of Minor Oral Surgery for the General Dentist
Introduction
• Removal of impacted third molars is the most common surgery
in the dental office.
Caries
• The posterior position of a third molar presents a hygiene
challenge to the most meticulous of patients.
• Dental caries and pulpal necrosis contribute to an increasing
number of third molar extractions with increasing age.
Indications for Removal of Impacted Third Molar
Root Resorption
• Root resorption associated with an impacted third molar is common
in the 21- to 30-year age group.
• The most common site for root resorption is the middle third of the
distal surface of the adjacent second molar.
Removable Prostheses
• Close attention should be paid to the presence of impacted third
molars as retention of these teeth under prostheses may lead to
their eruption.
• Continued pressure can initiate remodeling of the bone overlying the
tooth, eventually leading to ulceration of the soft tissue and exposure
of the previously un-erupted tooth.
Indications for Removal of Impacted Third Molar
Pathology
• Certain types of tumors and cysts have been associated with the follicles
of impacted teeth.
• Recommended that if impacted teeth have pathology associated with
them, they should be removed, and the pathologic cyst or tumor sent for
histopathological examination.
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