지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 343 - 348 (6page)
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초록· 키워드
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Introduction: Third molar extraction is one of the most common procedures in oral and maxillofacial surgery. The impacted third molar causes many pathological conditions, such as pericoronitis, caries, periodontitis, resorption of adjacent teeth, and cyst or tumors associated with impacted teeth. Extraction is often considered the treatment of choice for impacted lower third molars. On the other hand, imprudent extraction of deeply impacted third molars can cause permanent complications, such as inferior alveolar nerve damage. Therefore, guidelines for the extraction of lower third molars should be set to prevent embarrassing complications. This study examined the indication and current trends of the extracted lower third molars in the dental hospital of a dental college.
Materials and Methods: 557 extracted third molars were evaluated at the department of oral and maxillofacial surgery of Yonsei University. The chief complaint, diagnosis, age and degree of impaction were analyzed to determine the tendency for the extraction of asymptomatic lower third molars.
Results: The percentage of asymptomatic third molars was 40.8%. In cases of full impacted tooth or full erupted tooth, the percentage of asymptomatic teeth was more than 50% (52.4% and 54.3, respectively). Among those partially impacted teeth, 73.1% of them showed symptoms, such as pain, tenderness and swelling. In terms of age, pericoronitis was evident at a younger age, and dental caries/periodontitis was the main cause of removal in those aged over 50. Twenty nine cases (1.6%) had teeth associated with pathological changes Conclusion: The incidence of pathological changes to the lower third molar was relatively low. Surgical extraction is recommended in cases of partially impacted teeth. In Korea, the incidence of asymptomatic third molar extraction was relatively higher than in European countries. More careful attention would be desirable to consider the risks and benefits of lower third molar extraction.
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참고문헌 (25)
참고문헌 신청
Atchison KA / 2007 / Baseline characteristics and treatment preferences of oral surgery patients / J Oral Maxillofac Surg 65 : 2430 ~ 2437
Brickley M / 1993 / Comparison of clinical treatment decisions with US National Institutes of Health consensus indications for lower third molar removal / Br Dent J 175 : 102
Bruce RA / 1980 / Age of patients and morbidity associated with mandibular third molar surgery / J Am Dent Assoc 101 : 240 ~ 245
Edwards MJ / 1999 / The cost, effectiveness and cost effectiveness of removal and retention of asymptomatic, disease free third molars / Br Dent J 187 : 380 ~ 384
Elter JR / 2005 / Third molars associated with periodontal pathology in older Americans / J Oral Maxillofac Surg 63 : 179 ~ 184
Brickley M / 1993 / Comparison of clinical treatment decisions with US National Institutes of Health consensus indications for lower third molar removal / Br Dent J 175 : 102
Bruce RA / 1980 / Age of patients and morbidity associated with mandibular third molar surgery / J Am Dent Assoc 101 : 240 ~ 245
Edwards MJ / 1999 / The cost, effectiveness and cost effectiveness of removal and retention of asymptomatic, disease free third molars / Br Dent J 187 : 380 ~ 384
Elter JR / 2005 / Third molars associated with periodontal pathology in older Americans / J Oral Maxillofac Surg 63 : 179 ~ 184
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