Therapeutic approach for third molarsextraction or surveillance?

  1. García-Riart Monzón, M.
  2. Paredes Rodríguez, VM.
  3. Reininger, D.
  4. Rodríguez-Grandjean García-Zabarte, A
  5. Guisado Moya, B. 1
  6. López-Quiles, J. 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
Científica dental: Revista científica de formación continuada

ISSN: 1697-6398 1697-641X

Año de publicación: 2015

Volumen: 12

Número: 4

Páginas: 4-11

Tipo: Artículo

Otras publicaciones en: Científica dental: Revista científica de formación continuada

Resumen

One of the daily challenges facing the oral or maxillofacial surgeon is the therapeutic management of asymptomatic and disease free third molars. To date, there has been a lack of conclusive information, with problems in the interpretation of recent literature as well as different views among professionals regarding whether to perform an extraction or maintain active surveillance. The aim of this paper is to review recent literature regarding the therapeutic decisions in these cases; discuss aspects of consensus and controversies; and look for scientific evidence to justify the prophylactic extraction of the third molar. Controversy over the optimal therapeutic management of an asymptomatic third molar, free of disease continues today. This review found no scientific evidence to justify the prophylactic extraction of third molars. Much more scientific evidence, as well as the design of randomised clinical studies to compare the short- and long-term active surveillance and extraction of third molars is needed.