Third molar management: a case for routine removal in adolescent and young adult orthodontic patients.

The role of the orthodontist is to treat patients to optimal function, aesthetics, and long-term stability. The controversy surrounding third molars has focused on the pathologic problems they may cause and the risk/benefits of their removal. Although malocclusion is not considered a disease, it is unreasonable to ignore the orthodontic issues related to third molars, especially in patients who make the investment to achieve an ideal occlusion. Part of a complete orthodontic treatment plan is a recommendation regarding third molars. The plan should include a rationale and recommendation for their removal based on the orthodontic treatment objectives.