The Canberra Hospital, Canberra, Australian Capital Territory, Australia.
Australian National University, Canberra, Australian Capital Territory, Australia.
Aust Dent J. 2018 Mar;63 Suppl 1:S19-S26. doi: 10.1111/adj.12587.
The management of third molars requires a significant assessment and decision process both for the patient and the clinician. The clinician must always identify the indication for third molar surgery, assess the risks of the proposed procedure, and then modify their plan to account for the patient's current and future health, their social and financial setting, and the patient's tolerance of risk. In doing this, the clinician can tailor a solution to meet the individual patient's needs. This decision to remove a third molar is made in the fluid setting of the patient's quality of life and requires regular review. This article gives the clinician the tools, the matrix, and the confidence to guide patients through this process, and outlines some of the pitfalls and common points of bias within the process.
第三磨牙的处理需要患者和临床医生进行大量的评估和决策。临床医生必须始终确定第三磨牙手术的适应证,评估拟议手术的风险,然后根据患者当前和未来的健康状况、社会和经济状况以及患者对风险的承受能力来调整治疗计划。通过这种方式,临床医生可以量身定制解决方案以满足个体患者的需求。是否拔除第三磨牙的决定是在患者生活质量的动态环境中做出的,需要定期复查。本文为临床医生提供了工具、矩阵和信心,以指导患者完成这一过程,并概述了该过程中的一些陷阱和常见偏见点。