Division of Dentistry, Primary Health Care Corporation, Doha, Qatar.
Division of Dentistry, College of Dental Medicine, Qatar University, Doha, Qatar.
Dent Med Probl. 2024 Jul-Aug;61(4):481-488. doi: 10.17219/dmp/166156.
The aim of this proposal is to (1) review the current literature, (2) shed light on the importance of creating universally accepted guidelines, (3) provide help and guidance in the decision-making process with regard to the removal of mandibular third molars (M3Ms), and (4) reduce the risk of exposing the patient to unnecessary harm and complications due to the inappropriate removal or retention of M3Ms.It is obvious that the indications for the extraction of M3Ms will continue to be an area of controversy and strong debate. The evidence for or against prophylactic extraction is ambivalent; there is evidence to accept or reject the stance against prophylactic extraction in some specific cases, and there are published articles to support both opposing views. The available guidelines on the extraction of third molars are limited in number, and are mostly tailored to fit specific settings or countries. There are no available guidelines that might be widely used to help in the decision-making process for the international community. We hope this proposal will constitute an important first step toward creating universally accepted guidance.
(1) 回顾当前文献，(2) 阐明制定普遍接受的指导方针的重要性，(3) 在第三磨牙（M3M）拔除决策过程中提供帮助和指导，(4) 降低因不适当的 M3M 拔除或保留而使患者遭受不必要伤害和并发症的风险。显然，第三磨牙拔除的适应证将继续成为争议和激烈辩论的领域。预防性拔除的证据存在矛盾；在某些特定情况下，有证据支持或反对预防性拔除，也有发表的文章支持两种相反的观点。现有的关于第三磨牙拔除的指南数量有限，并且大多针对特定的环境或国家量身定制。没有可供国际社会广泛使用的指南来帮助决策过程。我们希望本提案将成为制定普遍接受的指导方针的重要第一步。
