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Surgical removal of third molars in a young adult: review of indications and surgical techniques

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2023, v.49 no.4, pp.184-191
https://doi.org/10.5125/jkaoms.2023.49.4.184
Themkumkwun Sukkarn (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand)
Sawatdeenarunat Supasan (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand)
Manosuthi Pattamawan (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand)

Abstract

Germectomy is a surgical method most typically performed in young adults. The indications for treatment are controversial. The purpose of this review was to determine the correct indications for germectomy and to discuss the advantages and disadvantages of the procedure. We reviewed the surgical techniques (anesthetic methods, patient preparation, and flap designs) and complications. Germectomy for orthodontic purposes is a common indication for surgical removal of tooth germ among young patients. Several studies have supported removal at an earlier age to produce fewer surgical complications. Several surgical techniques have been described in the literature.

keywords
Impacted tooth, Wisdom tooth, Orthodontics, Tooth germ, Adolescent

Journal of the Korean Association of Oral and Maxillofacial Surgeons