REMOÇÃO PRECOCE DOS TERCEIROS MOLARES INFERIORES - REVISÃO DE LITERATURA

Abstract

Third molar extraction is very common in dentistry, aiming to prevent future pathologies, such as carious lesions in the distal part of the adjacent element, pericoronitis, root resorption, odontogenic cysts, periodontal disease, among other pathologies. Some factors can make the surgical procedure difficult, such as the patient's advanced age, adjacent structures such as the mandibular canal, morphology, as it is an element that undergoes root anatomical changes and the element's position according to the classification by Winter and Pell and Gregory. For early extraction, the eruption chronology must be considered, as it determines the best time to remove the third molar. Surgical planning is extremely important, as it will assess the risks and benefits of surgery. 35 articles published in English, Spanish and Portuguese were selected, between 2001 and 2020, in the following databases: (SciELO); PubMed); academic google, using as search terms in different combinations: serotino tooth; dental extraction; Impacted tooth. Dental surgeons should assess each situation individually, some authors find it more advantageous to monitor the element at regular intervals when asymptomatic, however, studies indicate that late extraction can make the surgical procedure difficult, as the root formation of the dental element would be complete and may be in intimate contact with the mandibular canal. With a good clinical examination, radiographic examination and planning, we conclude that the early extraction of lower third molars tends to bring benefits to patients, such as preventing future pathologies.