Preliminary discussion on the whole life-cycle management of third molars health
10.3760/cma.j.cn112144-20240426-00165
- VernacularTitle:第三磨牙全周期健康管理刍议
- Author:
Jiangang REN
1
;
Jihong ZHAO
Author Information
1. 武汉大学口腔医（学）院 口颌系统重建与再生全国重点实验室 口腔生物医学教育部重点实验室 口腔医学湖北省重点实验室，武汉 430079
- Keywords:
Molar, third;
Tooth germ;
Whole life-cycle;
Alveolar surgery;
Health management
- From:
Chinese Journal of Stomatology
2024;59(8):753-758
- CountryChina
- Language:Chinese
-
Abstract:
The impaction rate of third molars is increasingly high, leading to more and more serious clinical problems. For a long time, the primary approach to managing third molars has been direct extraction, with a notable lack of systematic and diversified treatment methods. This article introduces, for the first time, the concept of whole life-cycle health management for third molars and suggests that the window for third molars life-cycle health management should be moved forward to the tooth germ stage. For tooth germs of third molars with severe risks, timely and necessary intervention should be administered. For normally erupting third molars, efforts should be made to maintain their health so they can function over the long term. For impacted third molars that have not caused related clinical symptoms, careful observation and cautious extraction should be considered. If necessary, techniques such as orthodontics and autotransplantation can be used to functionalize them. For impacted third molars that have caused clinical symptoms, functional oral surgical principles should be applied to reduce surgical trauma and prevent intraoperative and postoperative complications using advanced clinical techniques.
