Prophylactic removal of asymptomatic third molars

 

 

Prophylactic removal of asymptomatic third molars for the sole reason of preventing future mandibular anterior crowding?
Find 3 systematic reviews/meta-analyses as citations to either keep/remove the 3rd molars when treating mandibular (lower arch of a patient) crowding or malalignment. Does the literature support the prophylactic removal of asymptomatic third molars for the sole reason of preventing future mandibular anterior crowding?

 

 

Sample Solution

In former times, one criterion for judging the worth of a dentist was his/her ability to remove third molars efficiently and with minimal patient discomfort. This is still important in clinical practices, although questions are now raised more frequently about the need for removal of third molars, especially “prophylactic removal of asymptomatic molars.” There is significantly more thinking about clinical management required collectively among the dental profession, than has been employed up to the present, in order to effectively deal with problems posed by mandibular and maxillary third molars. If the clinician is satisfied that a particular third molar is truly asymptomatic, then it is justifiable to seriously question its removal from the point of view of assessing direct and indirect (opportunity) costs.

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