hird molars in a planning of orthodontic treatment

Journal Title: Forum Ortodontyczne - Year 2012, Vol 8, Issue 2

Abstract

[b]Aim:[/b] To compare views found in a literature concerning wisdom teeth, either in a maxilla or in a mandible, and to determine uniform protocol of proceeding at children and adults during a planning orthodontic treatment. [b]Materials and methods:[/b] There has been performed the review of a literature concerning upper and lower third molars published in orthodontic and dental surgery journals, available in internet bases of PubMed and Medline. Development of the wisdom teeth, their eruption, etiology of impaction in the bone, indications to extraction and also an influence of orthodontic treatment on their later fate were considered. Measurements made on radiographs, used to predict an eruption of third molars at young patients were analysed. [b]Results[/b]: Thirty nine articles filled the subject bills of this study. Special attention has been paid to problems which might be helpful during planning the treatment of a patient with a malocclusion. [b]Conclusions[/b]: Third molars characterise of a great variability while developing. A part of them remains impacted in bone and does not indicate any symptoms the whole life but, they constitute a potential source of problems. The methods to determine the accessibility of retromolar space in a mandible and posterior outline of the maxillary tuberosity are questionable. There is a great opposing group of prophylactic germectomy at the age 8 to 9. Long lasting retention till the end of growth and monitoring of the development of third molars with the radiographs performed at the two to three years intervals is a routine proceeding in a case of every orthodontic patient. (Orthod. Forum 2012; 8: 60 - 70). Received: 30.03.2012 Accepted: 27.06.2012

Authors and Affiliations

Katarzyna Migacz-Ciepiela, Maria Bardowska

Keywords