Research and Reviews: A Journal of Dentistry Case Study

Extraction of Impacted Lower 3rd Molars immediately after the Single Visit Endodontic treatment of 2nd Molar - A Case Series

  1. Maddukuri Raja Sekhar Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad
  2. Palivela Manvitha Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad
  3. Begari Swarnalatha Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad
  4. Swetha Puram Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad

Abstract

Patients who visit a dental clinic often anticipate fewer appointments and quicker recovery times. This expectation is particularly relevant when discussing impacted lower third molars in conjunction with decayed second molars. Dentists often struggle with the decision of whether to start endodontic treatment on the second molar or to proceed with extracting the third molar. This dilemma arises due to the absence of sufficient research or documentation specifically addressing the best approach in such cases. Without clear guidelines, treatment decisions are often based on clinical judgment and patient-specific factors. To bridge this gap, this series of case reports aims to highlight the advantages of performing both root canal treatment on the second molar and the extraction of the third molar in a single appointment. This approach may reduce the number of clinical visits, minimize anesthesia use, and promote simultaneous healing, ultimately benefiting both patients and practitioners.

Keywords

References (12)

  1. Friedman JW. The Prophylactic Extraction of Third Molars: A Public Health Hazard. American Journal of Public Health. 2007;97(9):1554-1559. doi:10.2105/ajph.2006.100271
  2. Duarte-Rodrigues L, Miranda EP, Souza TO, De Paiva HN, et al. Third molar removal and its impact on quality of life: systematic review and meta-analysis. Qual Life Res. 2018 Oct;27(10):2477-89. doi:10.1007/s11136-018-1899-7.
  3. Hounsome J, Pilkington G, Mahon J, Boland A, Beale S, Kotas E, et al. Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation. Health Technology Assessment. 2020;24(30):1-116. doi:10.3310/hta24300
  4. Coulthard P, Bailey E, Esposito M, Furness S, Renton TF, Worthington HV. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database of Systematic Reviews. 2014. doi:10.1002/14651858.cd004345.pub2
  5. Malkawi Z, Al-Omiri MK, Khraisat A. Risk indicators of postoperative complications following surgical extraction of lower third molars. Med Princ Pract. 2011;20(4):321-5. doi:10.1159/000323768.
  6. Candotto V, Oberti L, Gabrione F, Scarano A, Rossi D, Romano M. Complication in third molar extractions. J Biol Regul Homeost Agents. 2019;33:169-72.
  7. Aniko-Włodarczyk M, Jaroń A, Preuss O, Grzywacz A, Trybek G. Evaluation of the Effect of Surgical Extraction of an Impacted Mandibular Third Molar on the Periodontal Status of the Second Molar—Prospective Study. Journal of Clinical Medicine. 2021;10(12):2655. doi:10.3390/jcm10122655
  8. Kaplan H, Milobsky L, Kaplan L. Endodontics and periradicular surgery—a one-sitting procedure. NY J Dent. 1960;30:253-8.
  9. Ferranti P. Treatment of the root canal of an infected tooth in one appointment: a report of 340 cases. Dent Digest. 1959;65:490-4.
  10. Figini L, Lodi G, Gorni F, Gagliani M. Single Versus Multiple Visits for Endodontic Treatment of Permanent Teeth: A Cochrane Systematic Review. Journal of Endodontics. 2008;34(9):1041-1047. doi:10.1016/j.joen.2008.06.009
  11. Oliet S. Single-visit endodontics: a clinical study. J Endod. 1983 Apr;9(4):147-52. doi:10.1016/S0099-2399(83)80123-3.
  12. Ashkenaz PJ. One-visit endodontics. Dent Clin North Am. 1984 Oct;28(4):853-63.
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