A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars

Controversies exist regarding the need for prophylactic extraction of mandibular third molars in patients who plan to undergo orthognathic surgery. An 18-year-old male patient was diagnosed with mandibular prognathism and maxillary retrognathism with mild facial asymmetry. He had a severely damaged...

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Autores principales: Baik, Un-Bong, Kim, Yoon-Ji, Chae, Hwa-Sung, Park, Je-Uk, Julian, Stefania, Sugawara, Junji, Lee, Ui-Lyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Oral and Maxillofacial Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890963/
https://www.ncbi.nlm.nih.gov/pubmed/35221309
http://dx.doi.org/10.5125/jkaoms.2022.48.1.63
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author Baik, Un-Bong
Kim, Yoon-Ji
Chae, Hwa-Sung
Park, Je-Uk
Julian, Stefania
Sugawara, Junji
Lee, Ui-Lyong
author_facet Baik, Un-Bong
Kim, Yoon-Ji
Chae, Hwa-Sung
Park, Je-Uk
Julian, Stefania
Sugawara, Junji
Lee, Ui-Lyong
author_sort Baik, Un-Bong
collection PubMed
description Controversies exist regarding the need for prophylactic extraction of mandibular third molars in patients who plan to undergo orthognathic surgery. An 18-year-old male patient was diagnosed with mandibular prognathism and maxillary retrognathism with mild facial asymmetry. He had a severely damaged mandibular first molar and a horizontally impacted third molar. After extraction of the first molar, the second molar was protracted into the first molar space, and the third molar erupted into the posterior line of occlusion. The orthognathic surgery involved clockwise rotation of the maxillomandibular complex as well as angle shaving and chin border trimming. Patients who are missing or have damaged mandibular molars should be monitored for eruption of third molars to replace the missing posterior tooth regardless of the timing of orthognathic surgery.
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spelling pubmed-88909632022-03-10 A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars Baik, Un-Bong Kim, Yoon-Ji Chae, Hwa-Sung Park, Je-Uk Julian, Stefania Sugawara, Junji Lee, Ui-Lyong J Korean Assoc Oral Maxillofac Surg Case Report Controversies exist regarding the need for prophylactic extraction of mandibular third molars in patients who plan to undergo orthognathic surgery. An 18-year-old male patient was diagnosed with mandibular prognathism and maxillary retrognathism with mild facial asymmetry. He had a severely damaged mandibular first molar and a horizontally impacted third molar. After extraction of the first molar, the second molar was protracted into the first molar space, and the third molar erupted into the posterior line of occlusion. The orthognathic surgery involved clockwise rotation of the maxillomandibular complex as well as angle shaving and chin border trimming. Patients who are missing or have damaged mandibular molars should be monitored for eruption of third molars to replace the missing posterior tooth regardless of the timing of orthognathic surgery. The Korean Association of Oral and Maxillofacial Surgeons 2022-02-28 2022-02-28 /pmc/articles/PMC8890963/ /pubmed/35221309 http://dx.doi.org/10.5125/jkaoms.2022.48.1.63 Text en Copyright © 2022 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Baik, Un-Bong
Kim, Yoon-Ji
Chae, Hwa-Sung
Park, Je-Uk
Julian, Stefania
Sugawara, Junji
Lee, Ui-Lyong
A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
title A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
title_full A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
title_fullStr A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
title_full_unstemmed A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
title_short A new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
title_sort new rationale for preservation of the mandibular third molar in orthognathic patients with missing molars
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8890963/
https://www.ncbi.nlm.nih.gov/pubmed/35221309
http://dx.doi.org/10.5125/jkaoms.2022.48.1.63
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