| Abstract [eng] |
The prophylactical and therapeutical reasons for wisdom teeth extractions and their possible complications are still widely debated. Therefore, practitioners must deal extensively with wisdom tooth extraction to have in-depth knowledge of all indications and contraindications, especially the difficulties of extracting wisdom teeth. The following results were gained using several databases and literature search strategies. The wisdom tooth classifications according to Winter, Archer and Pell, and Gregory are included in the work, and they classified the wisdom teeth according to the angulation, impaction degree, and the location of the mandibular ramus. Despite ranking the wisdom teeth, complications can still occur during the extraction procedure. Wisdom teeth are often extracted in their early developing stage because the literature showed significantly lower risks for intraoperative complications. The procedure for that is called germectomy. The Pell and Gregory classification may indicate an increased risk for damaging the inferior alveolar canal and lingual nerve, whereas the Archer classification may illustrate the risk for oroantral communication. Their incidence and their following clinical symptoms are also discussed. The most common extraction indications presented during the search that the literature included pericoronitis, caries in the adjacent molar and external root resorption. Various complications of wisdom tooth extraction are occurring in the literature, like mandibular fractures, temporomandibular joint dislocation, arterial bleeding or nerve injuries for possible complications. |
