Expert consensus on the management of third molar healthOA
The third molar is the most developmentally delayed of the permanent teeth and has the highest incidence of pericoronitis and odontogenic space infections.Impacted third molars significantly increase the risk of periodontitis,dental caries,and external root resorption of adjacent second molars.Third molars are associated with complex surgical procedures,and treatment decisions and clinical management of third molars in this context remain controversial.This expert consensus was generated by oral surgeons and related specialists,who synthesized the current evidence-based literature and contemporary clinical practices.This consensus addresses critical considerations:the developmental trajectory and impaction characteristics of third molars,clinical and radiographic examinations of third molars,classification of impacted third molars,adverse effects of impacted third molars on oral health,indications for extraction,preoperative preparation for impacted third molar removal,anesthetic choices for impacted third molar surgery,recommended surgical protocol for impacted third molar removal,application of implant materials in alveolar sockets,management of common severe complications in impacted third molar extraction,and functional utilization of impacted third molars.Based on a comprehensive expert deliberation,this consensus provides evidence-based clinical guidance and standardized protocols for dental practitioners in the context of third molar management and therapeutic decision-making.
Rui Sun;Yifan Xu;Yang Wu;Jian Pan;Chenchen Zhou;Duohong Zou;Yujiang Wang;Yang Xue;Yu Cai;Nianhui Cui;Kaijin Hu;Wei Zhang;Bing Han;Qing Zhou;Songling Chen;Haikuo Tang;Liao Wang;Xing Wang;Bo Li;Zhigui Ma;Xiangliang Xu;Zhige Li;Ye Wu;Guowen Sun;Fudong Zhu;Yanping Hu;Kang Gao;Jian Zhou;Jihong Zhao
State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University,Wuhan,China Department of Oral and Maxillofacial Surgery,School&Hospital of Stomatology,Wuhan University,Wuhan,ChinaDepartment of Dental Implant Center,Beijing Stomatological Hospital,Capital Medical University,Beijing,China Laboratory for Clinical Medicine,Capital Medical University,Beijing,ChinaState Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University,Wuhan,China Department of Oral and Maxillofacial Surgery,School&Hospital of Stomatology,Wuhan University,Wuhan,ChinaDepartment of Oral and Maxillofacial Surgery,State Key Laboratory of Oral Diseases,National Center for Stomatology,National Clinical Research Center for Oral Diseases,West China Hospital of Stomatology,Sichuan University,Chengdu,ChinaDepartment of Oral and Maxillofacial Surgery,State Key Laboratory of Oral Diseases,National Center for Stomatology,National Clinical Research Center for Oral Diseases,West China Hospital of Stomatology,Sichuan University,Chengdu,ChinaDepartment of Oral Surgery,College of Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,ChinaAffiliated Stomatological Hospital of Nanchang University,Nanchang,ChinaSchool of Stomatology,The Fourth Military Medical University,Xi’an,ChinaState Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University,Wuhan,China Department of Oral and Maxillofacial Surgery,School&Hospital of Stomatology,Wuhan University,Wuhan,ChinaDepartment of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology,Beijing,China National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices,Beijing,ChinaDepartment of Stomatology,School of Stomatology,The Third Affiliated Hospital,Xi’an Medical University,Xi’an,ChinaDepartment of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology,Beijing,China National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices,Beijing,ChinaDepartment of Oral and Maxillofacial Surgery,School and Hospital of Stomatology,Jilin University,Changchun,China Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling,Jilin University,Changchun,ChinaAffiliated Stomatological Hospital of China Medical University,Shenyang,China School of Stomatology,China Medical University,Shenyang,ChinaThe First Affiliated Hospital of Sun Yat-sen University,Guangzhou,ChinaHospital of Stomatology,Sun Yat-sen University,Guangzhou,ChinaWest China Hospital of Stomatology,Chengdu,ChinaShanxi Medical University School and Hospital of Stomatology,Taiyuan,ChinaState Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University,Wuhan,ChinaShanghai Ninth People’s Hospital Affiliated to Shanghai Jiaotong University,School of Medicine,Shanghai,ChinaDepartment of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology,Beijing,China National Center of Stomatology and National Clinical Research Center for Oral Diseases and National Engineering Research Center of Oral Biomaterials and Digital Medical Devices,Beijing,ChinaSchool/Hospital of Stomatology Lanzhou University,Lanzhou,ChinaSchool and Hospital of Stomatology,Fujian Medical University,Fuzhou,ChinaNanjing Stomatological Hospital,Nanjing,Jiangsu,China Affiliated Hospital of Medical School,Nanjing University,Nanjing,ChinaThe Affiliated Hospital of Stomatology,School of Stomatology,Zhejiang University School of Medicine,Hangzhou,China Key Laboratory of Oral Biomedical Research of Zhejiang Province,Hangzhou,ChinaStomatological Hospital Affiliated Xiamen Medical College,Xiamen,ChinaDepartment of International Medical Center,Beijing Stomatological Hospital,Capital Medical University,Beijing,China Beijing Laboratory of Oral Health,Capital Medical University,Beijing,ChinaDepartment of International Medical Center,Beijing Stomatological Hospital,Capital Medical University,Beijing,China Beijing Laboratory of Oral Health,Capital Medical University,Beijing,ChinaState Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University,Wuhan,China Department of Oral and Maxillofacial Surgery,School&Hospital of Stomatology,Wuhan University,Wuhan,China
医药卫生
external root resorptionoral surgeonsperiodontitisdental cariesandsurgical proceduresandpericoronitisthird molarsodontogenic space infectionsimpacted
《International Journal of Oral Science》 2026 (3)
P.333-346,14
Capital''s Funds for Health Improvement and Research(2024-2-2142,Jian Zhou)Beijing Hospitals Authority Clinical medicine Development of special funding support(YGLX202535,Jian Zhou)Hu Bei Association of Higher Education,Society Community Construction Project(Teaching Application of AI-Assisted 3D CBCT Reconstruction Combined with PVC Resin-Based Dental Model Reconstruction in Root Removal First strategy for Impacted Third Molar Extraction,2024XD218,Rui Sun)。
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