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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2024, Number 3

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Rev Mex Cir Bucal Maxilofac 2024; 20 (3)

Indices for predicting the complexity of lower third molar extractions. A systematic literature review

Vargas CHM, Guillen GMF

Language: Spanish
References: 22
Page: 115-124
PDF size: 350.82 Kb.


ABSTRACT

Introduction: the extraction of lower third molars is a common procedure in dental practice, but its complexity can vary significantly between patients. The identification of factors that influence this difficulty is crucial to improve surgical outcomes and treatment planning. Objective: to know the new indices that evaluate surgical difficulty taking into account their specificity and sensitivity to predict the degree of complexity of lower third molar extractions, as well as to identify the clinical, demographic and radiographic factors associated with surgical difficulty. Material and methods: a systematic review of the literature was performed using databases such as EBSCO, ProQuest and PubMed. Articles that met predefined criteria were selected, extracting relevant data on the study design, population, indices used and results. 13 articles were included in the final review. Results: the new proposed indices showed high concordance and precision in identifying moderate and difficult cases, outperforming traditional indices. Clinical and demographic factors, such as age and sex, were identified as influencing extraction complexity. However, a lack of standardization in the criteria used to classify surgical difficulty was observed among the reviewed studies. Conclusion: the inclusion of multiple variables in prediction indices improves the ability to anticipate the complexity of lower third molar extractions. Further research considering population differences and using standardized methodologies is recommended to validate these indices in diverse populations.


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