Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 11 , Pages 2213-2218 , November 2008

Risk Factors for Inflammatory Complications Following Third Molar Surgery in Adults

  • Sung-Kiang Chuang, DMD, MD, DMSc

      Affiliations

    • Assistant Professor of Oral and Maxillofacial Surgery, Departments of Oral and Maxillofacial Surgery, Massachusetts General Hospital and Harvard School of Dental Medicine, Boston, MA
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Chuang: Massachusetts General Hospital, 55 Fruit Street, Warren Bldg 1201, Boston, MA 02114
  • ,
  • David H. Perrott, DDS, MD, MBA

      Affiliations

    • Sr Vice President/Medical Director, Salinas Valley Memorial Healthcare System, Salinas, CA
  • ,
  • Srinivas M. Susarla, DMD, MPH

      Affiliations

    • Resident-in-Training, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA
  • ,
  • Thomas B. Dodson, DMD, MPH

      Affiliations

    • Visiting Oral and Maxillofacial Surgeon and Director, Center for Applied Clinical Investigation, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA

References 

  1. Susarla SM, Blaeser BF, Magalnick D. Third molar surgery and associated complications. Oral Maxillofac Surg Clin North Am. 2003;15:177
  2. Osborn TP, Frederickson G, Small IA, et al. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg. 1985;43:767
  3. Larsen PE. Alveolar osteitis after surgical removal of impacted mandibular third molars (Identification of the patient at risk). Oral Surg Oral Med Oral Pathol. 1992;73:393
  4. Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg. 2003;61:1379
  5. Muhonen A, Ventä I, Ylipaavalniemi P. Factors predisposing to postoperative complications related to wisdom tooth surgery among university students. J Am Coll Health. 1997;46:39
  6. Mercier P, Precious D. Risks and benefits of removal of impacted third molars (A critical review of the literature). Int J Oral Maxillofac Surg. 1992;21:17
  7. Goldberg MH, Nemarich AN, Marco WP. Complications after mandibular third molar surgery: A statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc. 1985;111:277
  8. Dodson TB. HIV status and the risk of post-extraction complications. J Dent Res. 1997;76:1644
  9. Halpern LR, Dodson TB. Does prophylactic administration of systemic antibiotics prevent postoperative inflammatory complications after third molar surgery?. J Oral Maxillofac Surg. 2007;65:177
  10. Catellani JE, Harvey S, Erickson SH, et al. Effect of oral contraceptive cycle on dry socket (localized alveolar osteitis). J Am Dent Assoc. 1980;101:777
  11. Blum IR. Contemporary views on dry socket (alveolar osteitis): A clinical appraisal of standardization, aetiopathogenesis and management: A critical review. Int J Oral Maxillofac Surg. 2002;31:309
  12. Fridrich KL, Olson RA. Alveolar osteitis following surgical removal of mandibular third molars. Anesth Prog. 1990;37:32
  13. Swanson AE. Prevention of dry socket: An overview. Oral Surg Oral Med Oral Pathol. 1990;70:131
  14. Landes DP. The relationship between dental health and variations in the level of third molar removals experienced by populations. Community Dent Health. 1998;15:67
  15. Dodson TB. Predictors of post extraction complications in HIV positive patients. Oral Surg Oral Med Oral Pathol. 1997;84:474
  16. Awang MN. The aetiology of dry socket: a review. Int Dent J. 1989;39:236
  17. Heasman PA, Jacobs DJ. A clinical investigation into the incidence of dry socket. Br J Oral Maxillofac Surg. 1984;22:115
  18. Nitzan DW. On the genesis of “dry socket.”. J Oral Maxillofac Surg. 1983;41:706
  19. Sisk AL, Hammer WB, Shelton DW, et al. Complications following removal of impacted third molars: The role of the experience of the surgeon. J Oral Maxillofac Surg. 1986;44:855
  20. Lieblich SE. Postoperative prophylactic antibiotic treatment in third molar surgery—A necessity?. J Oral Maxillofac Surg. 2004;62:9
  21. Poeschl WP, Eckel D, Poeschl E. Postoperative prophylactic antibiotic treatment in third molar surgery—A necessity?. J Oral Maxillofac Surg. 2004;62:3
  22. Piecuch JF, Arzadon J, Lieblich SE. Prophylactic antibiotics for third molar surgery: A supporting opinion. J Oral Maxillofac Surg. 1995;53:53
  23. Zeitler DL. Prophylactic antibiotics for third molar surgery: A dissenting opinion. J Oral Maxillofac Surg. 1995;53:61
  24. Curran JB, Kennett S, Young AR. An assessment of the use of prophylactic antibiotics in third molar surgery. Int J Oral Surg. 1974;3:1
  25. Ren YF, Malmstrom HS. Effectiveness of antibiotic prophylaxis in third molar surgery: A meta-analysis of randomized controlled clinical trials. J Oral Maxillofac Surg. 2007;65:1909
  26. Haug RH, Perrott DH, Gonzalez ML, et al. The American Association of Oral and Maxillofacial Surgeons Age-Related Third Molar Study. J Oral Maxillofac Surg. 2005;63:1106
  27. Chuang SK, Perrott DH, Susarla SM, et al. Age as a risk factor for third molar surgery complications. J Oral Maxillofac Surg. 2007;65:1685

 This work was supported by the Oral and Maxillofacial Surgery Foundation Fellowship in Clinical Investigation (S.M.S.) and the Massachusetts General Hospital Department of Oral and Maxillofacial Surgery Education and Research Fund (S.M.S., S.K.C., T.B.D.), and Center for Applied Clinical Investigation (S.M.S., S.K.C., T.B.D.), and by the American Association of Oral and Maxillofacial Surgeons (T.B.D., D.P.), the Oral and Maxillofacial Surgery Foundation (D.P.).

PII: S0278-2391(08)01129-4

doi: 10.1016/j.joms.2008.06.067

Journal of Oral and Maxillofacial Surgery
Volume 66, Issue 11 , Pages 2213-2218 , November 2008