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Link to original content: https://pubmed.ncbi.nlm.nih.gov/12733778
The unresolved problem of the third molar: would people be better off without it? - PubMed Skip to main page content
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Meta-Analysis
. 2003 Apr;134(4):450-5.
doi: 10.14219/jada.archive.2003.0194.

The unresolved problem of the third molar: would people be better off without it?

Anthony R Silvestri Jr  1 , Iqbal Singh
Affiliations
Meta-Analysis

The unresolved problem of the third molar: would people be better off without it?

Anthony R Silvestri Jr et al. J Am Dent Assoc. 2003 Apr.

Abstract

Background: Third molars are teeth that have little functional value and a relatively high rate of associated pain and disease. Their value as part of the dentition of modern people is dubious.

Types of studies reviewed: The authors review the evolution, development, morbidity and treatment of third molars. They assess the value of third molars in the 21st century and describe the risks these teeth pose when they develop in the dentition.

Conclusions: There is a mandate for the dental profession to improve health outcomes and quality of life. The prevention of third molar-related morbidity should be included in dental research efforts. The authors suggest that novel preventive methodologies be developed to alleviate the problems third molars pose. One potential methodology suggested is intentional therapeutic agenesis of this tooth.

Clinical implications: Prevention of third molar development early in life, even before tooth bud initiation, could dramatically improve health care outcomes for millions of people.

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Comment in

  • Retaining third molars.
    Ettinger M. Ettinger M. J Am Dent Assoc. 2003 Jun;134(6):684. doi: 10.14219/jada.archive.2003.0245. J Am Dent Assoc. 2003. PMID: 12839401 No abstract available.
  • Prehistory and the third molar.
    Vance GE Jr. Vance GE Jr. J Am Dent Assoc. 2003 Jul;134(7):808; author reply 808, 810. doi: 10.14219/jada.archive.2003.0270. J Am Dent Assoc. 2003. PMID: 12892437 No abstract available.
  • Third-molar value.
    Griffin RG. Griffin RG. J Am Dent Assoc. 2003 Aug;134(8):1038; author reply 1038, 1040. doi: 10.14219/jada.archive.2003.0298. J Am Dent Assoc. 2003. PMID: 12956338 No abstract available.
  • The third-molar 'problem'.
    Goldberg MH. Goldberg MH. J Am Dent Assoc. 2003 Aug;134(8):1040; author reply 1040, 1042. doi: 10.14219/jada.archive.2003.0300. J Am Dent Assoc. 2003. PMID: 12956339 No abstract available.

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