There has been disagreementaboutthe

There has been disagreementaboutthe appropriateness of removalof third molars unassociated withlocal
pathology but there isno controversyaboutthe value of the removalof impacted third molars when theyare
associated with pathologicalchanges.
14
One or more may be applicable in each case.
4 14
4.1 Overt orprevioushistory ofinfectionincludingpericoronitis
14 16 20 21 22 99
This indication will generally exclude transient/self-limiting ‘inflammation’ that may be associated with
normaleruption ofany tooth
Prevalence: In 7 studies of prevalence ofpathologyrelatedtothirdmolars, reportingofpericoronitis
was notundertaken withclarityor consistency although itisthe most common stated reason for removal.
Von Wowern
16
found 10%of a sample of 130 students followed over 4 years developed pericoronitis. In
a similar studentgroup age 18-21 years Richardson
95
noted thatin76 subjects with112 teeth, 17 lower
thirdmolars in9subjects were removedfor recurrentepisodes ofpericoronitis
(i.e.: 11% or 3-4% pa). A prospective studybyBruce et alconfirmedpericoronitis tobethe most
frequent reason (in 40%of patients)for third molar removal in different age groups
63
while the
proportions inother studies have varied between 8-59%.
64 65 96
4.2 Unrestorable caries
14 20 23 24 66 67
Prevalence:van der Linden etal1995 ina reviewof1001 patients whose third molars were removed
aged 13-75 years reported caries in7.1%ofimpacted third molars and in42.7% of adjacent molars
(204 and 1227 of2872 teeth respectively).
80
4.3 Non-treatablepulpaland/or periapicalpathology
2 4 14
4.4 Cellulitis, abscess andosteomyelitis
2 4 14
Prevalence:ofinfective disease (includingpericoronitis)between4.7%
69
and 5%
68
4.5 Periodontal disease
14
Impacted third molars associated withperiodontallyinvolved adjacent(usuallysecond molar)teeth
should be removed early as the disease may be irreversible by 30 years.
25
Thisisparticularly important
insmokers where periodontaldisease may progress rapidly.
Prevalence:between 1%- 4.5%
20
4.6 Orthodontic abnormalities.
In some patients there may be an indication for removalofunerupted upper third molars before the
commencement of maxillary retraction which would result in their impaction.However there is little
rationale based on present evidence for excision of lower third molars solely to minimise present or
future crowding oflower anterior teeth
20 24 26 27 28 29 30 31
4.7 Prophylactic removal in the presence ofspecific medical and surgical conditions.
These include endocardial/valvular scarring/abnormality predisposing to bacterial endocarditis, organ
transplants, alloplasticimplants, chemotherapy/radiotherapy
15 32
4.8 Facilitationofrestorative treatmentincludingprovisionofprosthesis.
Erupted third molars which can be maintained ina state ofhealth may be retained as potential abutment
teeth or for the maintenance ofverticaldimension.
14
4.9 Internal/external resorption of tooth or adjacent teeth
1420 24 26 33 34 35 36
Prevalence:inthe range 2%- 5%
64 68 69 70
4.10 Paindirectly relatedtoa thirdmolar
15
It is important to avoid an erroneous diagnosis of third molar related pain which may in reality be
associated withthe temporomandibular jointand masticatory musculature.
Prevalence:greatvariation has been reported between 5 - 53%
16
and 18.4%

Hasil (Bahasa Indonesia) 1:

There has been disagreementaboutthe appropriateness of removalof third molars unassociated withlocalpathology but there isno controversyaboutthe value of the removalof impacted third molars when theyare associated with pathologicalchanges.14 One or more may be applicable in each case.4 144.1 Overt orprevioushistory ofinfectionincludingpericoronitis14 16 20 21 22 99This indication will generally exclude transient/self-limiting ‘inflammation’ that may be associated with normaleruption ofany tooth Prevalence: In 7 studies of prevalence ofpathologyrelatedtothirdmolars, reportingofpericoronitis was notundertaken withclarityor consistency although itisthe most common stated reason for removal.Von Wowern16found 10%of a sample of 130 students followed over 4 years developed pericoronitis. In a similar studentgroup age 18-21 years Richardson95noted thatin76 subjects with112 teeth, 17 lower thirdmolars in9subjects were removedfor recurrentepisodes ofpericoronitis (i.e.: 11% or 3-4% pa). A prospective studybyBruce et alconfirmedpericoronitis tobethe most frequent reason (in 40%of patients)for third molar removal in different age groups63 while the proportions inother studies have varied between 8-59%.64 65 964.2 Unrestorable caries 14 20 23 24 66 67Prevalence:van der Linden etal1995 ina reviewof1001 patients whose third molars were removed aged 13-75 years reported caries in7.1%ofimpacted third molars and in42.7% of adjacent molars (gigi of2872 204 dan 1227 masing-masing).804.3 bebas-treatablepulpaland/atau periapicalpathology2 4 144.4 selulitis, abses andosteomyelitis 2 4 14Prevalensi: ofinfective penyakit (includingpericoronitis)between4.7%69dan 5%684.5 penyakit periodontal14Geraham ketiga yang terkena dampak terkait withperiodontallyinvolved adjacent(usuallysecond molar) gigi harus dihapus awal karena penyakit dapat ireversibel oleh 30 tahun.25 Thisisparticularly pentinginsmokers tempat periodontaldisease mungkin kemajuan pesat.Prevalensi: antara 1-4,5%204.6 kelainan orthodontik. Pada beberapa pasien mungkin ada indikasi untuk removalofunerupted atas geraham ketiga sebelum permulaan maksilaris penyusutan yang akan mengakibatkan impaksi mereka.Namun ada sedikit Rasionale berdasarkan bukti-bukti yang hadir untuk eksisi rendah geraham ketiga semata-mata untuk meminimalkan hadir atau masa depan berkerumun oflower gigi anterior20 24 26 27 28 29 30 314.7 penghapusan profilaksis dalam kehadiran ofspecific kondisi medis dan bedah. Ini termasuk endocardial/katup jaringan parut/kelainan predisposisi untuk bakteri Endokarditis, organ transplantasi, alloplasticimplants, kemoterapi radioterapi15 324.8 Facilitationofrestorative treatmentincludingprovisionofprosthesis. Meletus geraham ketiga yang dapat dipertahankan ina negara ofhealth tetap dipertahankan sebagai potensi tiruangigi atau untuk pemeliharaan ofverticaldimension.144.9 Internal/eksternal resorpsi gigi atau gigi yang berdekatan 1420 24 26 33 34 35 36Prevalence:inthe range 2%- 5%64 68 69 70 4.10 Paindirectly relatedtoa thirdmolar 15It is important to avoid an erroneous diagnosis of third molar related pain which may in reality be associated withthe temporomandibular jointand masticatory musculature. Prevalence:greatvariation has been reported between 5 - 53%16 and 18.4%

Hasil (Bahasa Indonesia) 2:

Ada disagreementaboutthe kesesuaian gigi molar tiga removalof unassociated withlocal
patologi tetapi ada isno nilai controversyaboutthe dari removalof yang berdampak molar ketiga ketika theyare
terkait dengan pathologicalchanges.
14
Satu atau lebih dapat diterapkan dalam setiap kasus.
4 14
4.1 orprevioushistory jelas baru ofinfectionincludingpericoronitis
14 16 20 21 22 99
indikasi ini akan umumnya mengecualikan sementara / membatasi diri 'peradangan' yang mungkin terkait dengan
normaleruption ofany gigi
Prevalensi: Dalam 7 studi ofpathologyrelatedtothirdmolars prevalensi, reportingofpericoronitis
itu notundertaken withclarityor konsistensi meskipun itisthe Alasan lain yang paling umum untuk dihapus.
Von Wowern
16
ditemukan 10% dari sampel 130 siswa mengikuti lebih dari 4 tahun mengembangkan perikoronitis. Dalam
usia yang sama studentgroup 18-21 tahun Richardson
95
mencatat thatin76 pelajaran with112 gigi, 17 lebih rendah
thirdmolars in9subjects yang removedfor recurrentepisodes ofpericoronitis
(yaitu: 11% atau 3-4% pa). Sebuah calon studybyBruce et alconfirmedpericoronitis tobethe paling
alasan sering (dalam 40% dari pasien) untuk pengangkatan gigi molar ketiga kelompok usia yang berbeda
63
sedangkan
proporsi penelitian inother bervariasi antara 8-59%.
64 65 96
4.2 karies unrestorable
14 20 23 24 66 67
Prevalensi: van der Linden etal1995 ina reviewof1001 pasien yang gigi molar tiga telah dihapus
berusia 13-75 tahun dilaporkan karies in7.1% ofimpacted molar ketiga dan in42.7% dari geraham yang berdekatan
. (204 dan 1227 of2872 gigi masing-masing)
80
4.3 Non-treatablepulpaland / atau periapicalpathology
2 4 14
4.4 Selulitis, abses andosteomyelitis
2 4 14
Prevalensi: Penyakit ofinfective (includingpericoronitis) between4.7%
69
dan 5%
68
4.5 Penyakit periodontal
14
gigi molar tiga yang terkena dampak terkait withperiodontallyinvolved berdekatan (molar usuallysecond) gigi
harus dihapus sedini Penyakit mungkin ireversibel 30 tahun.
25
Thisisparticularly penting
insmokers mana periodontaldisease dapat berkembang dengan cepat.
Prevalensi: antara 1% - 4,5%
20
. 4.6 kelainan Ortodonti
Pada beberapa pasien mungkin ada indikasi untuk removalofunerupted molar ketiga atas sebelum
dimulainya maxillary retraksi yang akan menghasilkan impaction.However mereka ada sedikit
alasan berdasarkan bukti hadir untuk eksisi molar ketiga bawah semata-mata untuk meminimalkan hadir atau
masa depan berkerumun oflower gigi anterior
20 24 26 27 28 29 30 31
4.7 penghapusan profilaksis dengan adanya ofspecific medis dan Kondisi bedah.
Ini termasuk endocardial / katup jaringan parut / kelainan predisposisi endokarditis bakteri, organ
transplantasi, alloplasticimplants, kemoterapi / radioterapi
15 32
4.8 Facilitationofrestorative treatmentincludingprovisionofprosthesis.
Meletus molar ketiga yang dapat dipertahankan negara ina ofhealth dapat dipertahankan sebagai potensi abutment
gigi atau untuk . pemeliharaan ofverticaldimension
14
4.9 internal / eksternal resorpsi gigi atau gigi yang berdekatan
1420 24 26 33 34 35 36
Prevalensi: inthe kisaran 2% - 5%
64 68 69 70
4.10 Paindirectly relatedtoa thirdmolar
15
Hal ini penting untuk menghindari diagnosis yang salah dari gigi molar ketiga Nyeri yang terkait yang mungkin pada kenyataannya akan
terkait withthe temporomandibular jointand otot pengunyah.
Prevalensi: greatvariation telah dilaporkan antara 5-53%
16
dan 18,4%