Evaluation of Third Molars According to the Operative Difficulty Score

Authors : Görkem Tekin, Gizem Çalışkan, Nesrin Saruhan Köse

Pages : 81-84

Doi:10.37990/medr.1561673

View : 42 | Download : 59

Publication Date : 2025-01-15

Article Type : Research Paper

Abstract :Aim: Third molars (M3) are the most common type of impacted tooth, and the prevalence of impaction varies between 27% and 68.8%. The aim of this study was to evaluate M3 according to their operative difficulty score and angulation. Material and Method: A total of 1000 patients who returned to our clinic for M3 extraction were included in the study. Preoperative clinical and radiological operative difficulty scores (ODS) and angulations were evaluated from 0 to 6. Descriptive statistics were performed. Results: When M3 were evaluated according to ODS, 343 (34.3%) were ODS 1, 106 (10.6%) were ODS 3, 327 (32.7%) were ODS 4, 188 (18.8%) were ODS 5 and 36 (3.6%) were ODS 6. When evaluated according to their angulations, 621 (62.1%) M3 were found in the vertical position, 184 (18.4%) in the mesioangular position, 70 (7%) in the horizontal position, 104 (10.4%) in the distoangular position, and 21 (2.1%) in the buccolingual-palatal position. Conclusion: This study will allow the evaluation of the level of difficulty before the operation in the surgery of the M3 and the creation of a better treatment plan. Thus, perioperative and postoperative complications can be minimized.
Keywords : Classification, oral surgery, third molar