Role of third molars in orthodontics

doi:10.12998/wjcc.v3.i2.132

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World Journal of Clinical Cases

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World J Clin Cases. Feb 16, 2015; 3(2): 132-140
Published online Feb 16, 2015. doi: 10.12998/wjcc.v3.i2.132

Role of third molars in orthodontics

Konstantinia Almpani, Olga-Elpis Kolokitha

Konstantinia Almpani, Forsyth Institute, Boston, MA 02115, United States

Olga-Elpis Kolokitha, Department of Orthodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University, GR-54124 Thessaloniki, Greece

Author contributions: Almpani K and Kolokitha OE contributed equally to this work.

Conflict-of-interest: There is no conflict of interest to be declared regarding the material discussed in this study.

Correspondence to: Olga-Elpis Kolokitha, DDS, MSD, Dent, Department of Orthodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University, University Campus, GR-54124 Thessaloniki, Greece. okolok@dent.auth.gr

Telephone: +30-2310-999556 Fax: +30-2310-999549

Received: July 28, 2014
Peer-review started: July 30, 2014
First decision: September 29, 2014
Revised: November 15, 2014
Accepted: November 27, 2014
Article in press: December 1, 2014
Published online: February 16, 2015
Processing time: 191 Days and 18 Hours

Abstract

The role of third molars in the oral cavity has been extensively studied over the years. Literature includes numerous diagnostic and treatment alternatives regarding the third molars. However, an issue that has not been discussed at the same level is their involvement in orthodontic therapy. The aim of this study is to present a review of the contemporary literature regarding the most broadly discussed aspects of the multifactorial role of third molars in orthodontics and which are of general dental interest too.

Keywords: Crowding; Extraction; Eruption; Third molar; Orthodontics; Impaction

Core tip: There are multiple factors associated with the eruption or impaction of third molars. According to the existing literature, orthodontic extraction treatment is not directly associated with the eruption of third molars, but might have a positive effect on their position and angulation. There is currently no reliable research evidence supporting the prophylactic removal of non-pathological impacted third molars for the prevention or relief of mandibular incisor crowding.