Factors associated with indication of prophylactic extraction of the lower third molar in orthodontic practice

Creysi Puyén-Goicochea; Mariano Ortiz-Pizarro; Daniel-José Blanco-Victorio; Victor Serna-Alarcón

doi:10.4317/jced.61374

Factors associated with indication of prophylactic extraction of the lower third molar in orthodontic practice

J Clin Exp Dent. 2024 Mar 1;16(3):e343-e349. doi: 10.4317/jced.61374. eCollection 2024 Mar.

Authors

Creysi Puyén-Goicochea¹, Mariano Ortiz-Pizarro², Daniel-José Blanco-Victorio³, Victor Serna-Alarcón⁴

Affiliations

¹ Private practice, Chiclayo, Peru.
² Escuela de Medicina, Universidad César Vallejo, Trujillo, Peru.
³ Escuela de Medicina, Universidad Señor de Sipán, Chiclayo, Peru.
⁴ Escuela de Medicina, Facultad de Medicina, Universidad Privada Antenor Orrego, Trujillo, Peru.

Abstract

Background: To date, there is no consensus on the factors that influence on indication for prophylactic extraction of the third molar, however it is a common indication in orthodontics. Aim: To determine the factors associated with indication of prophylactic extraction of the lower third molar in orthodontic practice.

Material and methods: This cross-sectional analytical study used an online survey to obtain responses from 100 professionals with clinical practice in orthodontics. The Survey Monkey software was used to enter a valid and reliable questionnaire of 11 questions to obtain demographic and clinical information of the professional, as well as some patient conditions that could be considered in a possible indication for prophylactic extraction. The questionnaire was sent through social networks and instant messaging applications. Chi Square test was used to evaluate associated factors and binomial logistic regression to identify risk or protective factors.

Results: Factors significantly associated with indication of prophylactic extraction of the lower third molar were experience in orthodontics (p-value = 0.060; OR=0.325), characteristics of impaction (p-value = 0.012; OR=3.689), prevention of pericoronitis (p-value = 0.014; OR=3.769) and help stability of treatment results (p-value = 0.002; OR=6.074).

Conclusions: The risk factors to indication for prophylactic extraction of the lower third molar were impaction of the third molar, prevention of pericoronitis and helping the stability of the results after treatment. Furthermore, experience in orthodontics was identified as a protective factor for this indication. Key words:Orthodontics, risk factors, third molar, tooth extraction.