Comprehensive review of lower third molar management: A guide for improved informed consent

Joe Iwanaga; Yuki Kunisada; Masanori Masui; Kyoichi Obata; Yohei Takeshita; Kotaro Sato; Shogo Kikuta; Yushi Abe; Yuki Matsushita; Jingo Kusukawa; R Shane Tubbs; Soichiro Ibaragi

doi:10.1002/ca.23693

Comprehensive review of lower third molar management: A guide for improved informed consent

Clin Anat. 2021 Mar;34(2):224-243. doi: 10.1002/ca.23693. Epub 2020 Oct 22.

Authors

Joe Iwanaga^{1

2

3

4}, Yuki Kunisada⁵, Masanori Masui⁵, Kyoichi Obata⁵, Yohei Takeshita⁶, Kotaro Sato⁷, Shogo Kikuta³, Yushi Abe³, Yuki Matsushita^{8

9}, Jingo Kusukawa³, R Shane Tubbs^{1

2

10

11

12}, Soichiro Ibaragi⁵

Affiliations

¹ Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, USA.
² Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, Louisiana, USA.
³ Dental and Oral Medical Center, Kurume University School of Medicine, Fukuoka, Japan.
⁴ Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Fukuoka, Japan.
⁵ Department of Oral and Maxillofacial Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
⁶ Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
⁷ Department of Oral and Maxillofacial Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
⁸ University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
⁹ Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
¹⁰ Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, Louisiana, USA.
¹¹ Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, Louisiana, USA.
¹² Department of Anatomical Sciences, St. George's University, St. George's, Grenada.

PMID: 33058276
DOI: 10.1002/ca.23693

Abstract

Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta-analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

Keywords: complications; iatrogenic; nerve injury; oral surgery; tooth extraction; wisdom tooth.

Publication types

Review

MeSH terms

Humans
Informed Consent*
Mandible / surgery*
Molar, Third / surgery*
Postoperative Complications / etiology*
Tooth Extraction / methods*