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Third molar surgical difficulty scales:systematic review and preoperative assessment form

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Third molar surgical difficulty scales:systematic review and preoperative assessment form

dc.contributor.author	Gay-Escoda, Cosme	es
dc.contributor.author	Sánchez-Torres, Alba	es
dc.contributor.author	Borrás Ferreres, Jordi	es
dc.contributor.author	Valmaseda Castellón, E.	es
dc.date.accessioned	2023-06-16T08:36:46Z
dc.date.available	2023-06-16T08:36:46Z
dc.date.issued	2022	es
dc.identifier.citation	Gay-Escoda, C., Sánchez-Torres, A., Borrás-Ferreres, J., & Valmaseda-Castellón, E. (2022). Third molar surgical difficulty scales: systematic review and preoperative assessment form. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e68-e76). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24951	es
dc.identifier.uri	https://hdl.handle.net/10550/88095
dc.description.abstract	The main objective of this systematic review was to collect the pre-existing scales for assessing the difficulty of third molar extraction. The secondary objective was to design a proposal for a preoperative evaluation protocol for the difficulty of third molar extraction. Two independent researchers conducted an electronic search in Pubmed (MEDLINE), Cochrane, and Scopus databases during March 2021. Included studies evaluated the prediction of the difficulty of surgical removal of impacted upper or lower third molars using new indices/scales or pre-existing scales with or without modifications. Articles referring to coronectomies or assessing pre-surgical difficulty using other tools were excluded. Neither language nor publication date restrictions were applied. Out of 242 articles, 13 prospective cohort studies were finally selected. Seven developed new indices/scales, and 6 assessed the predictive ability of some pre-existing scales. Most of the indices/scales contained radiological variables and few added any patient-related variables. We proposed a preoperative assessment protocol of the difficulty of third molar extraction to facilitate treatment planning and/or considerate referral in cases of high difficulty. This proposal used patient-related, radiological and surgical variables. Using a preoperative protocol to evaluate the surgical difficulty, including different patient-specific, radiological and surgical variables, could facilitate treatment planning, help clinicians prevent complications and assess the possibility of referral.	es
dc.subject	cone beam computed tomography	es
dc.subject	orthopantomogram	es
dc.subject	clinical decision-making	es
dc.subject	oral infectious foci	es
dc.subject	infective endocarditis	es
dc.subject	delphi study	es
dc.title	Third molar surgical difficulty scales:systematic review and preoperative assessment form	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.24951	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8719785/