National survey: Avulsion of included wisdom teeth in mandibular orthognathic surgery

• Published in: Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale Vol. 117; no. 3; p. 131
• Main Authors: Caillot, A, Veyssière, A, Chatellier, A, Diep, D, Ambroise, A, Bénateau, H
• Format: Journal Article
• Language: French
• Published: France 01.06.2016
• Subjects: Adolescent; Adult; Clinical Competence - statistics & numerical data; France - epidemiology; Humans; Mandible - surgery; Molar, Third - surgery; Oral and Maxillofacial Surgeons - statistics & numerical data; Orthognathic Surgical Procedures - statistics & numerical data; Osteotomy - statistics & numerical data; Practice Patterns, Physicians' - statistics & numerical data; Surveys and Questionnaires; Time-to-Treatment - statistics & numerical data; Tooth Extraction - statistics & numerical data; Tooth, Impacted - epidemiology; Tooth, Impacted - surgery; Young Adult; Troisièmes molaires; Complication peropératoire; Sagittal split ramus osteotomy; Ostéotomies sagittales des branches montantes de la mandibule; Intraoperative complication; Third molars
• ISSN: 2213-6541
• DOI: 10.1016/j.revsto.2016.02.002

There is no recommendation concerning wisdom teeth (WT) extraction in mandibular orthognathic surgery. We carried out an investigation among the members of the French Society of Stomatology and Oro-maxillofacial Surgery (SFSCMFCO), in order to evaluate the practices and habits of maxillofacial surgeons in this field. We emailed the 424 members of the SFSCMFCO with a questionnaire. We obtained 143 feedbacks that could be exploited. In total, 72.5% of practitioners prefer WT to be extracted before performing a bilateral sagittal spilt osteotomy (BSSO). In this case, a period of 6 months between the two surgeries was considered as desirable by more than 70% of the surgeons. In total, 74.6% of the surgeons thought that the presence of WT could make a BSSO more complicated. However, 73.9% of the surgeons would not postpone the BBSO in a patient ready for surgery but with remaining impacted WT. A majority of surgeons think that the presence of impacted WT may complicate a BSSO and increases the risk of bad split. Most of the authors recommend extracting the impacted WT 6 months before BSSO at least. However, these potential complications are easy to overcome and don't compromise the final result. Therefore, we think that impacted WT should not delay a BSSO if the orthodontic preparation makes the patient ready for surgery.