INDIVIDUALIZED APPROACH TO THE SURGICAL EXTRACTION OF IMPACTED AND SEMI-IMPACTED WISDOM TEETH

Background: Surgical interventions for the removal of impacted and semi-impacted third molars remain one of the most relevant and scientifically debated topics today. The methods of either complete (intact) or sectional extraction have specific indications and contraindications depending on the particular clinical scenario. Each technique has its
own advantages and disadvantages, as well as proponents and opponents.
Purpose of this article is to clarify the indications for the use of the intact extraction technique for impacted and semiimpacted third molars, based on theoretical analysis and clinical experience, and to address the issue of possible complications and their prevention.
Methods – the article is based on an analysis of clinical cases described in the literature, as well as on the results of our own practical and clinical experience.
Our clinical choice favored the intact extraction technique for impacted and semi-impacted third molars; however, we do not disregard nor diminish the significance of sectional extraction.
Based on dynamic postoperative monitoring and final outcomes, we consider this scientific-practical research successfully completed.
Conclusion. Drawing on our clinical experience and obtained results, we recommend performing extraction of impacted and semi-impacted third molars with maximal preservation of tooth integrity, avoiding segmentation of the crown and/or roots, as such segmentation may lead to complications. The use of this intervention is justified only when clear indications are present and contraindications are absent.