ORIGINAL RESEARCH
Dentistry
doi: 10.25005/2074-0581-2025-27-3-672-682
CONSIDERATIONS FOR PROPHYLACTIC ORTHODONTIC GERMECTOMY TO PREVENT COMPLICATIONS FROM RETAINED THIRD MOLARS

D.A. YUNUSOV, M.SH. SULTANOV

Department of Orthopedic Dentistry, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: o evaluate the effectiveness of prophylactic germectomy for the development of malocclusions caused by improper dentition. Additionally, the study will compare the risk of complications associated with germectomy to those encountered during the removal of completely formed third molars.

Methods: Out of 300 patients examined using the Turley method, 36 individuals were indicated for germectomy. Group A consisted of 16 patients aged 9 to 12 years, who had a total of 28 teeth removed. Group B included 20 patients aged 13 to 17 years, with 46 teeth removed. The control group, Group C, consisted of 32 individuals aged 18 years and older. These participants had 54 completely formed teeth removed, with the extractions occurring at a depth classified as Grade III according to the Pell and Gregory classification. This classification indicates that the teeth were entirely below the bone level. Additionally, Groups A and B were analyzed using the Gaivoronsky method. A comparative assessment of germectomy was conducted between the two age groups (A and B) and the control group (C), which involved already impacted teeth.

Results: In group A, 28 tooth extractions were performed, and only one complication was observed, among the possible risks of secondary infection, bleeding, trismus, alveolar nerve paresthesia, or alveolitis. In group B, 46 extractions were carried out, resulting in two complications. Meanwhile, the control group C had 54 extractions with seven complications recorded.

Conclusion: Germectomy is recommended during early adolescence if an improperly erupting or abnormally positioned rudimentary third molar is detected in the upper or lower jaw through X-ray examination, following measurements using the Turley and Gaivoronsky method. These teeth can damage adjacent teeth and may contribute to dental problems.

Keywords: Wisdom teeth, impacted teeth, tooth extraction, germectomy, Turley's method, Gaivoronsky's method.

Download file:

References
  1. Mazur M, Ndokaj A, Marasca B, Sfasciotti GL, Marasca R, Bossù M, et al. Clinical indications to germectomy in pediatric dentistry: A systematic review. Int J Environ Res Public Health. 2022;19(2):740. doi: 10.3390/ijerph19020740
  2. Poyarkova TA, Voykovskiy OV, Kovalyova NS, Stefantsov NM. Diagnostika i lechenie zatrudnyonnogo prorezyvaniya nizhnikh tret'ikh molyarov, oslozhnyonnogo perikoronitom [Diagnostics and treatment of difficulty teething of the lower third molars complicated by pericoronitis]. Vestnik Smolenskoy gosudarstvennoy meditsinskoy akademii. 2014;13(3):52-5.
  3. Iordanishvili AK, Korovin NV, Serikov AA. Anatomo-topometricheskie kharakteristiki chelyustey pri prorezyvanii i retentsii zubov mudrosti [Anatomical and topometric characteristics of the jaws when teething and retention of wisdom tooths]. Problemy stomatologii. 2017;13(3):53-6. https://doi. org/10.18481/2077-7566-2017-13-3-53-56
  4. Ludovichetti FS, Mazzoleni S, Menin M, Parcianello RG, Romanowski F, Stellini E, et al. Marginal and para-marginal technique in late germectomy of lower third molars. Children (Basel). 2023;10(6):1077. https://doi.org/10.3390/ children10061077
  5. Kulakova AA, Robustova TG, Nerobeev AI (red.) Khirurgicheskaya stomatologiya i chelyustno-litsevaya khirurgiya. Natsional'noe rukovodstvo [Surgical dentistry and maxillofacial surgery: National Guide]. Moscow, RF: GEOTAR-Media; 2015. 928 p.
  6. Gayvoronskiy IV, Gayvoronskaya IG, Ponomaryov AA, Farafonova YuA. Osobennosti asimmetrii nizhney chelyusti pri retentsii zubov mudrosti [Features of the asymmetry of the lower jaw with the retention of the wisdom teeth]. Chelovek i ego zdorov'e. 2016;4:77-82. https://doi.org/10.21626/ vestnik/2016-4/13
  7. Kovalchuk EV, Lyubimova AS. Udalenie retenirovannykh tret'ikh molyarov nizhney chelyusti [Removal of the retained third molars of the lower jaw]. Innovatsii. Nauka. Obrazovanie. 2020;13:768-73.
  8. Utesheva AYu. Zuby «mudrosti» – «To be or not to be...»? [Wisdom teeth – "To be or not to be ..."?]. Byulleten' meditsinskikh internet-konferentsiy. 2017;7(10):1504-6.
  9. Gayvoronskiy IV, Nikolenko VN, Iordanishvili AK, Gayvoronskaya MG, Ponomaryov AA. Anatomicheskie prichiny razvitiya retentsii tret'ikh molyarov na nizhney chelyusti [Anatomical reasons for the development of the retention of third molars on the lower jaw]. Chelovek i ego zdorov'e. 2015;2:61-5.
  10. Chernets TI, Pavlov OM. Obosnovanie udaleniya tret'ikh nizhnikh molyarov na raznykh stadiyakh formirovaniya zubov u patsientov v vozraste 16-20 let [Justification of the removal of third lower molars at different stages of teeth formation in patients aged 16-20 years]. Molodoy uchyonyy. 2018;41:16-21.
  11. Magomedov TB, Dobrovolskiy GA, Muzurova LV, Suetenkov DE. Vozrastnaya izmenchivost' morfometricheskikh parametrov nizhney chelyusti u detey i yunoshey [Age-related variability of the morphometric parameters of the lower jaw in children and youths]. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki. 2012;2:3-10.
  12. Fomichyov IV, Fleysher GM. Lechenie bol'nykh s narusheniem prorezyvaniya nizhnikh tret'ikh molyarov [Treatment of patients with impaired teething of the lower third molar]. Problemy stomatologii. 2014;10(4):40-2.
  13. Vasilchenko GA, Iordanishvili AK. Analiz teoriy zatrudnyonnogo prorezyvaniya zubov [Analysis of theories of difficulty teething]. Ekologiya i razvitie obshchestva. 2015;2:101-2.
  14. Arsenina OI, Shishkin KM, Shishkin MK, Popova NV. Tret'i postoyannye molyary. Ikh vliyanie na zuboal'veolyarnye dugi [Third permanent molars. Their influence on the dental arcs]. Rossiyskaya stomatologiya. 2016;9(2):33-40. https://doi. org/10.17116/rosstomat20169233-40

Authors' information:

Yunusov Daler Abdulganievich,
Postgraduate Student of the Department of Orthopedic Dentistry, Avicenna Tajik State Medical University
ORCID ID: 0009-0008-2848-4613
E-mail: daler1390@gmail.com

Sultanov Mekhribon Shamsievich,
Doctor of Medical Sciences, Professor of the Department of Orthopedic Dentistry, Avicenna Tajik State Medical University
Researcher ID: HKD-9284-2023
ORCID ID: 0000-0002-1603-1480
SPIN: 3805-6431
Author ID: 1185424
E-mail: eurodent.tj@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Yunusov Daler Abdulganievich
Postgraduate Student of the Department of Orthopedic Dentistry, Avicenna Tajik State Medical University

734026, Republic of Tajikistan, Dushanbe, Sino str., 29-31

Tel.: +992 (904) 425225

E-mail: daler1390@gmail.comu


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
  1. DIAGNOSTIC SIGNIFICANCE OF IDENTIFYING PERIODONTAL PATHOGENS OF PROSTHETIC PERIODONTITIS IN DIABETIC PATIENTS
  2. ANTIBACTERIAL AND OSTEOINDUCTIVE DENTAL IMPLANT SURFACE NANOPARTICLE COATINGS
  3. COMPARISON OF CLINICAL DIAGNOSIS AND HISTOPATHOLOGICAL FINDINGS IN CHRONIC PERIAPICAL LESIONS
  4. EVOLUTION OF DENTAL HYGIENE STUDENTS' PERSPECTIVES ON ORAL HEALTH IN PRECLINICAL AND CLINICAL YEARS OF MEDICAL EDUCATION
  5. A PRACTICAL APPLICATION OF ADDITIVE MANUFACTURING TECHNOLOGY IN ORTHODONTIC TREATMENT: CASE PRESENTATION
  6. EVALUATION OF THE AESTHETIC RESULT OF A SINGLE DENTAL IMPLANT PROSTHETICS
  7. APPLICATION OF TOUCHLESS METHODS FOR MAKING ENTRIES IN DENTAL RECORDS
  8. EVALUATION OF FITTING ACCURACY OF METAL FRAMEWORKS OF FIXED DENTURES DEPENDING ON THEIR LENGTH
  9. Use a cu stom-mad e CAD probe holders for periodontal microcircu lation assessment by laser Doppler flowmetry
  10. ELECTRON MICROSCOPIC PROPERTIES OF A NEW ANTIMICROBIAL NANODRUG BASED ON COPPER-CALCIUM HYDROXIDE COMPOUND

◄ Back to the list