NICE guidelines for M3Ms Flashcards
1
Q
What is the main recommendation for management of wisdom teeth from the NICE guidelines?
A
prophylactic removal of pathology free impacted 3rd molars should be discontinued in the NHS
surgical removal of impacted 3rd molar should be limited to patients with evidence of pathology
2
Q
Outline the pathologies that warrant surgical removal of impacted 3rd molars according to NICE guidelines
A
- unrestorable caries
- non-treatable pulpal and/or periapical pathology
- cellulitis
- abscess
- osteomyelitis
- internal/external resorption of the tooth or adjacent teeth
- fracture of tooth
- disease of follicle including cyst or tumour
- tooth/teeth impeding surgery or reconstructive jaw surgery
- tooth is involved in or within the fielf of tumour resection
- recurrence of pericoronitis/severe pericoronitis
although the degree to which the severity or recurrence rate of pericoronitis should influence removal of 3rd molars remains unclear
3
Q
What are the reasons why NICE has recommended that impacted wisdom teeth that are free from disease should not be operated on ?
A
- no reliable research to suggest that this practise benefits patient
- patient who have healthy wisdom teeth removed are exposed to the risks associated with the surgery
