Back to results

Extraction of Mandibular Third Molars: a comparison of current practice with RCS guidelines

Mandibular Third Molars, otherwise known as ‘Wisdom teeth’ are the last teeth to develop in the permanent dentition. Ideally they should erupt fully in a functional position and are pain and disease free. At times they may not fully erupt and/or are associated with a disease process, risking the health of the neighboring teeth and the surrounding soft tissue. Their Extraction follows an assessment of the individual case, where a decision to extract is taken when the benefits of removal outweigh the risks of the procedure. Guidelines provided by the Royal College of Surgeons give an evidence-based approach to wisdom teeth extractions, providing a concise guide and clear indications to treatment.
This research program will be conducted in the Cork University Dental School and Hospital oral surgery department. Records of 500 randomly selected private and HSE patients who had previously attended regarding mandibular third molar extractions will be examined to obtain and collate details of the indications behind the decision to extract, comparing that to the RCS guidelines. The information will then be analyzed to give an overview of the relative approach the department has to the extraction of Mandibular Third Mandibular, providing a valuable insight into patient care. The HSE medical card referrals will be subject to further analysis to establish if they are in accordance with RCS guidelines, giving an overall understanding for the cost-effectiveness of the HSE referrals.