Extraction of Impacted Lower 3rd Molars immediately after the Single Visit Endodontic treatment of 2nd Molar – A Case Series

Year : 2025 | Volume : 16 | Issue : 02 | Page : 6 11
    By

    Maddukuri Raja Sekhar,

  • Palivela Manvitha,

  • Begari Swarnalatha,

  • Swetha Puram,

  1. Dentist, Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad, Telangana, India
  2. Dentist, Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad, Telangana, India
  3. Dentist, Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad, Telangana, India
  4. Clinical Head, Department of Dentistry, Area Dental Hospital, KPHB, Hyderabad, Telangana, India

Abstract

Patients who visit a dental clinic often anticipate fewer appointments and quicker recovery times. This expectation is particularly relevant when discussing impacted lower third molars in conjunction with decayed second molars. Dentists often struggle with the decision of whether to start endodontic treatment on the second molar or to proceed with extracting the third molar. This dilemma arises due to the absence of sufficient research or documentation specifically addressing the best approach in such cases. Without clear guidelines, treatment decisions are often based on clinical judgment and patient-specific factors. To bridge this gap, this series of case reports aims to highlight the advantages of performing both root canal treatment on the second molar and the extraction of the third molar in a single appointment. This approach may reduce the number of clinical visits, minimize anesthesia use, and promote simultaneous healing, ultimately benefiting both patients and practitioners.

Keywords: Single Visit Dentistry, Endodontic Treatment, Impaction, 2nd Molars, 3rd Molars, Extraction

[This article belongs to Research and Reviews: A Journal of Dentistry ]

How to cite this article:
Maddukuri Raja Sekhar, Palivela Manvitha, Begari Swarnalatha, Swetha Puram. Extraction of Impacted Lower 3rd Molars immediately after the Single Visit Endodontic treatment of 2nd Molar – A Case Series. Research and Reviews: A Journal of Dentistry. 2025; 16(02):6-11.
How to cite this URL:
Maddukuri Raja Sekhar, Palivela Manvitha, Begari Swarnalatha, Swetha Puram. Extraction of Impacted Lower 3rd Molars immediately after the Single Visit Endodontic treatment of 2nd Molar – A Case Series. Research and Reviews: A Journal of Dentistry. 2025; 16(02):6-11. Available from: https://journals.stmjournals.com/rrjod/article=2025/view=209540


References

  1. Friedman JW. The prophylactic extraction of third molars: a public health hazard. Am J Public Health. 2007 Sep;97(9):1554-9. doi:10.2105/AJPH.2006.100271.
  2. Duarte-Rodrigues L, Miranda EP, Souza TO, De Paiva HN, et al. Third molar removal and its impact on quality of life: systematic review and meta-analysis. Qual Life Res. 2018 Oct;27(10):2477-89. doi:10.1007/s11136-018-1899-7.
  3. Hounsome J, Pilkington G, Mahon J, et al. Prophylactic removal of impacted mandibular third molars: a systematic review and economic evaluation. Health Technol Assess. 2020;24(30):1-116. doi:10.3310/hta24300.
  4. Coulthard P, Bailey E, Esposito M, Furness S, Renton TF, Worthington HV. Surgical techniques for the removal of mandibular wisdom teeth. Cochrane Database Syst Rev. 2014 Jul 29;(7):CD004345. doi:10.1002/14651858.CD004345.pub2.
  5. Malkawi Z, Al-Omiri MK, Khraisat A. Risk indicators of postoperative complications following surgical extraction of lower third molars. Med Princ Pract. 2011;20(4):321-5. doi:10.1159/000323768.
  6. Candotto V, Oberti L, Gabrione F, Scarano A, Rossi D, Romano M. Complication in third molar extractions. J Biol Regul Homeost Agents. 2019;33:169-72.
  7. Aniko-Włodarczyk M, Jaroń A, Preuss O, Grzywacz A, Trybek G. Evaluation of the effect of surgical extraction of an impacted mandibular third molar on the periodontal status of the second molar: a prospective study. J Clin Med. 2021;10(12):2655. doi:10.3390/jcm10122655.
  8. Kaplan H, Milobsky L, Kaplan L. Endodontics and periradicular surgery—a one-sitting procedure. NY J Dent. 1960;30:253-8.
  9. Ferranti P. Treatment of the root canal of an infected tooth in one appointment: a report of 340 cases. Dent Digest. 1959;65:490-4.
  10. Figini L, Lodi G, Gorni F, Gagliani M. Single versus multiple visits for endodontic treatment of permanent teeth: a Cochrane systematic review. J Endod. 2008;34(9):1041-7. doi:10.1016/j.joen.2008.06.009.
  11. Oliet S. Single-visit endodontics: a clinical study. J Endod. 1983 Apr;9(4):147-52. doi:10.1016/S0099-2399(83)80123-3.
  12. Ashkenaz PJ. One-visit endodontics. Dent Clin North Am. 1984 Oct;28(4):853-63.

Regular Issue Subscription Case Study
Volume 16
Issue 02
Received 14/03/2025
Accepted 31/03/2025
Published 05/05/2025
Publication Time 52 Days


Login


My IP

PlumX Metrics