Gömülü Üçüncü Molar Dişlerin Cerrahi Çekimi Üzerine Oluşturulmuş Zorluk Skalalarının İncelenmesi: Derleme

Ağız diş ve çene cerrahisi uygulama alanında en sık yapılan operasyonlardan biri gömülü 20 yaş dişlerinin çekimidir. İşlem öncesi çekim zorluğunun değerlendirilmesi hekimin cerrahi işlemi kendisinin yapıp yapmamaya karar vermesinden, operasyon zamanı ve planlamasına kadar birçok şeyi değiştirebilir. Vakaların yüksek çeşitliliği sebebiyle cerrahi zorluğu artıran faktörlerin değerlendirilmesi zordur. Cerrahın deneyimine dayalı olarak cerrahi zorluğu tahmin etme yeteneği tartışmalıdır. Bu durum cerrahlar için her vakada kullanabileceği, cerrahi zorluğun tahminini verecek kanıta dayalı bir sistemin gerekliliğini ortaya çıkarmıştır. Literatürde bu ihtiyacı gidermek adına 1976’dan günümüze dek yapılmış çalışmaların önerdiği sistemlerin bazıları çelişkili raporlar içermekte, bazılarıysa birbirini tekrar niteliğinde olan varyasyonlar barındırmakta ve karışıklığa sebep olmaktadır. Bu derlemenin amacı gömülü 20 yaş çekim zorluğunu değerlendirmek için oluşturulmuş çalışmaları toplamak ve klinik kullanıma en uygun güçlü ve güncel kanıtların oluşturulmasını sağlamaktır. Bu derlemede Pubmed, Cohrane, Google Scholar platformları üzerinden anahtar kelimelerle Türkçe ve İngilizce bulunan makaleler taranmış ve son on yılda yayınlanan ve çokça atıf alan konu ile direk ilgili literatürler incelemeye alınmıştır.

Anahtar Kelimeler:

Üçüncü molar zorluk sınıflaması, Üçüncü molar zorluk skalası, Üçüncü molar zorluk indeksi

: Investigation of Difficulty Scales Based on Surgical Extraction of Impacted Third Molars: Review

One of the most common operations in the field of oral and maxillofacial surgery is the extraction of impacted third molars. Evaluation of the difficulty of extraction before the procedure can change many things, from the physician’s decision whether to perform the surgical procedure himself, to the time and planning of the operation. Due to the high diversity of cases, factors that increase surgical difficulty are difficult to assess. The ability to predict surgical difficulty based on the surgeon’s experience is controversial. This situation has revealed the necessity of an evidence-based system to estimate surgical difficulty that surgeons can use in every case. In order to meet this need in the literature, some of the systems proposed by the studies conducted since 1976 contain contradictory reports, while others contain variations that repeat each other and cause confusion. The purpose of this review is to collect studies that have been established to evaluate the impacted third molars extraction difficulty and to provide the strongest and up-to-date evidence most relevant to clinical use. In this review, articles in Turkish and English were searched on Pubmed, Cohrane, Google Scholar platforms with keywords, and the literature directly related to the subject, which was published in the last ten years and received many references, was examined.

Keywords:

Wisdom teeth difficulty index;, Third molar difficulty scale, Third molar difficulty guide,

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