Prophylactic Third Molar Removal: Are Oral Surgeons and Orthodontists Aligned in Preventive Approaches?

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Ipek Necla Guldiken, Serap Gulsever, Yagmur Malkoc, Zeynep Cukurova Yilmaz, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-3888248/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 11 Sep, 2024 Read the published version in BMC Oral Health → Version 1 posted 18 You are reading this latest preprint version Abstract Background: A consensus favors extracting impacted third molars in the presence of clinical symptoms, but no consensus exists on their management when asymptomatic. Healthcare professionals from different fields of expertise may approach the extraction of these teeth differently. Methods: This study aimed to compare the perspectives of oral surgeons and orthodontists regarding the indications for asymptomatic third molar removal. This cross-sectional study collected information by asking participants why they prefer extracting asymptomatic third molars. Descriptive statistics were used to evaluate the obtained data. The significance level was p<0.05. Results: Prophylactic extraction of partially impacted molars was more favored among the participants (p<0.01). The orthodontists preferred prophylactic extraction due to the risk of late anterior dental crowding (LADC); however, the surgeons preferred pre-pregnancy extractions (p<0.05). The extraction decision for partial impaction was higher in females when the risk of distal caries was considered. For fully impacted ones, it was higher in males when the risk of caries and pericoronitis were considered (p<0.05). Conclusions: Orthodontists preferred extraction because of the risk of LADC and caries, while surgeons focused on preventing pericoronitis, pathology, focal infection, and symptoms during pregnancy. This divergence between the participants may inform the guidelines for prophylactic management of third molars. These findings may be pertinent in gender medicine. Clinical relevance: This study has been enlightening for departments to consult each other before the extraction of a patient's asymptomatic third molar. Impacted teeth Prophylactic extraction Guidelines Asymptomatic third molar Figures Figure 1 Introduction Wisdom teeth are permanent third molars in the posterior jaw and usually erupt between 17 and 25 years of age. Third molars most frequently become impacted due to inadequate distance between the second molar tooth and the ascending ramus for the tooth to erupt and the abnormal developmental position of these teeth; an impacted wisdom tooth can sometimes partially emerge (defined as partially impacted), sometimes it cannot break through the bone and gums at all (defined as fully impacted) [1]. Complications of impaction of these teeth may be painful and annoying. Impacted wisdom teeth may cause inflammation in the related soft tissue, facilitate distal caries formation in the adjacent second molar, and cause surrounding pathologies such as cysts or tumors. Some dentists further argue that third molars cause late anterior dental crowding (LADC) and threaten the stability of orthodontic treatment results, but the role of these teeth in orthodontic relapse remains unclear[2]. A consensus favors extracting impacted third molars in the presence of clinical symptoms, but no consensus exists on their management when asymptomatic[3]. In addition, healthcare professionals from different fields of expertise may approach the extraction of these teeth differently. The American Association of Oral and Maxillofacial Surgeons (AAOMS) recommends that asymptomatic impacted third molars should be removed when they are probably dysfunctional, have an overlying removable prosthesis, have a different orthodontic justification (e.g., the tooth is preventing the second molar from erupting), and have planned orthognathic surgery; the National Health Service of the UK (NHS) recommends the removal of impacted third molars only where there is evidence of dental disease or recurrent infections, while the National Institute of Clinical Excellence (NICE) recommends that only patients with diseased wisdom teeth or other problems in their mouth (untreatable tooth decay, abscesses, cysts or tumors, tissue disease around the tooth, and the tooth interfering with another operation) should have their wisdom teeth removed. molars[4–6]. This study compares the perspectives of oral surgeons and orthodontists on prophylactic extraction of third molars and indications for extraction where third molars are asymptomatic but show varying degrees of impaction. In this comparison, the perspectives of female and male practitioners and the perspectives of trainees and senior practitioners have also been compared as sub-problems. Materials And Methods Ethics approval The Institutional Ethics Committee of the Istanbul Medipol University approved this cross-sectional study (file number: E-10840098-604.01.01-5450). It was conducted by the World Medical Association Declaration of Helsinki of 1975 as revised in 2000. Design and sample After obtaining informed consent, the researchers shared the study questionnaires with 250 orthodontists, oral surgeons and trainees from Turkey in full consideration of the possible loss of participants. A short letter requesting voluntary participation explained the survey’s aim. It introduced the questionnaire, generated via the internet-based survey tool Google Forms, and sent to participants via email and WhatsApp . The questionnaire required approximately 5 minutes to be completed. The first part of the survey collected demographic data from the participants (sex, age, academic degree, and profession). The second part presented participants with two different asymptomatic case scenarios for third molars regarding the extent of impaction (partially or fully impacted) and indications for removal. The five common indications were selected from the guidelines of AAOMS and NICE and regarding the authors' experience. Short descriptive sentences identified the reasons (indications) for the decision. All data was kept confidential by the research team. Data analysis An independent t-test was used to detect the sample size for the two independent groups. The sample size was calculated as 120 (60 for each group) based on a G-power analysis with an effect size of 0,60, a-an error probability of 0.05, and a power of 0.95. The NCSS program (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) performed the statistical analysis. Descriptive statistical methods (mean, standard deviation, median, frequency, percentage, minimum, maximum) were used to evaluate the study data. The Shapiro-Wilk test and graphical examinations were used to test the conformity of the quantitative data to the normal distribution. Dependent groups t-test was used for intra-group comparisons of normally distributed qualitative variables. The Pearson chi-square, Fisher's exact, and Fisher-Freeman-Halton exact tests were used to compare qualitative data. Statistical significance was accepted as p<0.05. Results Participants The study was conducted with 127 participants, 51.2% (n=65) female and 48.8% (n=62) male, using the internet-based survey tool Google Forms. 49.6% of the participants were oral surgeons, while 50.4% were orthodontists. On the other hand, 49.6% and 50/4% were trainees and specialists, as determined by their academic degrees. Analyzing the possible risk factors by extent of impaction, 74.0 % and 84.3 % of participants considered partially impacted third molars a risk factor for caries of an adjacent second molar tooth and development of symptoms during pregnancy. These were relatively higher than the other risk factors ( Fig. 1 ). Figure 1: Distribution of Prophylactic Extraction Preferences Regarding the Indications Gender and Age Effect In both genders, prophylactic extraction of partially impacted third molars was more supported than fully impacted third molars (p=0.001; p<0.01). In every age group, prophylactic extraction of partially impacted third molars was more supported than fully impacted ones (p=0.001; p=0.001; p=0.008; p<0.01). Women evaluated caries in the adjacent second molar tooth as a significant indication for prophylactic extraction of a partially impacted tooth more frequently than men (p=0.006; p<0.01). For the prophylactic extraction of the partially impacted third molar tooth, the risk of LADC after orthodontic treatment, the risk of focal infection, the risk of periodontal disease (pericoronitis), the risk of developing symptoms during pregnancy, and the risk of pathology around the impacted tooth (cyst, etc.) did not show a statistically significant difference according to the participants’ gender. The rate of evaluating the risk of periodontal disease (pericoronitis) and caries in the adjacent second molar tooth for the men participants as a prophylactic extraction indication of a fully impacted tooth was found to be statistically significantly higher than in the women (p=0.041, p=0.039; p<0.05) ( Table 1). The rate of evaluation of the risk of caries in the adjacent second molars as a prophylactic indication for extraction of the partially impacted tooth in the 30-50 age group was higher than those under the age of 30 and over the age of 50 (p=0.008; p<0.01). A significant difference was found according to age, considering the risk of pathology formation around the preserved impacted tooth as an indication for prophylactic extraction of a fully impacted tooth (p=0.007; p<0.01). In addition, as a prophylactic extraction indication for a fully impacted, the risk of pathology formation around the tooth was ranked higher in those under 30 years of age than those 30-50 and over 50 years of age ( Table 1 ). Table 1. Effects of Gender and Age on Prophylactic Extraction of Partially and Fully Impacted Third Molars Gender Female n (%) Male n (%) P-value Partially Impacted Third Molars Risk of LADC after orthodontic treatment 31 (47.7) 32 (51.6) a 0.659 Risk of focal infection 47 (72.3) 46 (74.2) a 0.810 Risk of periodontal disease (pericoronitis) 46 (70.8) 43 (69.4) a 0.862 Risk of being symptomatic during pregnancy 31 (47.7) 31 (50.0) a 0.795 Risk of caries at the adjacent second molar tooth 43 (66.2) 26 (41.9) a 0.006** Risk of pathology around the impacted tooth 30 (46.2) 31 (50.0) a 0.665 Fully Impacted Third Molars Risk of LADC after orthodontic treatment 31 (47.7) 32 (51.6) a 0.659 Risk of focal infection 26 (40.0) 33 (53.2) a 0.135 Risk of periodontal disease (pericoronitis) 27 (41.5) 37 (59.7) a 0.041* Risk of being symptomatic during pregnancy 15 (23.1) 18 (29.0) a 0.444 Risk of caries at the adjacent second molar tooth 6 (9.2) 14 (22.6) a 0.039* Risk of pathology around the impacted tooth 24 (36.9) 25 (40.3) a 0.694 Age 50 30-50 P-value n (%) n (%) n (%) Partially Impacted Third Molars Risk of LADC after orthodontic treatment 27 (42.9) 26 (55.3) 10 (58.8) b 0.310 Risk of focal infection 41 (65.1) 39 (83.0) 13 (76.5) b 0.105 Risk of periodontal disease (pericoronitis) 44 (69.8) 34 (72.3) 11 (64.7) b 0.839 Risk of being symptomatic during pregnancy 30 (47.6) 21 (44.7) 11 (64.7) b 0.354 Risk of caries at the adjacent second molar tooth 31 (49.2) 33 (70.2) 5 (29.4) b 0.008** Risk of pathology around the impacted tooth (cyst etc.) 27 (42.9) 25 (53.2) 9 (52.9) b 0.511 Fully Impacted Third Molars Risk of LADC after orthodontic treatment 29 (46.0) 27 (57.4) 7 (41.2) b 0.375 Risk of focal infection 27 (42.9) 23 (48.9) 9 (52.9) b 0.694 Risk of periodontal disease (pericoronitis) 33 (52.4) 24 (51.1) 7 (41.2) b 0.710 Risk of being symptomatic during pregnancy 18 (28.6) 10 (21.3) 5 (29.4) b 0.649 Risk of caries at the adjacent second molar tooth 10 (15.9) 7 (14.9) 3 (17.6) b 0.964 Risk of pathology around the impacted tooth (cyst etc.) 33 (52.4) 12 (25.5) 4 (23.5) b 0.007** Pearson a Chi-Square Test, b Fisher Freeman Halton Test *p<0.05 **p<0.01 Proficiency and Academic Title Effect The prophylactic removal decision differed significantly according to expertise and academic title; orthodontists and surgeons in both academic degrees decided to extract asymptomatic partially impacted third molars more frequently than fully impacted ones (p=0.001; p=0.001; p<0.01). Orthodontists and surgeons differed significantly in their attitudes toward prophylactic extraction of partially impacted third molars relative to the risk of periodontal disease (pericoronitis) (p=0.046; p<0.05) and LADC after orthodontic treatment; developing symptoms during pregnancy, caries at the adjacent second molar tooth, and pathology around the impacted tooth (cyst, etc.) (p=0.001; p<0.01). However, the two groups had no statistically significant difference regarding the focal infection risk. Orthodontists more than surgeons favor extracting the fully impacted third molar, considering LADC after orthodontic treatment to be significantly high risk (p=0.001; p<0.01). Surgeons more than orthodontists favor extracting the fully impacted third molar, considering the risk of symptoms developing during pregnancy or focal infection to be statistically significantly high (p=0.001; p<0.01) (p=0.030; p<0.05). Participants showed no statistically significant difference by specialization in favoring extracting the fully impacted third molar, considering the risk of periodontal disease (pericoronitis), caries in the adjacent second molar, and pathology around the third molar ( Table 2 ). The rate of preference by professors considering the risk that partially impacted third molars may cause LADC after orthodontic treatment was significantly higher than those of trainees; a total of 25 trainees (38.7%) considered the risk of LADC, while 38 (59.4%) of the professors stated that they considered this risk (p=0.026; p<0.05). According to their academic titles, the risk of the focal infection, periodontal disease (pericoronitis), being symptomatic during pregnancy, caries in the adjacent second molar tooth, and the formation of pathology around the related tooth did not show a statistically significant difference ( Table 2 ). Considering the risk of pathology around the fully impacted third molars, the trainees' preference rate was significantly higher than the professors’ for fully impacted third molars (p=0.002; p<0.01). The risk of LADC after orthodontic treatment, focal infection, periodontal disease (pericoronitis), development of symptoms during pregnancy and caries in the adjacent second molar did not show a significant difference by academic title ( Table 2 ). Table 2. Effects of Profession Degree on Prophylactic Extraction of Partially and Fully Impacted Third Molars P-value Orthodontist Surgeon Partially Impacted Third Molars n (%) n (%) Risk of LADC after orthodontic treatment 42 (66.7) 21 (32.8) a 0.001** Risk of focal infection 45 (71.4) 48 (75.0) a 0.649 Risk of periodontal disease (pericoronitis) 39 (61.9) 50 (78.1) a 0.046* Risk of being symptomatic during pregnancy 17 (27.0) 45 (70.3) a 0.001** Risk of caries at the adjacent second molar tooth 46 (73.0) 23 (35.9) a 0.001** Risk of pathology around the impacted tooth (cyst etc.) 20 (31.7) 41 (64.1) a 0.001** Fully Impacted Third Molars Risk of LADC after orthodontic treatment 43 (68.3) 20 (31.3) a 0.001** Risk of focal infection 17 (27.0) 42 (65.6) a 0.001** Risk of periodontal disease (pericoronitis) 32 (50.8) 32 (50.0) a 0.929 Risk of being symptomatic during pregnancy 11 (17.5) 22 (34.4) a 0.030* Risk of caries at the adjacent second molar tooth 7 (11.1) 13 (20.3) a 0.155 Risk of pathology around the impacted tooth (cyst etc.) 21 (33.3) 28 (43.8) a 0.228 Pearson Chi-Square Test . *p<0.05 **p<0.01 When the subgroups of academic titles according to professions have been evaluated for partially impacted third molars, different results have been obtained. Regarding the risk of LADC, the attitude of professor orthodontists was significantly different from that of trainee orthodontists (p=0.001; p<0.05). On the other hand, the attitudes of trainees (p=0.001; p<0.05) and professors (p=0.002; p<0.05) towards the risk of being symptomatic during pregnancy differed according to their professions. Regarding risk of caries at the adjacent second molar tooth, professors' attitudes differed according to their professions (p=0.001; p<0.05), while trainees' attitudes differed according to their professions regarding risk of pathology around the impacted tooth (p=0.002; p<0.05) (Table 3) . In the evaluation for fully impacted third molars, it is seen that the attitudes of professor orthodontists are significantly different from those of trainee orthodontists regarding the risk of LADC (p=0.048; p<0.05). In addition, it was found that there were significant differences in the considerations of the trainees regarding risk of focal infection (p=0.001; p<0.05), risk of being symptomatic during pregnancy (p=0.042; p<0.05), risk of caries at the adjacent second molar tooth (p=0.006; p<0.05) and risk of pathology around the impacted tooth (p=0.012; p<0.05) (Table 3) . Table 3. Effects of Academic Degree on Prophylactic Extraction of Partially and Fully Impacted Third Molars Groups P-value Trainee Subgroup P-value Specialist Subgroup P-value Partially Impacted Third Molars n (%) n (%) Risk of LADC after orthodontic treatment 25 (39.7) 38 (59.4) a 0.026* Orthodontist 12 a 0.896 30 a 0.001** OMFS 13 8 Risk of focal infection 46 (73.0) 47 (73.4) a 0.857 Orthodontist 18 a 0.792 27 a 0.213 OMFS 20 20 Risk of periodontal disease (pericoronitis) 45 (71.4) 44 (68.8) a 0.742 Orthodontist 17 a 0.099 22 a 0.952 OMFS 28 22 Risk of being symptomatic during pregnancy 35 (55.6) 27 (42.2) a 0.132 Orthodontist 8 a 0.001** 9 a 0.002** OMFS 27 18 Risk of caries at the adjacent second molar tooth 31 (49.2) 38 (59.4) a 0.250 Orthodontist 17 a 0.733 29 a 0.001** OMFS 14 9 Risk of pathology around the impacted tooth (cyst etc.) 31 (49.2) 30 (46.9) a 0.793 Orthodontist 8 a 0.002** 12 a 0.051 OMFS 23 18 Fully Impacted Third Molars Risk of LADC after orthodontic treatment 30 (47.6) 33 (51.6) a 0.657 Orthodontist 18 a 0.067 25 a 0.048** OMFS 12 18 Risk of focal infection 34 (54.0) 25 (39.1) a 0.092 Orthodontist 6 a 0.001** 11 a 0.211 OMFS 28 14 Risk of periodontal disease (pericoronitis) 30 (47.6) 34 (53.1) a 0.535 Orthodontist 12 a 0.066 20 a 0.148 OMFS 18 14 Risk of being symptomatic during pregnancy 17 (27.0) 16 (25.0) a 0.799 Orthodontist 4 a 0.042** 7 a 0.813 OMFS 13 9 Risk of caries at the adjacent second molar tooth 11 (17.5) 9 (14.1) a 0.599 Orthodontist 3 a 0.006** 4 a 0.982 OMFS 8 5 Risk of pathology around the impacted tooth (cyst etc.) 33 (52.4) 16 (25.0) a 0.002** Orthodontist 12 a 0.012** 9 a 0.814 OMFS 21 7 Pearson Chi-Square Test *p<0.05 **p<0.01 Discussion Impacted third molar extraction is a standard procedure in dentistry. An impacted third molar that does not cause any symptoms is defined as "asymptomatic". Extraction of these teeth is generally recommended to prevent potential complications such as infection, caries, periodontal disease, and pathologies such as cysts or tumors[7]. Our study is the first to decide on the reasons for prophylactic extraction of partially and completely impacted asymptomatic third molars and evaluate the views of surgeons and orthodontists considering their academic experience. Moreover, this study will contribute to the evaluation of dentists' opinions regarding the prophylactic removal of asymptomatic impacted third molars due to the risk of developing symptoms during pregnancy. Specialists generally weigh the prophylactic removal of third molars according to their expertise[8]. Most participants favored removing partially impacted third molars to prevent the development of symptoms during pregnancy and the formation of distal caries in the second molars. More commonly than orthodontists, oral surgeons considered pregnancy-related risks as a basis for extracting partially and fully impacted third molars. Nearly half of the participants of the presented study from both areas of expertise considered that impacted third molars should be removed as a precaution from LADC; however, orthodontists were more inclined to believe prophylactic removal of impacted third molars was necessary to prevent LADC. In this study, all the given indications were more supported for partially impacted molars than fully impacted ones by the participants of any gender, academic title, and expertise. Professors found that retaining partially impacted third molars increased the risk for LADC, while trainees believed that keeping fully impacted teeth increased the risk for pathology. Camargo et al. reported that less experienced surgeons recommend extraction for asymptomatic impacted third molars more often than experienced surgeons[9]. Conversely, Almendros Marques et al. stressed that the practitioner's experience does not affect treatment decisions[10]. Jasinevicius et al. similarly maintained that the practitioner's education level did not influence their recommendations to extract or retain third molars[11]. The therapeutic decisions of oral surgeons and orthodontists regarding asymptomatic third molars have been evaluated. Gavazzi et al. stated that orthodontists and oral surgeons agreed that third molars do not create a force responsible for anterior crowding in the upper and lower jaws and do not consider the prophylactic third molar extraction valuable in preventing LADC[12]. However, a discrepancy regarding that theory exists in the scientific literature. Laskin reported that both orthodontists and oral surgeons believed that eruption force generates a thrust that causes LADC, recommending the removal of third molars prophylactically[13]. Another study points out that orthodontists are less likely than oral surgeons to recommend prophylactic removal of these teeth; oral surgeons, more than orthodontists, think that asymptomatic third molars cause LADC[14]. Some researchers argue that impacted third molars with insufficient mesiodistal distance for eruption in the dental arch can cause crowding in the anterior teeth by applying force to other teeth; some advocate that these teeth do not have enough power to move other teeth and cannot cause crowding[15–18]. There is an ongoing discussion as to whether prophylactic extraction of these teeth is necessary before or during orthodontic treatment to prevent orthodontic recurrence[12, 14]. The practitioner’s field of experience has been shown to influence the treatment method decision for asymptomatic impacted third molars. Gavazzi et al. state that orthodontists and oral surgeons agree that third molars cannot generate a force responsible for anterior crowding[12]. Laskin reported that orthodontists and oral surgeons recommend prophylactic removal of third molars to prevent LADC[13]. Conversely, Lindauer said orthodontists less often than oral surgeons recommend prophylactic removal of these teeth[14]. Our study found that orthodontists, more often than oral surgeons, advocated the removal of both partially and fully impacted asymptomatic third molars to prevent LADC. In this study, more than surgeons, orthodontists preferred removing partially impacted third molars to prevent distal cervical caries. Some authors argue that periodontal pathogens around impacted teeth can act as a reservoir for the development of periodontal disease and that these teeth should be extracted to eliminate periodontal pathogens around second molars; others reported that gingival infections around partially impacted teeth could be prevented with good oral hygiene and suggested keeping impacted teeth as long as they are asymptomatic[19–23]. Many authors have reported a relatively high rate of cystic changes around impacted wisdom teeth[24–26]. Almendros-Marques et al. pointed out that asymptomatic third molars may lead to the development of some form of pathology[27]. Other authors reported that the incidence of cysts and tumors associated with impacted third molars is low, and removal of these teeth is contraindicated[28, 29]. In our study, oral surgeons considered removing partially erupted asymptomatic third molars as an appropriate intervention to prevent future pathological changes. Pre-pregnancy extraction is discussed in reference to the risks surgery poses for mother and fetus [30]. Compared to orthodontists, oral surgeons preferred the extraction of partially or fully erupted third molars before pregnancy. This difference may be due to the typical presentation of pregnant patients to surgical departments for symptoms related to impacted third molars; hormonal changes and immune system deficiency related to pregnancy increase the tendency for inflammation in the oral cavity, though there is no evidence of a significant increase in the risk of complications associated with an impacted third molar during pregnancy. Therefore, prophylactic removal of impacted molars during pregnancy is an issue that should be carefully examined on a case-by-case basis, considering the individual's medical history and weighing the potential risks or benefits of the procedure. It has been recommended that any dental treatment should be delayed until the second trimester to avoid potential threats to the developing fetus[31]. The main limitation of this study was that it included only orthodontics and oral and maxillofacial surgery rather than other specialities. The study focused solely on the viewpoints of dentists within a single country. International studies with a larger participant pool can remedy this limitation in the future. A comprehensive and meticulous evaluation by dental professionals is critical to determine an appropriate treatment plan. Further research must be conducted to gain a deeper understanding and make an informed judgment regarding the proper treatment approach. Conclusion From this study, the following could be concluded: 1- A clear distinction between orthodontists and oral surgeons was observed, considering the current indications of prophylactic third molar removal. 2- Orthodontists favored prophylactic extraction of asymptomatic impacted third molars to prevent LADC and caries, while surgeons preferred extraction to prevent pericoronitis pathology, focal infection, or symptom development during pregnancy. 3- When genders are compared, extraction preference of partially impacted third molars was significantly higher in females compared to males, regarding the risk of caries on second molas. This may hold relevance in the field of gender medicine. Abbreviations LADC: Late Anterior Dental Crowding AAOMS: American Association of Oral and Maxillofacial Surgeons NHS: National Health Service (UK) NICE: National Institute of Clinical Excellence NCSS: Number Cruncher Statistical System Declarations Declarations The study was presented as an oral presentation at the 11 th International OMFS Congress of ACBID in 2018. Data Availability Statement The data that support the findings of this study are not publicly available due to privacy or ethical restrictions. The data can be supplied by the corresponding author, Ipek Necla Guldiken (whose contact details are given above), when it is requested. Funding None. Conflict of interest The authors of the study declare that there were no potential conflicts of interest with respect to the authorship and publication of this article. Authors' contributions All authors contributed to the study's conception and design. Yağmur Malkoç performed data collection and analysis. 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J Oral Maxillofac Surg. 2002;60(11):1234-40. https://doi.org/10.1053/JOMS.2002.35718. Adelsperger J, Campbell JH, Coates DB, Summerlin DJ, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:402–406. https://doi.org/10.1016/S1079-2104(00)70119-3. Rakprasitkul S. Pathologic changes in the pericoronal tissues of unerupted third molars. Quintessence Int. 2001;32(8):633-8. Baykul T, Saglam AA, Aydin U, Başak K. Incidence of cystic changes in radiographically normal impacted lower third molar follicles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(5):542-5. https://doi.org/10.1016/J.TRIPLEO.2004.08.010. Almendros-Marqués N, Berini-Aytés L, Gay-Escoda C. Influence of lower third molar position on the incidence of preoperative complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(6):725-32. https://doi.org/10.1016/J.TRIPLEO.2006.01.006. Stathopoulos P, Mezitis M, Kappatos C, Titsinides S, Stylogianni E. Cysts and tumors associated with impacted third molars: is prophylactic removal justified? J Oral Maxillofac Surg. 2011;69(2):405-8. https://doi.org/10.1016/j.joms.2010.05.025. Adeyemo WL. Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(4):448-52. https://doi.org/10.1016/J.TRIPLEO.2005.08.015. Mark AM. Pregnancy and oral health. J Am Dent Assoc. 2021;152(3):252. https://doi.org/10.1016/J.ADAJ.2020.12.009. Al Agili DE, Khalaf ZI. The role of oral and prenatal healthcare providers in the promotion of oral health for pregnant women. BMC Pregnancy Childbirth. 2023;23. https://doi.org/10.1186/S12884-023-05654-X Additional Declarations No competing interests reported. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-3888248","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":269306308,"identity":"75facd1f-7d19-40bc-98d3-8e87dfc54fd6","order_by":0,"name":"Ipek Necla Guldiken","email":"data:image/png;base64,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","orcid":"","institution":"Istinye University","correspondingAuthor":true,"prefix":"","firstName":"Ipek","middleName":"Necla","lastName":"Guldiken","suffix":""},{"id":269306309,"identity":"39fe75b6-c48c-4894-8007-06c82e01ebf3","order_by":1,"name":"Serap Gulsever","email":"","orcid":"","institution":"Istanbul Medipol University","correspondingAuthor":false,"prefix":"","firstName":"Serap","middleName":"","lastName":"Gulsever","suffix":""},{"id":269306310,"identity":"76baa5b5-a84b-431d-816f-c6d586e74a51","order_by":2,"name":"Yagmur Malkoc","email":"","orcid":"","institution":"Istanbul Medipol University","correspondingAuthor":false,"prefix":"","firstName":"Yagmur","middleName":"","lastName":"Malkoc","suffix":""},{"id":269306313,"identity":"7394d5b4-e577-4448-8385-e45250c69cde","order_by":3,"name":"Zeynep Cukurova Yilmaz","email":"","orcid":"","institution":"Independent Researcher","correspondingAuthor":false,"prefix":"","firstName":"Zeynep","middleName":"Cukurova","lastName":"Yilmaz","suffix":""},{"id":269306315,"identity":"cb4abbb7-e424-4793-97a1-eb6559f9044c","order_by":4,"name":"Mutlu Ozcan","email":"","orcid":"","institution":"University of Zurich","correspondingAuthor":false,"prefix":"","firstName":"Mutlu","middleName":"","lastName":"Ozcan","suffix":""}],"badges":[],"createdAt":"2024-01-22 14:48:23","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-3888248/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-3888248/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12903-024-04819-0","type":"published","date":"2024-09-11T15:57:46+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":50329611,"identity":"93687a70-b526-463b-8247-4d893a52cb8f","added_by":"auto","created_at":"2024-01-29 21:20:25","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":37192,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eDistribution of Prophylactic Extraction Preferences Regarding the Indications\u003c/strong\u003e\u003c/p\u003e","description":"","filename":"Onlinedrawingimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-3888248/v1/50d4a7a61e5a626c90d71932.png"},{"id":64619150,"identity":"d534798f-2798-457e-8485-f155b8bff2a5","added_by":"auto","created_at":"2024-09-16 16:11:59","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1052359,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-3888248/v1/a2f47076-a22b-4eee-941e-6c7147324f12.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Prophylactic Third Molar Removal: Are Oral Surgeons and Orthodontists Aligned in Preventive Approaches?","fulltext":[{"header":"Introduction","content":"\u003cp\u003eWisdom teeth are permanent third molars in the posterior jaw and usually erupt between 17 and 25 years of age.\u0026nbsp;Third molars most frequently become impacted due to inadequate distance between the second molar tooth and the ascending ramus for the tooth to erupt and the abnormal developmental position of these teeth; an impacted wisdom tooth can sometimes partially emerge (defined as partially impacted), sometimes it cannot break through the bone and gums at all (defined as fully impacted) [1].\u003c/p\u003e\n\u003cp\u003eComplications of impaction of these teeth may be painful and annoying. Impacted wisdom teeth may cause inflammation in the related soft tissue, facilitate distal caries formation in the adjacent second molar, and cause surrounding pathologies such as cysts or tumors. Some dentists further argue that third molars cause late anterior dental crowding (LADC) and threaten the stability of orthodontic treatment results, but the role of these teeth in orthodontic relapse remains unclear[2].\u003c/p\u003e\n\u003cp\u003eA consensus favors extracting impacted third molars in the presence of clinical symptoms, but no consensus exists on their management when asymptomatic[3].\u0026nbsp;In addition, healthcare professionals from different fields of expertise may approach the extraction of these teeth differently.\u0026nbsp;The American Association of Oral and Maxillofacial Surgeons (AAOMS) recommends that asymptomatic impacted third molars should be removed when they are probably dysfunctional, have an overlying removable prosthesis, have a different orthodontic justification (e.g., the tooth is preventing the second molar from erupting), and have planned orthognathic surgery;\u0026nbsp;the National Health Service of the UK (NHS) recommends the removal of impacted third molars only where there is evidence of dental disease or recurrent infections, while the National Institute of Clinical Excellence (NICE) recommends that only patients with diseased wisdom teeth or other problems in their mouth (untreatable tooth decay, abscesses, cysts or tumors, tissue disease around the tooth, and the tooth interfering with another operation) should have their wisdom teeth removed. molars[4\u0026ndash;6].\u003c/p\u003e\n\u003cp\u003eThis study compares the perspectives of oral surgeons and orthodontists on prophylactic extraction of third molars and indications for extraction where third molars are asymptomatic but show varying degrees of impaction. In this comparison, the perspectives of female and male practitioners and the perspectives of trainees and senior practitioners have also been compared as sub-problems.\u003c/p\u003e"},{"header":"Materials And Methods","content":"\u003cp\u003e\u003cstrong\u003e\u003cem\u003eEthics approval\u003c/em\u003e\u003c/strong\u003eThe Institutional Ethics Committee of the Istanbul Medipol University approved this cross-sectional study (file number: E-10840098-604.01.01-5450).\u0026nbsp;It was conducted by the World Medical Association Declaration of Helsinki of 1975 as revised in 2000.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eDesign and sample\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAfter obtaining informed consent, the researchers shared the study questionnaires with 250 orthodontists, oral surgeons and trainees from Turkey in full consideration of the possible loss of participants. A short letter requesting voluntary participation explained the survey\u0026rsquo;s aim. It introduced the questionnaire, generated via the internet-based survey tool Google Forms, and sent to participants via email and \u003cem\u003eWhatsApp\u003c/em\u003e. The questionnaire required approximately 5 minutes to be completed.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe first part of the survey collected demographic data from the participants (sex, age, academic degree, and profession). The second part presented participants with two different asymptomatic case scenarios for third molars regarding the extent of impaction (partially or fully impacted) and indications for removal. The five common indications were selected from the guidelines of AAOMS and NICE and regarding the authors\u0026apos; experience. Short descriptive sentences identified the reasons (indications) for the decision.\u0026nbsp;All data was kept confidential by the research team.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eData analysis\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAn independent t-test was used to detect the sample size for the two independent groups. The sample size was calculated as 120 (60 for each group) based on a G-power analysis with an effect size of 0,60, a-an error probability of 0.05, and a power of 0.95. The NCSS program (Number Cruncher Statistical System) 2007 (Kaysville, Utah, USA) performed the statistical analysis. Descriptive statistical methods (mean, standard deviation, median, frequency, percentage, minimum, maximum) were used to evaluate the study data. The Shapiro-Wilk test and graphical examinations were used to test the conformity of the quantitative data to the normal distribution. Dependent groups t-test was used for intra-group comparisons of normally distributed qualitative variables. The Pearson chi-square, Fisher\u0026apos;s exact, and Fisher-Freeman-Halton exact tests were used to compare qualitative data. Statistical significance was accepted as p\u0026lt;0.05.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003e\u003cstrong\u003e\u003cem\u003eParticipants\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was conducted with 127 participants, 51.2% (n=65) female and 48.8% (n=62) male, using the internet-based survey tool Google Forms. 49.6% of the participants were oral surgeons, while 50.4% were orthodontists. On the other hand, 49.6% and 50/4% were trainees and specialists, as determined by their academic degrees.\u003c/p\u003e\n\u003cp\u003eAnalyzing the possible risk factors by extent of impaction, 74.0 % and 84.3 % of participants considered partially impacted third molars a risk factor for caries of an adjacent second molar tooth and development of symptoms during pregnancy. These were relatively higher than the other risk factors (\u003cstrong\u003eFig. 1\u003c/strong\u003e).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFigure 1:\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003eDistribution of Prophylactic Extraction Preferences Regarding the Indications\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eGender and Age Effect\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eIn both genders, prophylactic extraction of partially impacted third molars was more supported than fully impacted third molars (p=0.001; p\u0026lt;0.01). In every age group, prophylactic extraction of partially impacted third molars was more supported than fully impacted ones (p=0.001; p=0.001; p=0.008; p\u0026lt;0.01).\u003c/p\u003e\n\u003cp\u003eWomen evaluated caries in the adjacent second molar tooth as a significant indication for prophylactic extraction of a partially impacted tooth more frequently than men (p=0.006; p\u0026lt;0.01). For the prophylactic extraction of the partially impacted third molar tooth, the risk of LADC after orthodontic treatment, the risk of focal infection, the risk of periodontal disease (pericoronitis), the risk of developing symptoms during pregnancy, and the risk of pathology around the impacted tooth (cyst, etc.) did not show a statistically significant difference according to the participants\u0026rsquo; gender. The rate of evaluating the risk of periodontal disease (pericoronitis) and caries in the adjacent second molar tooth for the men participants as a prophylactic extraction indication of a fully impacted tooth was found to be statistically significantly higher than in the women (p=0.041, p=0.039; p\u0026lt;0.05) (\u003cstrong\u003eTable 1).\u003c/strong\u003e\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe rate of evaluation of the risk of caries in the adjacent second molars as a prophylactic indication for extraction of the partially impacted tooth in the 30-50 age group was higher than those under the age of 30 and over the age of 50 (p=0.008; p\u0026lt;0.01). A significant difference was found according to age, considering the risk of pathology formation around the preserved impacted tooth as an indication for prophylactic extraction of a fully impacted tooth (p=0.007; p\u0026lt;0.01). In addition, as a prophylactic extraction indication for a fully impacted, the risk of pathology formation around the tooth was ranked higher in those under 30 years of age than those 30-50 and over 50 years of age (\u003cstrong\u003eTable 1\u003c/strong\u003e).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 1. Effects of Gender and Age on Prophylactic Extraction of Partially and Fully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"62.244897959183675%\" colspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eGender\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.306122448979592%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFemale\u003c/strong\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.26530612244898%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eMale\u003c/strong\u003e\u0026nbsp;\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eP-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"62.244897959183675%\" colspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003ePartially Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.306122448979592%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.26530612244898%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (47.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e32 (51.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.659\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e47 (72.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e46 (74.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.810\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e46 (70.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e43 (69.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.862\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (47.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (50.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.795\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e43 (66.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e26 (41.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/strong\u003e\u003cstrong\u003e0.006**\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e30 (46.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (50.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.665\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"62.244897959183675%\" colspan=\"3\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.306122448979592%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.26530612244898%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (47.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e32 (51.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.659\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e26 (40.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e33 (53.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.135\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27 (41.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e37 (59.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/strong\u003e\u003cstrong\u003e0.041*\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e15 (23.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18 (29.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.444\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e6 (9.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e14 (22.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/strong\u003e\u003cstrong\u003e0.039*\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.608247422680414%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"8.24742268041237%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e24 (36.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e25 (40.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.278350515463918%\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003ea\u003c/sup\u003e0.694\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"52.525252525252526%\" colspan=\"2\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eAge\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"36.36363636363637%\" colspan=\"4\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026lt;30 years \u0026nbsp; \u0026nbsp; \u0026gt;50 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;30-50 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.11111111111111%\" colspan=\"2\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eP-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"33.333333333333336%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003en (%)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"33.333333333333336%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;n (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"33.333333333333336%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"64.64646464646465%\" colspan=\"4\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003ePartially Impacted Third Molars \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.121212121212121%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.121212121212121%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.11111111111111%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27 (42.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e26 (55.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e10 (58.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.310\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e41 (65.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e39 (83.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e13 (76.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.105\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e44 (69.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e34 (72.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e11 (64.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.839\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e30 (47.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e21 (44.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e11 (64.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.354\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (49.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e33 (70.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e5 (29.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003csup\u003eb\u003c/sup\u003e\u003c/strong\u003e\u003cstrong\u003e0.008**\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth (cyst etc.)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27 (42.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e25 (53.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e9 (52.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.511\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"64.64646464646465%\" colspan=\"4\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.121212121212121%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.121212121212121%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.11111111111111%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e29 (46.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e27 (57.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e7 (41.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.375\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27 (42.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e23 (48.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e9 (52.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.694\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e33 (52.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e24 (51.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e7 (41.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.710\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18 (28.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e10 (21.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e5 (29.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.649\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e10 (15.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e7 (14.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e3 (17.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003csup\u003eb\u003c/sup\u003e0.964\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"42.857142857142854%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth (cyst etc.)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"9.183673469387756%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e33 (52.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e12 (25.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e4 (23.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003csup\u003eb\u003c/sup\u003e\u003c/strong\u003e\u003cstrong\u003e0.007**\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cem\u003e\u003csup\u003ePearson\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003cstrong\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/strong\u003e\u003cem\u003e\u0026nbsp;Chi-Square Test, \u003csup\u003eb\u003c/sup\u003eFisher Freeman Halton Test\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e*p\u0026lt;0.05 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; **p\u0026lt;0.01\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eProficiency and Academic Title Effect\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe prophylactic removal decision differed significantly according to expertise and academic title; orthodontists and surgeons in both academic degrees decided to extract asymptomatic partially impacted third molars more frequently than fully impacted ones (p=0.001; p=0.001; p\u0026lt;0.01).\u003c/p\u003e\n\u003cp\u003eOrthodontists and surgeons differed significantly in their attitudes toward prophylactic extraction of partially impacted third molars relative to the risk of periodontal disease (pericoronitis) (p=0.046; p\u0026lt;0.05) and LADC after orthodontic treatment; developing symptoms during pregnancy, caries at the adjacent second molar tooth, and pathology around the impacted tooth (cyst, etc.) (p=0.001; p\u0026lt;0.01). However, the two groups had no statistically significant difference regarding the focal infection risk.\u0026nbsp;Orthodontists more than surgeons favor extracting the fully impacted third molar, considering LADC after orthodontic treatment to be significantly high risk (p=0.001; p\u0026lt;0.01). Surgeons more than orthodontists favor extracting the fully impacted third molar, considering the risk of symptoms developing during pregnancy or focal infection to be statistically significantly high (p=0.001; p\u0026lt;0.01) (p=0.030; p\u0026lt;0.05). Participants showed no statistically significant difference by specialization in favoring extracting the fully impacted third molar, considering the risk of periodontal disease (pericoronitis), caries in the adjacent second molar, and pathology around the third molar (\u003cstrong\u003eTable 2\u003c/strong\u003e).\u003c/p\u003e\n\u003cp\u003eThe rate of preference by professors considering the risk that partially impacted third molars may cause LADC after orthodontic treatment was significantly higher than those of trainees; a total of 25 trainees (38.7%) considered the risk of LADC, while 38 (59.4%) of the professors stated that they considered this risk (p=0.026; p\u0026lt;0.05). According to their academic titles, the risk of the focal infection, periodontal disease (pericoronitis), being symptomatic during pregnancy, caries in the adjacent second molar tooth, and the formation of pathology around the related tooth did not show a statistically significant difference (\u003cstrong\u003eTable 2\u003c/strong\u003e).\u003c/p\u003e\n\u003cp\u003eConsidering the risk of pathology around the fully impacted third molars, the trainees\u0026apos; preference rate was significantly higher than the professors\u0026rsquo; for fully impacted third molars (p=0.002; p\u0026lt;0.01). The risk of LADC after orthodontic treatment, focal infection, periodontal disease (pericoronitis), development of symptoms during pregnancy and caries in the adjacent second molar did not show a significant difference by academic title (\u003cstrong\u003eTable 2\u003c/strong\u003e).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 2. Effects of Profession Degree on Prophylactic Extraction of Partially and Fully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"102%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"60.204081632653065%\" colspan=\"2\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"28.571428571428573%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003cp\u003e\u003cstrong\u003eP-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"53.57142857142857%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eOrthodontist\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"46.42857142857143%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSurgeon\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"60.204081632653065%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003ePartially Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.306122448979592%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.26530612244898%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e42 (66.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e21 (32.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e45 (71.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e48 (75.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.649\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e39 (61.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e50 (78.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.046*\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e17 (27.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e45 (70.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e46 (73.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e23 (35.9)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth (cyst etc.)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e20 (31.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e41 (64.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"60.204081632653065%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.306122448979592%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.26530612244898%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e43 (68.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e20 (31.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e17 (27.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e42 (65.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e32 (50.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e32 (50.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.929\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e11 (17.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e22 (34.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.030*\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e7 (11.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e13 (20.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.155\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"47.422680412371136%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth (cyst etc.)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.371134020618557%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"15.463917525773196%\" valign=\"top\"\u003e\n \u003cp\u003e21 (33.3)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"13.402061855670103%\" valign=\"top\"\u003e\n \u003cp\u003e28 (43.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.34020618556701%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.228\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cem\u003e\u003csup\u003ePearson\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e\u0026nbsp;Chi-Square Test\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e. \u0026nbsp; \u0026nbsp; *p\u0026lt;0.05 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;**p\u0026lt;0.01\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003eWhen the subgroups of academic titles according to professions have been evaluated for partially impacted third molars, different results have been obtained. Regarding the risk of LADC, the attitude of professor orthodontists was significantly different from that of trainee orthodontists (p=0.001; p\u0026lt;0.05). On the other hand, the attitudes of trainees (p=0.001; p\u0026lt;0.05) and professors (p=0.002; p\u0026lt;0.05) towards the risk of being symptomatic during pregnancy differed according to their professions. Regarding risk of caries at the adjacent second molar tooth, professors\u0026apos; attitudes differed according to their professions (p=0.001; p\u0026lt;0.05), while trainees\u0026apos; attitudes differed according to their professions regarding risk of pathology around the impacted tooth (p=0.002; p\u0026lt;0.05) \u003cstrong\u003e(Table 3)\u003c/strong\u003e.\u003c/p\u003e\n\u003cp\u003eIn the evaluation for fully impacted third molars, it is seen that the attitudes of professor orthodontists are significantly different from those of trainee orthodontists regarding the risk of LADC (p=0.048; p\u0026lt;0.05). In addition, it was found that there were significant differences in the considerations of the trainees regarding risk of focal infection (p=0.001; p\u0026lt;0.05), risk of being symptomatic during pregnancy (p=0.042; p\u0026lt;0.05), risk of caries at the adjacent second molar tooth (p=0.006; p\u0026lt;0.05) and risk of pathology around the impacted tooth (p=0.012; p\u0026lt;0.05) \u003cstrong\u003e(Table 3)\u003c/strong\u003e.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eTable 3. Effects of Academic Degree on Prophylactic Extraction of Partially and Fully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n\u003ctable border=\"1\" cellspacing=\"0\" cellpadding=\"0\" width=\"100%\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd width=\"39.795918367346935%\" colspan=\"2\" rowspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"25.510204081632654%\" colspan=\"4\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.244897959183673%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u0026nbsp;\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.224489795918368%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;Groups P-value\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"19.29824561403509%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eTrainee\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.05263157894737%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eSubgroup P-value\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.05263157894737%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eSpecialist\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"21.05263157894737%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003eSubgroup P-value\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"17.54385964912281%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"40.625%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003ePartially Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003en (%)\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e25 (39.7)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e38 (59.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.026*\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.896\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e30\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e46 (73.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e47 (73.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.857\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.792\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.213\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e45 (71.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e44 (68.8)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.742\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.099\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e22\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.952\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e22\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e35 (55.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27 (42.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.132\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.002**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e27\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (49.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e38 (59.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.250\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e17\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.733\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e29\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e14\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth (cyst etc.)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e31 (49.2)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e30 (46.9)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.793\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.002**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.051\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e23\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"40.625%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003eFully Impacted Third Molars\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"14.583333333333334%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of LADC after orthodontic treatment\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e30 (47.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e33 (51.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.657\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.067\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e25\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.048**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of focal infection\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e34 (54.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e25 (39.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.092\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e6\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.001**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e11\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.211\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e28\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e14\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of periodontal disease (pericoronitis)\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e30 (47.6)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e34 (53.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.535\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.066\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e20\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.148\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e18\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e14\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of being symptomatic during pregnancy\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e17 (27.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e16 (25.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.799\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.042**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.813\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e13\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of caries at the adjacent second molar tooth\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e11 (17.5)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e9 (14.1)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.599\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e3\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.006**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e4\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.982\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e8\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e5\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003eRisk of pathology around the impacted tooth (cyst etc.)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e33 (52.4)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e16 (25.0)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.002**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOrthodontist\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e12\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003cstrong\u003e\u003cem\u003e0.012**\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e9\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003e\u003csup\u003ea\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e0.814\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd width=\"37.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cem\u003eOMFS\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"3.125%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e21\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"11.458333333333334%\" valign=\"top\"\u003e\n \u003cp\u003e\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" colspan=\"2\" valign=\"top\"\u003e\n \u003cp\u003e7\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"12.5%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd width=\"10.416666666666666%\" valign=\"top\"\u003e\n \u003cp\u003e\u003cstrong\u003e\u003cem\u003e\u003csup\u003e\u0026nbsp;\u003c/sup\u003e\u003c/em\u003e\u003c/strong\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cem\u003e\u003csup\u003ePearson\u003c/sup\u003e\u003c/em\u003e\u003cem\u003e\u0026nbsp;Chi-Square Test\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cem\u003e*p\u0026lt;0.05 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; **p\u0026lt;0.01\u003c/em\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eImpacted third molar extraction is a standard procedure in dentistry. An impacted third molar that does not cause any symptoms is defined as \u0026quot;asymptomatic\u0026quot;. Extraction of these teeth is generally recommended to prevent potential complications such as infection, caries, periodontal disease, and pathologies such as cysts or tumors[7].\u003c/p\u003e\n\u003cp\u003eOur study is the first to decide on the reasons for prophylactic extraction of partially and completely impacted asymptomatic third molars and evaluate the views of surgeons and orthodontists considering their academic experience. Moreover, this study will contribute to the evaluation of dentists\u0026apos; opinions regarding the prophylactic removal of asymptomatic impacted third molars due to the risk of developing symptoms during pregnancy.\u003c/p\u003e\n\u003cp\u003eSpecialists generally weigh the prophylactic removal of third molars according to their expertise[8]. Most participants favored removing partially impacted third molars to prevent the development of symptoms during pregnancy and the formation of distal caries in the second molars. More commonly than orthodontists, oral surgeons considered pregnancy-related risks as a basis for extracting partially and fully impacted third molars. Nearly half of the participants of the presented study from both areas of expertise considered that impacted third molars should be removed as a precaution from LADC; however, orthodontists were more inclined to believe prophylactic removal of impacted third molars was necessary to prevent LADC.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn this study, all the given indications were more supported for partially impacted molars than fully impacted ones by the participants of any gender, academic title, and expertise. Professors found that retaining partially impacted third molars increased the risk for LADC, while trainees believed that keeping fully impacted teeth increased the risk for pathology. Camargo et al. reported that less experienced surgeons recommend extraction for asymptomatic impacted third molars more often than experienced surgeons[9]. Conversely, Almendros Marques et al. stressed that the practitioner\u0026apos;s experience does not affect treatment decisions[10]. \u0026nbsp;Jasinevicius et al. similarly maintained that the practitioner\u0026apos;s education level did not influence their recommendations to extract or retain third molars[11].\u003c/p\u003e\n\u003cp\u003eThe therapeutic decisions of oral surgeons and orthodontists regarding asymptomatic third molars have been evaluated. Gavazzi et al. stated that orthodontists and oral surgeons agreed that third molars do not create a force responsible for anterior crowding in the upper and lower jaws and do not consider the prophylactic third molar extraction valuable in preventing LADC[12]. However, a discrepancy regarding that theory exists in the scientific literature. Laskin reported that both orthodontists and oral surgeons believed that eruption force generates a thrust that causes LADC, recommending the removal of third molars prophylactically[13]. Another study points out that orthodontists are less likely than oral surgeons to recommend prophylactic removal of these teeth; oral surgeons, more than orthodontists, think that asymptomatic third molars cause LADC[14]. Some researchers argue that impacted third molars with insufficient mesiodistal distance for eruption in the dental arch can cause crowding in the anterior teeth by applying force to other teeth; some advocate that these teeth do not have enough power to move other teeth and cannot cause crowding[15\u0026ndash;18].\u0026nbsp;There is an ongoing discussion as to whether prophylactic extraction of these teeth is necessary before or during orthodontic treatment to prevent orthodontic recurrence[12, 14].\u003c/p\u003e\n\u003cp\u003eThe practitioner\u0026rsquo;s field of experience has been shown to influence the treatment method decision for asymptomatic impacted third molars. Gavazzi et al. state that orthodontists and oral surgeons agree that third molars cannot generate a force responsible for anterior crowding[12]. Laskin reported that orthodontists and oral surgeons recommend prophylactic removal of third molars to prevent LADC[13]. Conversely, Lindauer said orthodontists less often than oral surgeons recommend prophylactic removal of these teeth[14]. Our study found that orthodontists, more often than oral surgeons, advocated the removal of both partially and fully impacted asymptomatic third molars to prevent LADC.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eIn this study, more than surgeons, orthodontists preferred removing partially impacted third molars to prevent distal cervical caries. Some authors argue that periodontal pathogens around impacted teeth can act as a reservoir for the development of periodontal disease and that these teeth should be extracted to eliminate periodontal pathogens around second molars; others reported that gingival infections around partially impacted teeth could be prevented with good oral hygiene and suggested keeping impacted teeth as long as they are asymptomatic[19\u0026ndash;23]. Many authors have reported a relatively high rate of cystic changes around impacted wisdom teeth[24\u0026ndash;26]. Almendros-Marques et al. pointed out that asymptomatic third molars may lead to the development of some form of pathology[27]. Other authors reported that the incidence of cysts and tumors associated with impacted third molars is low, and removal of these teeth is contraindicated[28, 29]. In our study, oral surgeons considered removing partially erupted asymptomatic third molars as an appropriate intervention to prevent future pathological changes.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003ePre-pregnancy extraction is discussed in reference to the risks surgery poses for mother and fetus\u0026nbsp;[30]. Compared to orthodontists, oral surgeons preferred the extraction of partially or fully erupted third molars before pregnancy. This difference may be due to the typical presentation of pregnant patients to surgical departments for symptoms related to impacted third molars; hormonal changes and immune system deficiency related to pregnancy increase the tendency for inflammation in the oral cavity, though there is no evidence of a significant increase in the risk of complications associated with an impacted third molar during pregnancy. Therefore, prophylactic removal of impacted molars during pregnancy is an issue that should be carefully examined on a case-by-case basis, considering the individual\u0026apos;s medical history and weighing the potential risks or benefits of the procedure. It has been recommended that any dental treatment should be delayed until the second trimester to avoid potential threats to the developing fetus[31].\u003c/p\u003e\n\u003cp\u003eThe main limitation of this study was that it included only orthodontics and oral and maxillofacial surgery rather than other specialities. The study focused solely on the viewpoints of dentists within a single country. International studies with a larger participant pool can remedy this limitation in the future.\u003c/p\u003e\n\u003cp\u003eA comprehensive and meticulous evaluation by dental professionals is critical to determine an appropriate treatment plan. Further research must be conducted to gain a deeper understanding and make an informed judgment regarding the proper treatment approach.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eFrom this study, the following could be concluded:\u003c/p\u003e\n\u003cp\u003e1- A clear distinction between orthodontists and\u0026nbsp;oral surgeons was observed, considering the current indications of prophylactic third molar removal.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e2- Orthodontists favored prophylactic extraction of asymptomatic impacted third molars to prevent LADC and caries, while surgeons preferred extraction to prevent pericoronitis pathology, focal infection, or\u0026nbsp;symptom development during pregnancy.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e3- When genders are compared, extraction preference of\u0026nbsp;partially impacted third molars was significantly higher in females compared to males, regarding the risk of caries on second molas. This may hold relevance in the field of gender medicine.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eLADC: Late Anterior Dental Crowding\u003c/p\u003e\n\u003cp\u003eAAOMS: American Association of Oral and Maxillofacial Surgeons\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eNHS: National Health Service (UK)\u003c/p\u003e\n\u003cp\u003eNICE: National Institute of Clinical Excellence\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eNCSS: Number Cruncher Statistical System\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003e\u003cem\u003eDeclarations\u0026nbsp;\u003c/em\u003e\u003c/strong\u003eThe study was presented as an oral presentation at the 11\u003csup\u003eth\u003c/sup\u003e International OMFS Congress of ACBID in 2018.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eData Availability Statement\u003c/em\u003e\u003c/strong\u003e The data that support the findings of this study are not publicly available due to privacy or ethical restrictions. The data can be supplied by the corresponding author, Ipek Necla Guldiken (whose contact details are given above), when it is requested.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eFunding\u003c/em\u003e\u003c/strong\u003eNone.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eConflict of interest\u003c/em\u003e\u003c/strong\u003eThe authors of the study declare that there were no potential conflicts of interest with respect to the authorship and publication of this article.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAuthors\u0026apos; contributions\u003c/em\u003e\u003c/strong\u003e All authors contributed to the study\u0026apos;s conception and design. Yağmur Malko\u0026ccedil; performed data collection and analysis. The drafts of the manuscript were written by Ipek Necla Guldiken\u0026nbsp;and Serap G\u0026uuml;lsever. All authors read and approved the final manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eConsent to participate\u003c/em\u003e\u003c/strong\u003e Informed consent was obtained from all individual participants included in the study.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eForsberg CM. Tooth size, spacing, and crowding in relation to eruption or impaction of third molars. Am J Orthod Dentofacial Orthop. 1988;94(1):57-62. https://doi.org/10.1016/0889-5406(88)90451-9.\u003c/li\u003e\n\u003cli\u003eGhaeminia H, Perry J, Nienhuijs MEL, et al. Surgical removal versus retention for the management of asymptomatic disease-free impacted wisdom teeth. Cochrane Database Syst Rev. 2016;(8):Cd003879. https://doi.org/10.1002/14651858.CD003879.PUB4.\u003c/li\u003e\n\u003cli\u003eRenton T, Wilson NHF. Problems with erupting wisdom teeth: signs, symptoms, and management. Br J Gen Pract. 2016;66(649):e606-e608. https://doi.org/10.3399/BJGP16X686509.\u003c/li\u003e\n\u003cli\u003eDodson TB, Gonzalez ML. American Association of Oral and Maxillofacial Surgeons\u0026rsquo; Anesthesia and Third Molar Extraction Benchmark Study: Rationale, Methods, and Initial Findings. J Oral Maxillofac Surg. 2016;74:903\u0026ndash;910. https://doi.org/10.1016/J.JOMS.2015.11.032.\u003c/li\u003e\n\u003cli\u003eRichards D. Management of unerupted and impacted third molar teeth. A National Clinical Guideline. Evid Based Dent. 2000;2:44\u0026ndash;45. https://doi.org/10.1038/SJ.EBD.6400030.\u003c/li\u003e\n\u003cli\u003eAdam N, Sandler J. NICE Guidance on the Extraction of Wisdom Teeth\u0026ndash;Time for a Rethink?. Orthod Update. 2018;11(1):33-35. https://doi.org/10.12968/ortu.2018.11.1.33.\u003c/li\u003e\n\u003cli\u003eSong F, O\u0026rsquo;meara S, Wilson P, et al. The effectiveness and cost-effectiveness of prophylactic removal of wisdom teeth. Health Technol Assess. 4(15):1-55. PMID: 10932022.\u003c/li\u003e\n\u003cli\u003eAl Fotawi RAM, Philip MR, Premnath SN. Assessment of the referral system for surgical removal of third molars at the Dental Faculty, King Saud University. Int Dent J. 2017;67(6):360-370. https://doi.org/10.1111/idj.12321.\u003c/li\u003e\n\u003cli\u003eCamargo IB, Melo AR, Fernandes AV, et al. Decision making in third molar surgery: A survey of Brazilian oral and maxillofacial surgeons. Int Dent J. 2015;65:169\u0026ndash;177. https://doi.org/10.1111/IDJ.12165.\u003c/li\u003e\n\u003cli\u003eAlmendros-Marqu\u0026eacute;s N, Alaejos-Algarra E, Quinteros-Borgarello M, et al. Factors influencing the prophylactic removal of asymptomatic impacted lower third molars. Int J Oral Maxillofac Surg. 2008;37:29\u0026ndash;35. https://doi.org/10.1016/J.IJOM.2007.06.008.\u003c/li\u003e\n\u003cli\u003eJasinevicius TR, Pyle MA, Kohrs KJ, Majors JD, Wanosky LA. Prophylactic third molar extractions: US dental school departments\u0026rsquo; recommendations from 1998/99 to 2004/05. Quintessence Int. 2008;39(2):165-76. PMID:18560655.\u003c/li\u003e\n\u003cli\u003eGavazzi M, De Angelis D, Blasi S, et al. Third molars and dental crowding: Different opinions of orthodontists and oral surgeons among Italian practitioners. Prog Orthod. 2014;15:60. https://doi.org/10.1186/S40510-014-0060-Y.\u003c/li\u003e\n\u003cli\u003eLaskin DM. Evaluation of the third molar problem. J Am Dent Assoc. 1971;82:824\u0026ndash;828. https://doi.org/10.14219/JADA.ARCHIVE.1971.0130.\u003c/li\u003e\n\u003cli\u003eLindauer SJ, Laskin DM, T\u0026uuml;fek\u0026ccedil;i E, et al. Orthodontists\u0026rsquo; and surgeons\u0026rsquo; opinions on the role of third molars as a cause of dental crowding. Am J Orthod Dentofacial Orthop. 2007;132(1):43-8. https://doi.org/10.1016/J.AJODO.2005.07.026.\u003c/li\u003e\n\u003cli\u003eRichardson ME. The role of the third molar in the cause of late lower arch crowding: a review. Am J Orthod Dentofacial Orthop. 1989;95(1):79-83. https://doi.org/10.1016/0889-5406(89)90139-x.\u003c/li\u003e\n\u003cli\u003eNiedzielska I. Third molar influence on dental arch crowding. Eur J Orthod. 2005;27:518\u0026ndash;523. https://doi.org/10.1093/EJO/CJI045.\u003c/li\u003e\n\u003cli\u003eSidlauskas A, Trakiniene G. Effect of the lower third molars on the lower dental arch crowding. Stomatologija 2006;8(3):80-4. PMID:17191063.\u003c/li\u003e\n\u003cli\u003eAdes AG, Joondeph DR, Little RM, Chapko MK. A long-term study of the relationship of third molars to changes in the mandibular dental arch. Am J Orthod Dentofacial Orthop. 1990;97(4):323-35. https://doi.org/10.1016/0889-5406(90)70105-L.\u003c/li\u003e\n\u003cli\u003eFriedman JW. The prophylactic extraction of third molars: A public health hazard. Am J Public Health. 2007;97:1554\u0026ndash;1559. https://doi.org/10.2105/AJPH.2006.10027.\u003c/li\u003e\n\u003cli\u003eKim SJ, Hwang CJ, Park JH, et al. Surgical removal of asymptomatic impacted third molars: Considerations for orthodontists and oral surgeons. Semin Orthod. 2016;22:75\u0026ndash;83. https://doi.org/10.1053/J.SODO.2015.10.010.\u003c/li\u003e\n\u003cli\u003eFalci SGM, De Castro CR, Santos RC, et al. Association between the presence of a partially erupted mandibular third molar and the existence of caries in the distal of the second molars. Int J Oral Maxillofac Surg. 2012;41:1270\u0026ndash;1274. https://doi.org/10.1016/J.IJOM.2012.03.003.\u003c/li\u003e\n\u003cli\u003eWhite RP, Madianos PN, Offenbacher S, Phillips C, Blakey GH, Haug RH, Marciani RD. Microbial complexes detected in the second/third molar region in patients with asymptomatic third molars. J Oral Maxillofac Surg. 2002;60(11):1234-40. https://doi.org/10.1053/JOMS.2002.35718.\u003c/li\u003e\n\u003cli\u003eAdelsperger J, Campbell JH, Coates DB, Summerlin DJ, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89:402\u0026ndash;406. https://doi.org/10.1016/S1079-2104(00)70119-3.\u003c/li\u003e\n\u003cli\u003eRakprasitkul S. Pathologic changes in the pericoronal tissues of unerupted third molars. Quintessence Int. 2001;32(8):633-8.\u003c/li\u003e\n\u003cli\u003eBaykul T, Saglam AA, Aydin U, Başak K. Incidence of cystic changes in radiographically normal impacted lower third molar follicles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(5):542-5. https://doi.org/10.1016/J.TRIPLEO.2004.08.010.\u003c/li\u003e\n\u003cli\u003eAlmendros-Marqu\u0026eacute;s N, Berini-Ayt\u0026eacute;s L, Gay-Escoda C. Influence of lower third molar position on the incidence of preoperative complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(6):725-32. https://doi.org/10.1016/J.TRIPLEO.2006.01.006.\u003c/li\u003e\n\u003cli\u003eStathopoulos P, Mezitis M, Kappatos C, Titsinides S, Stylogianni E. Cysts and tumors associated with impacted third molars: is prophylactic removal justified? J Oral Maxillofac Surg. 2011;69(2):405-8. https://doi.org/10.1016/j.joms.2010.05.025.\u003c/li\u003e\n\u003cli\u003eAdeyemo WL. Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(4):448-52. https://doi.org/10.1016/J.TRIPLEO.2005.08.015.\u003c/li\u003e\n\u003cli\u003eMark AM. Pregnancy and oral health. J Am Dent Assoc. 2021;152(3):252. https://doi.org/10.1016/J.ADAJ.2020.12.009.\u003c/li\u003e\n\u003cli\u003eAl Agili DE, Khalaf ZI. The role of oral and prenatal healthcare providers in the promotion of oral health for pregnant women. BMC Pregnancy Childbirth. 2023;23. https://doi.org/10.1186/S12884-023-05654-X\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-oral-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"ohea","sideBox":"Learn more about [BMC Oral Health](http://bmcoralhealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/ohea/default.aspx","title":"BMC Oral Health","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Impacted teeth, Prophylactic extraction, Guidelines, Asymptomatic third molar","lastPublishedDoi":"10.21203/rs.3.rs-3888248/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-3888248/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground:\u003c/strong\u003e A consensus favors extracting impacted third molars in the presence of clinical symptoms, but no consensus exists on their management when asymptomatic. Healthcare professionals from different fields of expertise may approach the extraction of these teeth differently.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e This study aimed to compare the perspectives of oral surgeons and orthodontists regarding the indications for asymptomatic third molar removal. This cross-sectional study collected information by asking participants why they prefer extracting asymptomatic third molars. Descriptive statistics were used to evaluate the obtained data. The significance level was p\u0026lt;0.05.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Prophylactic extraction of partially impacted molars was more favored among the participants (p\u0026lt;0.01). The orthodontists preferred prophylactic extraction due to the risk of late anterior dental crowding (LADC); however, the surgeons preferred pre-pregnancy extractions (p\u0026lt;0.05). The extraction decision for partial impaction was higher in females when the risk of distal caries was considered. For fully impacted ones, it was higher in males when the risk of caries and pericoronitis were considered (p\u0026lt;0.05).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusions: \u003c/strong\u003eOrthodontists preferred extraction because of the risk of LADC and caries, while surgeons focused on preventing pericoronitis, pathology, focal infection, and symptoms during pregnancy. This divergence between the participants may inform the guidelines for prophylactic management of third molars. These findings may be pertinent in gender medicine.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eClinical relevance: \u003c/strong\u003eThis study has been enlightening for departments to consult each other before the extraction of a patient's asymptomatic third molar.\u003c/p\u003e","manuscriptTitle":"Prophylactic Third Molar Removal: Are Oral Surgeons and Orthodontists Aligned in Preventive Approaches?","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-01-29 21:20:20","doi":"10.21203/rs.3.rs-3888248/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2024-06-14T08:09:19+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-06-13T18:12:40+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"149586732705715869226320245321991771808","date":"2024-06-10T19:02:39+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-05-25T07:14:15+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"79158430575607496400425811714182657161","date":"2024-05-07T12:17:18+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-04-22T09:29:55+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"436e47e8-bb2d-4115-b6d7-6eedbd9bbd50","date":"2024-04-12T10:40:34+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"08d42549-eea2-44cc-b4dd-71929cd9ebac","date":"2024-04-12T10:30:35+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-04-06T13:28:15+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"ae50f64b-3d45-4d07-9aab-9e8e3d5ee4f9","date":"2024-03-16T15:47:18+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2024-01-29T21:44:41+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"0787fc68-d3f3-4b34-8322-944b29bdf925","date":"2024-01-25T18:55:12+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"2aea7780-ef4f-4988-9eeb-6202262d9fcc","date":"2024-01-25T14:44:58+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2024-01-25T13:25:47+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2024-01-24T10:44:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2024-01-24T09:03:05+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2024-01-24T08:55:38+00:00","index":"","fulltext":""},{"type":"submitted","content":"BMC Oral Health","date":"2024-01-22T14:47:05+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-oral-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"ohea","sideBox":"Learn more about [BMC Oral Health](http://bmcoralhealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/ohea/default.aspx","title":"BMC Oral Health","twitterHandle":"BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"a29a9a7d-84d9-47d1-ab99-d9d73b00565e","owner":[],"postedDate":"January 29th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2024-09-16T16:03:15+00:00","versionOfRecord":{"articleIdentity":"rs-3888248","link":"https://doi.org/10.1186/s12903-024-04819-0","journal":{"identity":"bmc-oral-health","isVorOnly":false,"title":"BMC Oral Health"},"publishedOn":"2024-09-11 15:57:46","publishedOnDateReadable":"September 11th, 2024"},"versionCreatedAt":"2024-01-29 21:20:20","video":"","vorDoi":"10.1186/s12903-024-04819-0","vorDoiUrl":"https://doi.org/10.1186/s12903-024-04819-0","workflowStages":[]},"version":"v1","identity":"rs-3888248","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-3888248","identity":"rs-3888248","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}