Clinical Indications to Germectomy in Pediatric Dentistry: A Systematic Review

Marta Mazur, Artnora Ndokaj, Beatrice Marasca, Gian Luca Sfasciotti, Roberto Marasca, Maurizio Bossù, Livia Ottolenghi and Antonella Polimeni
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Marta Mazur: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
Artnora Ndokaj: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
Beatrice Marasca: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
Gian Luca Sfasciotti: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
Roberto Marasca: Pediatric Dentistry Unit, Head and Neck Integrated Department, AOU Policlinico Umberto I of Rome, Viale Regina Elena 287/b, 00161 Rome, Italy
Maurizio Bossù: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
Livia Ottolenghi: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy
Antonella Polimeni: Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy

IJERPH, 2022, vol. 19, issue 2, 1-13

Abstract: Germectomy is a procedure often required in patients at developmental age. It is defined as the surgical removal of the third molar at a very specific stage of development. The aim of this study was to systematically analyze the literature in terms of clinical indications for germectomy in patients at developmental age. Literature searches were performed using PubMed, Google Scholar, Cochrane Library and Scopus from 1952 to 30 June 2021. The study protocol was registered after the screening stage (PROSPERO CRD42021262949). The search strategy identified 3829 articles: 167 from PubMed, 2860 from Google Scholar, 799 from Cochrane Library and 3 from Scopus. Finally, eight full-text papers were included into the qualitative analysis. Based on the included studies, clinical indications for germectomy were mainly related to orthodontic causes, infectious and cariogenic causes and prophylaxis. Based on these results, it is not possible to present evidence-based clinical indications for germectomy in patients at developmental age. Clinical trials on this subject focused specifically on patients at developmental age are awaited.

Keywords: germectomy; oral surgery; clinical indications; oral health; dentistry; systematic review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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