Dorin Ioan Cocos, Alina-Ramona Dimofte, Gabriel Valeriu Popa, Mariana Pacurar, Doriana Agop Forna, Cristina Iordache, Sergiu Focsaneanu, Kamel Earar
Abstract
Impacted wisdom teeth are a common challenge in dentistry, associated with numerous local and systemic complications, including temporomandibular joint (TMJ) dysfunctions. Early diagnosis, achieved through clinical examination and advanced imaging investigations, such as cone-beam computed tomography (CBCT), is essential in preventing complications. Complications include infections, pericoronitis, resorption of the roots of adjacent teeth, odontogenic cysts, and occlusal imbalances that affect TMJ functionality. Therapeutic management ranges from periodic monitoring to surgical extraction, with the use of minimally invasive techniques, such as piezotomy or laser, to reduce trauma and recovery time. Also, the prevention of TMJ dysfunctions involves correcting the occlusion, reducing risk factors (such as bruxism), and the use of mandibular physical therapy. Interdisciplinary collaboration is crucial for treatment success. In addition, future research focuses on the integration of artificial intelligence and the use of biomimetic materials, providing promising prospects for more effective management. A proactive and personalized approach is fundamental to preventing complications and maintaining oral and joint health.
DOI : 10.62610/RJOR.2025.1.17.71
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