[SIGN 43]

Management of Unerupted and Impacted Third Molar Teeth

SIGN Publication No. 43

ISBN 1899893 12 1
March 2000


The Guideline and Quick Reference Guide are available to download in Acrobat pdf format (info). Quick Reference Guide (169K) Guideline (644K).

  1. Introduction
    1.1 Background
    1.2 The need for a guideline
    1.3 Aim of the guideline
    1.4 Development of the guideline
    1.5 Definitions and terminology
  2. Advisability of removal
    2.1 For which patients is removal not advisable?
    2.2 For which patients is removal advisable?
  3. Indications for removal
    3.1 Strong indications for removal
    3.2 Other indications for removal
  4. Assessment and referral
    4.1 Clinical assessment
    4.2 Radiological assessment
    4.3 Referral
  5. Clinical management
    5.1 Preoperative management
    5.2 Anaesthesia
    5.3 Surgical procedure
    5.4 Other procedures
    5.5 Perioperative drug therapy
    5.6 Complications associated with treatment
    5.7 Outcomes of unerupted third molar management
    5.8 Patient information
  6. Recommendations for audit and research


  1. Details of the systematic review undertaken for this guideline
  2. Key messages for patients


Register of Interest
A register of interest is not available for this guideline. In line with the SIGN Document Retention Schedule (24/07/2010), after publication of this guideline, hard copies of declarations of interest were held at the SIGN Executive offices for one year. The declarations of interest were then archived for a further three years before being destroyed along with other guideline related documents. This schedule has now been revised.