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Clinical Tips References: Considerations on managing patients with infected mandibular third molars

NSW Dentist June/July 26 issue

By Dr Alan Mann
Specialist oral surgeon

List of references:

  1. Ullah M, Irshad M, Yaacoub A, Carter E, Cox S. Hospitalisations Due to Dental Infection: A Retrospective Clinical Audit from an Australian Public Hospital. Dent J (Basel). 2024 Jun 6;12(6):173
  2. Bond AT, Soubra YS, Aziz U, Read-Fuller AM, Reddy LV, Kesterke MJ, Amin D. Are Deep Odontogenic Infections Associated With an Increased Risk for Sepsis? J Oral Maxillofac Surg. 2024 Jul;82(7):852-861.
  3. Singer M, Angus DC, Annane D, Bauer M, Kalil AC, Klompas M, Machado FR, Martin GS, Randolph AG, Shankar-Hari M, Shapiro NI, Van den Berghe G. Sepsis. Lancet. 2026 Mar 28;407(10535):1276-1288.
  4. Johri A, Piecuch JF. Should teeth be extracted immediately in the presence of acute infection? Oral Maxillofac Surg Clin North Am. 2011 Nov;23(4):507-11
  5. Thornhill MH, Dayer MJ, Durkin MJ, Lockhart PB, Baddour LM. Risk of Adverse Reactions to Oral Antibiotics Prescribed by Dentists. J Dent Res. 2019 Sep;98(10):1081-1087.
  6. Acute odontogenic infections. In: Oral and Dental Expert Group. Therapeutic guidelines: oral and dental. Version 4. Melbourne: Therapeutic Guidelines Limited; 2025. https://www.tg.org.au
  7. Musa AAR, Jensen ED, Richardson R, Cheng A, Sambrook PJ. Post-Operative Infections Following Dentoalveolar Surgery Admitted to an Oral and Maxillofacial Surgery Tertiary Centre. Aust Dent J. 2026 Mar;71(1):59-67.
  8. Mann A, Scott JF. Coronectomy of mandibular third molars: a systematic literature review and case studies. Aust Dent J. 2021 Jun;66(2):136-149.
  9. Li JTW, Leung YY. Ten-year-plus follow-up study on coronectomy of the mandibular third molar. Int J Oral Maxillofac Surg. 2026 May;55(5):592-598.

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