Abstract

Germectomy is a surgical treatment that consists of the extraction of the tooth germ; indicated when there are morphostructural alterations, ectopic impactions or eruption not permitted due to dysplastic alterations of the tooth germ. It is a surgical procedure of choice that involves the extraction of a dental organ with all its embryonic attachments when it is in the early stages, the prevalence of impactions and pathologies of the mandibular third molar can be avoided with this surgical treatment. Objective: To perform a careful cost-benefit evaluation to evaluate the indications of early third molar extraction. Methods: An observational and descriptive study was carried out in the operating room of the dental clinics of the American University from September 2023 to November 2023. An 12-year-old patient was evaluated, surgically intervening on two tooth germs of mandibular third molars. Evaluating the position, location, and morphostructural change of the third molar germ; as well as trans and postoperative complications and the evolution.

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