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Not all third molars become impacted, but much pathology derives from those which are impacted. Consequently, many impacted wisdom teeth demand surgical removal with resultant traumatic morbidity. Prophylaxis of impactions includes removal of teeth anterior in the arch with follow up orthodontics. Other methods have been proposed for terminating growth of third molar follicles for prophylaxis of impaction. This paper proposes cryotherapy for prophylaxis of wisdom teeth impaction. The hypothesis The management proposed here is based on a novel hypothesis which suggests cryotherapy on developing follicles to avoid future impactions. Evaluation of hypothesis Placing and use of a suitably designed cryo-explorer demands the use of a local or general anaesthetic for the patient, in conjunction with locating techniques to define the growing follicle in the jaws. Conclusion Cryotherapy thus far stands up to the most rigorous criticism, with excellent successful applications and results; it may well turn out to be the treatment of choice in the future.

Cryotherapy for prophylaxis of wisdom teeth impactions?