{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T13:10:41Z","timestamp":1781788241891,"version":"3.54.5"},"reference-count":23,"publisher":"JCFCorp SG PTE LTD","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["am j health behav"],"published-print":{"date-parts":[[2023,2,28]]},"abstract":"<jats:p><jats:bold>Objectives: <\/jats:bold> In this study, we investigated the impact of the COVID-19 pandemic on the decision-making process for impacted mandibular third molar removal and related clinical teaching. <jats:bold> Methods:<\/jats:bold> From April 21 to April 28, 2020, we distributed a self-constructed survey\n via the Wenjuanxing software platform to oral clinicians engaged in the extraction of mandibular third molars. <jats:bold> Results:<\/jats:bold> We received 321 valid responses. Overall, 22.4% of clinicians were temporarily not performing tooth extractions in outpatient clinics and 50.2% of clinicians were\n temporarily not performing impacted tooth extractions. The main reason cited was that aerosol-generating high-speed handpieces were not recommended for use during the pandemic, opting instead for the surgical handpiece with copious saline irrigation as the main method for bone removal; the\n hammer-and-chisel method was considered to be too traumatic and posed too high of a risk for iatrogenic injury. <jats:bold> Conclusions:<\/jats:bold> The implementation of disease control measures during the COVID-19 pandemic significantly affected clinical decision-making regarding impacted mandibular third\n molar extractions; the main reason cited was the contraindication of using aerosol-generating high-speed handpieces. The hammer-and-chisel method may represent a valuable surgical application under the requirements for epidemic prevention and control. We provide a new idea for the extraction\n of interrupted permanent molars in the context of epidemic prevention and control is provided.<\/jats:p>","DOI":"10.5993\/ajhb.47.1.10","type":"journal-article","created":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T04:31:53Z","timestamp":1679459513000},"page":"87-97","source":"Crossref","is-referenced-by-count":4,"title":["The Effect of the COVID-19 Pandemic on the Decision-making Process of Mandibular Impacted Third Molar Extraction"],"prefix":"10.5993","volume":"47","author":[{"given":"Qiong","family":"Jin","sequence":"first","affiliation":[{"name":"Dental Implant Center, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang, P. R. 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