Pederson Difficulty (Third Molar)

Pederson Difficulty Index (Pederson 1988): predicts difficulty of impacted mandibular third-molar (wisdom tooth) removal.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Angulation
Mesioangular
Depth
Level B (mid)
Ramus relationship / space
Class II (reduced space)

Result: Pederson 5 of 10 — moderately difficult extraction.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Bands
3-4 slightly difficult, 5-6 moderately difficult, 7-10 very difficult.

What you enter

  • Angulation (points)
  • Depth (points)
  • Ramus relationship / space (points)
How this is calculated
Points
angulation (mesio 1 / horizontal 2 / vertical 3 / disto 4) + depth (A 1 / B 2 / C 3) + ramus (I 1 / II 2 / III 3) = 3-10.

Pederson GW. Oral Surgery. Philadelphia: WB Saunders; 1988. (Pederson difficulty index, combining Winter angulation and Pell & Gregory depth/ramus classifications.) Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.