The purpose of this study was to assess how the eruptive status of thi
rd molars relates to gingival and dental health and, in particular, to
the status of the adjacent second molar. One hundred and twenty-three
young adults were followed up over a 6-year period, from age 20 to ag
e 26. The status of the second and third molars, and DMF, DMFS, DS, MS
, and FS indices, periodontal condition, and salivary acidogenic bacte
rial counts were assessed. The 6-year DFS increase in relation to seco
nd molars was greatest in sextants with unerupted third molars. The pe
rcentage of erupting third molars that became carious or had been fill
ed during the study period was 30%. Most new caries lesions or filled
surfaces were on mesial surfaces of second molars and occlusal surface
s of third molars. The periodontal condition was best in mandibular se
xtants in which the third molar was missing. It is concluded that the
most favourable situation for upper second molars is if the neighbouri
ng third molar is missing by age 20.