Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Description
2.2. Study Description
2.3. Inclusion and Exclusion Criteria
2.4. Measurement Method
2.5. Statistical Analysis
3. Results
3.1. Comparison of Bone Levels among the Groups
3.2. Comparison of Bone Levels between Genders
3.3. Bone-Level Changes among the Two Groups Based on Age
3.4. Pattern of Impaction
3.5. Impaction Side
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Alfadil, L.; Almajed, E. Prevalence of impacted third molars and the reason for extraction in Saudi Arabia. Saudi Dent. J. 2020, 32, 262–268. [Google Scholar] [CrossRef] [PubMed]
- Gupta, S.; Bhowate, R.R.; Nigam, N.; Saxena, S. Evaluation of Impacted Mandibular Third Molars by Panoramic Radiography. ISRN Dent. 2011, 2011, 1–8. [Google Scholar] [CrossRef] [PubMed]
- Pedro, F.L.M.; Bandéca, M.C.; Volpato, L.E.R.; Marques, A.T.C.; Borba, A.M.; de Musis, C.R.; Borges, A.H. Prevalence of impacted teeth in a Brazilian subpopulation. J. Contemp. Dent. Pract. 2014, 15, 209–213. [Google Scholar] [PubMed]
- Breik, O.; Grubor, D. The incidence of mandibular third molar impactions in different skeletal face types. Aust. Dent. J. 2008, 53, 320–324. [Google Scholar] [CrossRef] [PubMed]
- Padhye, M.N.; Dabir, A.V.; Girotra, C.S.; Pandhi, V.H. Pattern of mandibular third molar impaction in the Indian population: A retrospective clinico-radiographic survey. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. 2013, 116, e161–e166. [Google Scholar] [CrossRef] [PubMed]
- KalaiSelvan, S.; Ganesh, S.K.N.; Natesh, P.; Moorthy, M.S.; Niazi, T.M.; Babu, S.S. Prevalence and Pattern of Impacted Mandibular Third Molar: An Institution-based Retrospective Study. J. Pharm. Bioallied. Sci. 2020, 12 (Suppl. S1), S462–S467. [Google Scholar] [CrossRef] [PubMed]
- Prajapati, V.K.; Mitra, R.; Vinayak, K.M. Pattern of mandibular third molar impaction and its association to caries in mandibular second molar: A clinical variant. Dent. Res. J. 2017, 14, 137–142. [Google Scholar]
- Barone, S.; Antonelli, A.; Averta, F.; Diodati, F.; Muraca, D.; Bennardo, F.; Giudice, A. Does Mandibular Gonial Angle Influence the Eruption Pattern of the Lower Third Molar? A Three-Dimensional Study. J. Clin. Med. 2021, 10, 4057. [Google Scholar] [CrossRef]
- Hassan, A. Pattern of third molar impaction in a Saudi population. Clin. Cosmet. Investig. Dent. 2010, 2, 109–113. [Google Scholar] [CrossRef]
- Arora, A.; Patil, B.A.; Sodhi, A. Validity of the vertical tube-shift method in determining the relationship between the mandibular third molar roots and the inferior alveolar nerve canal. J. Korean Assoc. Oral Maxillofac. Surg. 2015, 41, 66–73. [Google Scholar] [CrossRef]
- Cederhag, J.; Truedsson, A.; Alstergren, P.; Shi, X.Q.; Hellén-Halme, K. Radiographic imaging in relation to the mandibular third molar: A survey among oral surgeons in Sweden. Clin. Oral Investig. 2022, 26, 2073–2083. [Google Scholar] [CrossRef]
- Shukla, S.; Chug, A.; Afrashtehfar, K. Role of cone beam computed tomography in diagnosis and treatment planning in dentistry: An update. J. Int. Soc. Prev. Community Dent. 2017, 7, 125. [Google Scholar]
- Ariizumi, D.; Sakamoto, T.; Yamamoto, M.; Nishii, Y. External Root Resorption of Second Molars Due to Impacted Mandibular Third Molars during Orthodontic Retention. Bull. Tokyo Dent. Coll. 2022, 63, 129–138. [Google Scholar] [CrossRef] [PubMed]
- Jaju, P.P.; Jaju, S.P. Cone-beam computed tomography: Time to move from ALARA to ALADA. Imaging Sci. Dent. 2015, 45, 263–265. [Google Scholar] [CrossRef] [PubMed]
- Faria, A.I.; Gallas-Torreira, M.; López-Ratón, M. Mandibular second molar periodontal healing after impacted third molar extraction in young adults. J. Oral Maxillofac. Surg. 2012, 70, 2732–2741. [Google Scholar] [CrossRef] [PubMed]
- Pham, T.A.V.; Nguyen, N.H. Periodontal Status of the Adjacent Second Molar after Impacted Mandibular Third Molar Surgical Extraction. Contemp. Clin. Dent. 2019, 10, 311–318. [Google Scholar] [CrossRef] [PubMed]
- McHugh, M.L. Interrater reliability: The kappa statistic. Biochem. Med. 2012, 22, 276–282. [Google Scholar] [CrossRef]
- Albanese, M.; Zangani, A.; Manfrin, F.; Bertossi, D.; De Manzoni, R.; Tomizioli, N.; Faccioni, P.; Pardo, A. Influence of Surgical Technique on Post-Operative Complications in the Extraction of the Lower Third Molar: A Retrospective Study. Dent. J. 2023, 11, 238. [Google Scholar] [CrossRef]
- Antonelli, A.; Barone, S.; Bennardo, F.; Giudice, A. Three-dimensional facial swelling evaluation of pre-operative single-dose of prednisone in third molar surgery: A split-mouth randomized controlled trial. BMC Oral Health 2023, 23, 614. [Google Scholar] [CrossRef]
- Tiigimae-Saar, J.; Leibur, E.; Tamme, T. The effect of prednisolone on reduction of complaints after impacted third molar removal. Stomatologija 2010, 12, 17–22. [Google Scholar]
- Krausz, A.A.; Machtei, E.E.; Peled, M. Effects of lower third molar extraction on attachment level and alveolar bone height of the adjacent second molar. Int. J. Oral Maxillofac. Surg. 2005, 34, 756–760. [Google Scholar] [CrossRef]
- Dias, M.J.; Franco, A.; Junqueira, J.L.; Fayad, F.T.; Pereira, P.H.; Oenning, A.C. Marginal bone loss in the second molar related to impacted mandibular third molars: Comparison between panoramic images and cone beam computed tomography. Med. Oral. Patol. Oral Cir. Bucal. 2020, 25, e395–e402. [Google Scholar] [CrossRef]
- Fernandes, I.A.; Galvão, E.L.; Gonçalves, P.F.; Falci, S.G.M. Impact of the presence of partially erupted third molars on the local radiographic bone condition. Sci. Rep. 2022, 12, 8683. [Google Scholar] [CrossRef]
- Tai, S.; Zhou, Y.; Pathak, J.L.; Piao, Z.; Zhou, L. The association of mandibular third molar impaction with the dental and periodontal lesions in the adjacent second molars. J. Periodontol. 2021, 92, 1392–1401. [Google Scholar] [CrossRef]
- Tolentino, P.H.M.P.; Rodrigues, L.G.; Miranda de Torres, É.; Franco, A.; Silva, R.F. Extractions in Patients with Periodontal Diseases and Clinical Decision-Making Process. Acta Stomatol. Croat. 2019, 53, 141–149. [Google Scholar] [CrossRef]
- Passarelli, P.C.; Lajolo, C.; Pasquantonio, G.; D’Amato, G.; Docimo, R.; Verdugo, F.; D’Addona, A. Influence of mandibular third molar surgical extraction on the periodontal status of adjacent second molars. J. Periodontol. 2019, 90, 847–855. [Google Scholar] [CrossRef]
- Montero, J.; Mazzaglia, G. Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar. J. Oral Maxillofac. Surg. 2011, 69, 2691–2697. [Google Scholar] [CrossRef] [PubMed]
- Kan, K.W.; Liu, J.K.S.; Lo, E.C.M.; Corbet, E.F.; Leung, W.K. Residual periodontal defects distal to the mandibular second molar 6–36 months after impacted third molar extraction. J. Clin. Periodontol. 2002, 29, 1004–1011. [Google Scholar] [CrossRef] [PubMed]
- Al-Dajani, M.; Abouonq, A.O.; Almohammadi, T.A.; Alruwaili, M.K.; Alswilem, R.O.; Alzoubi, I.A. A Cohort Study of the Patterns of Third Molar Impaction in Panoramic Radiographs in Saudi Population. Open Dent. J. 2017, 11, 648–660. [Google Scholar] [CrossRef] [PubMed]
- Yilmaz, S.; Adisen, M.Z.; Misirlioglu, M.; Yorubulut, S. Assessment of Third Molar Impaction Pattern and Associated Clinical Symptoms in a Central Anatolian Turkish Population. Med. Princ. Pract. 2016, 25, 169–175. [Google Scholar] [CrossRef] [PubMed]
- Alsaegh, M.A.; Abushweme, D.A.; Ahmed, K.O.; Ahmed, S.O. The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: A retrospective study. BMC Oral Health 2022, 22, 306. [Google Scholar] [CrossRef] [PubMed]
- Eshghpour, M.; Nezadi, A.; Moradi, A.; Shamsabadi, R.M.; Rezaei, N.M.; Nejat, A. Pattern of mandibular third molar impaction: A cross-sectional study in northeast of Iran. Niger J. Clin. Pract. 2014, 17, 673–677. [Google Scholar] [PubMed]
- Zaman, M.U.; Almutairi, N.S.; Abdulrahman Alnashwan, M.; Albogami, S.M.; Alkhammash, N.M.; Alam, M.K. Pattern of Mandibular Third Molar Impaction in Nonsyndromic 17760 Patients: A Retrospective Study among Saudi Population in Central Region, Saudi Arabia. Biomed. Res. Int. 2021, 2021, 1–8. [Google Scholar] [CrossRef] [PubMed]
- Quek, S.L.; Tay, C.K.; Tay, K.H.; Toh, S.L.; Lim, K.C. Pattern of third molar impaction in a Singapore Chinese population: A retrospective radiographic survey. Int. J. Oral Maxillofac. Surg. 2003, 32, 548–552. [Google Scholar] [CrossRef]
Group | Baseline Bone Level Mean SD * | Bone Level after Extraction/Follow-Up Mean SD | p-Value |
---|---|---|---|
Study group | 3.00 ± 1.68 | 2.63 ± 1.75 | 0.0001 |
Control group | 2.73 ± 1.75 | 3.01 ± 1.98 | 0.001 |
Group | Gender | Baseline BL 1 | Follow-Up BL 2 | Bone Change df (mm) 3 | p-Value |
---|---|---|---|---|---|
Study | Male | 3.51 ± 1.89 | 3.27 ± 2.17 | 0.24 ± 1.29 | 0.747 |
Female | 2.73 ± 1.35 | 2.29 ± 1.41 | 0.44 ± 1.13 | ||
Control | Male | 3.64 ± 1.79 | 4.12 ± 2.11 | −0.48 ± 0.66 | 0.034 |
Female | 1.97 ± 1.32 | 2.11 ± 1.3 | −0.13 ± 0.31 |
Group | Age Group | Baseline BL | Follow-Up BL | Bone Change df (mm) | p-Value |
---|---|---|---|---|---|
Study | 18–28 | 2.48 ± 1.51 | 2.18 ± 1.57 | 0.29 ± 1.07 | 0.042 |
29–39 | 3.25 ± 1.69 | 2.29 ± 1.51 | 0.96 ± 1.05 | ||
40–50 | 4.30 ± 3.53 | 5.50 ± 3.39 | −1.20 ±0.14 | ||
≥51 | 3.51 ± 1.53 | 3.45 ± 1.44 | 0.05 ± 1.34 | ||
Control | 18–28 | 2.93 ± 1.94 | 3.19 ± 2.13 | −0.26 ±0.53 | 0.794 |
29–39 | 2.28 ± 1.32 | 2.45 ± 1.50 | −0.17 ±0.25 | ||
40–50 | 2.20 ± 0.71 | 2.38 ± 0.46 | −0.17 ±0.25 | ||
≥51 | 2.58 ± 1.72 | 3.16 ± 2.35 | −0.57 ±0.69 |
Classification | Inclination | Study Group | Control Group | Total Sample | p-Value | |||
---|---|---|---|---|---|---|---|---|
(N) | (F) | (N) | (F) | (N) | (F) | |||
Winter’s classification | Vertical | 31 | 44.9% | 35 | 50% | 66 | 41.25% | 0.539 |
Mesioangular | 26 | 37.7% | 20 | 28.6% | 46 | 28.75% | ||
Distoangular | 1 | 1.4% | 0 | 0% | 1 | 1.25% | ||
Horizontal | 10 | 14.5% | 15 | 21.4% | 25 | 16.62% | ||
Buccally tilted | 1 | 1.4% | 0 | 0% | 1 | 1.25% | ||
Total | 69 | 86.25% | 70 | 87.5% | 139 | 82.28% |
Impaction side | Occurrence | Study Group | Control Group | Total Sample | p-Value | |||
(N) | (F) | (N) | (F) | (N) | (F) | |||
Right | 6 | 15% | 3 | 7.5% | 9 | 11.3% | 0.509 | |
Left | 5 | 12.5% | 7 | 17.5% | 12 | 15% | ||
Bilateral | 29 | 72.5% | 30 | 75% | 59 | 73.8% |
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Ahmed, H.A.; López-López, J.; Egido-Moreno, S.; Llabrés, X.R.; Hameed, M.; Estrugo-Devesa, A. Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study. J. Clin. Med. 2024, 13, 906. https://doi.org/10.3390/jcm13030906
Ahmed HA, López-López J, Egido-Moreno S, Llabrés XR, Hameed M, Estrugo-Devesa A. Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study. Journal of Clinical Medicine. 2024; 13(3):906. https://doi.org/10.3390/jcm13030906
Chicago/Turabian StyleAhmed, Hassan Assiri, Jose López-López, Sonia Egido-Moreno, Xavier Roselló Llabrés, Mohammed Hameed, and Albert Estrugo-Devesa. 2024. "Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study" Journal of Clinical Medicine 13, no. 3: 906. https://doi.org/10.3390/jcm13030906
APA StyleAhmed, H. A., López-López, J., Egido-Moreno, S., Llabrés, X. R., Hameed, M., & Estrugo-Devesa, A. (2024). Mandibular Third Molar Impaction and Bone Change Distal to the Second Molar: A Panoramic Radiographic Study. Journal of Clinical Medicine, 13(3), 906. https://doi.org/10.3390/jcm13030906