scholarly journals Evaluation capability of surgical difficulty in the extraction of impacted mandibular third molars: a retrospective study from a post-graduate institution

Joints ◽  
2014 ◽  
Author(s):  
R Pippi
Keyword(s):  
Retrospective Study ◽  
Third Molars ◽  
Post Graduate ◽  
Impacted Mandibular Third Molars ◽  
Surgical Difficulty ◽  
Mandibular Third Molars ◽  
Graduate Institution

scholarly journals Management Of Odontogenic Cystic Lesion Associated Deeply Impacted Mandibular Third Molars: A Retrospective Study

2020 ◽  
Vol 41 (3) ◽  
pp. 187-194
Author(s):  
Meltem Özden Yüce ◽  
Gözde Işık ◽  
Birant Şimşek ◽  
Selman Arslan ◽  
Tayfun Günbay
Keyword(s):  
Retrospective Study ◽  
Cystic Lesion ◽  
Third Molars ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

scholarly journals Wisdom Tooth—Complications in Extraction

2014 ◽  
Vol 15 (1) ◽  
pp. 34-36 ◽  
Author(s):  
Nishi Singh ◽  
Amiya Agrawal ◽  
Arvind Yadav ◽  
Siddhartha Chandel ◽  
Ankita Singhal
Keyword(s):  
Retrospective Study ◽  
Third Molar ◽  
Lingual Nerve ◽  
Root Tip ◽  
Third Molars ◽  
Wisdom Tooth ◽  
Mandibular Third Molar ◽  
Alveolar Osteitis ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

ABSTRACT The purpose of this study is to analyze the incidence of complications in a group of 171 patients in whom extractions of impacted mandibular third molar have been performed by two oral surgeons between the period April 2010 and March 2012. This retrospective study comprises evaluation of 270 impacted mandibular third molars which were classified into two groups A and B on the basis of procedure of osteotomy only and osteotomy and odontotomy both respectively. Total no of complications reported were 40 (14.81%). Maximum no of cases reported alveolar osteitis (AO) (11.11%) while other complications reported root tip fractures (2.22%), lingual nerve parasthesia and TMJ problems (each 0.74%) in descending frequency. Conclusion drawn is that the risk of complications in extractions of impacted mandibular third molars always exists, and extractions associated with both osteotomy and odontotomy are associated with higher risk of complications. How to cite this article Agrawal A, Yadav A, Chandel S, Singh N, Singhal A. Wisdom Tooth—Complications in Extraction. J Contemp Dent Pract 2014;15(1):34-36.

Impacted mandibular third molars and their influence on mandibular angle and condyle fractures – A retrospective study

2014 ◽  
Vol 42 (7) ◽  
pp. 1102-1105 ◽  
Author(s):  
Rajasekhar Gaddipati ◽  
Sudhir Ramisetty ◽  
Nandagopal Vura ◽  
Rajeev Reddy Kanduri ◽  
Vinay Kumar Gunda
Keyword(s):  
Retrospective Study ◽  
Third Molars ◽  
Mandibular Angle ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

scholarly journals Incidence of complications after the surgical removal of impacted mandibular third molars: A single center retrospective study

2021 ◽  
Vol 7 ◽  
pp. 10-17
Author(s):  
G Prerana ◽  
Deepa Tantry ◽  
Kumar Sougata ◽  
Sree Chandana Shreya Sivalanka
Keyword(s):  
Retrospective Study ◽  
Complication Rate ◽  
Surgical Removal ◽  
Third Molars ◽  
Single Center ◽  
Dry Socket ◽  
History Of ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Difficulty Index

Objectives: The aim of the study was to study the incidence of complications associated with the surgical removal of impacted mandibular third molars in a single center. Material and Methods: A single center retrospective study was conducted in the Department of Oral and Maxillofacial Surgery at NSVK Sri Venkateshwara Dental College and Hospital located in Bannerughatta, Bengaluru. The study included patients between the ages of 15–60 years who had undergone surgical extraction of one or more mandibular third molar and had a difficulty score between 3 and 6 (Pederson’s difficulty index). During the course of study variables such as age, gender, impacted side, difficulty index, medical, and habit history along with complications and medications were recorded and accessed from the patient’s case history reports. In due course of the study, these variables were analyzed and correlated using descriptive analysis, Chi-square test, Contingency test, and regression analysis to understand whether or not these variables play an important role in aggravating post-extraction complications for mandibular third molars. Results: The study sample was composed of 250 patients with 52% female and 48% male with a mean age of 34 years. The complication rate observed was 7.6%, there was a statistically significant co-relation seen between gender (P = 0.016), age groups (p<0.05), spatial relationship (P = 0.019), and medical history (P = 0.016) when compared to the complications observed. The most common complications observed were trismus/muscle spasm followed by dry socket. However, the cases of neurosensory complications were extremely rare. Conclusion: There was a significant association to be found between the complication-rate and gender. Conditions such as muscle spasms/trismus and dry socket had a significant predilection toward the males while complications associated with neurosensory changes were commonly seen in females. There was also a significant association between habit history and rate of complication especially in conditions such as dry-socket where all the observed cases had positive history of tobacco/pan chewing habit. Interestingly all the males who complained of dry socket also had reported medical history of type (2) diabetes. Patients with complications such as neurosensory changes were few and could have been prevented with good surgical skills and precision; moreover, even if they were found they were temporary and treated with regular follow-ups.

Relative Impact of Patient Characteristics and Radiographic Variables on the Difficulty of Removing Impacted Mandibular Third Molars

2008 ◽  
Vol 9 (4) ◽  
pp. 51-58 ◽  
Author(s):  
Oladimeji A. Akadiri ◽  
Ambrose E. Obiechina ◽  
Juwon T. Arotiba ◽  
Abiodun O. Fasola
Keyword(s):  
Patient Characteristics ◽  
Surgical Removal ◽  
Relative Impact ◽  
Third Molars ◽  
Specific Patient ◽  
Tooth Impaction ◽  
Duration Of Surgery ◽  
Impacted Mandibular Third Molars ◽  
Surgical Difficulty ◽  
Mandibular Third Molars

Abstract Aim The aim of this study was to assess the relative contributions of patient characteristics and radiographic variables to the difficulty of extraction of impacted mandibular third molars in a Nigerian population. Methods and Materials Seventy-nine consecutive patients undergoing mandibular third molar extractions were recruited for this prospective cohort study. Specific patient characteristics and radiographic variables were recorded. All extractions were performed under local anesthesia by the same oral surgeon, and the surgical difficulty was assessed based on the duration of surgery. Results Body weight (BW) (P=0.009) and body surface area (BSA) (P=0.004) were the significant patient characteristics while tooth impaction depth (P=0.002), number of roots (P=0.035), and tooth angulation (P=0.003) were the significant radiographic variables associated with surgical difficulty using a univariate analysis. A multiple linear regression model was constructed with these variables using surgical difficulty as the dependent variable. Radiographic factors were found to be the more important determinants of surgical difficulty with the depth of impaction (P=0.038) being the singular most important factor. Conclusion Although the difficulty of surgical removal of impacted lower third molars is dependent on BW, BSA, impaction depth, tooth angulation, and the number of roots, radiographic variables were of greater importance with impaction depth being the most important single factor. Citation Akadiri OA, Obiechina AE, Arotiba JT, Fasola AO. Relative Impact of Patient Characteristics and Radiographic Variables on the Difficulty of Removing Impacted Mandibular Third Molars. J Contemp Dent Pract 2008 May; (9)4:051-058.

scholarly journals Prevalence and Pattern of Mandibular Third Molar Impaction in Eritrean Population: A Retrospective Study

2017 ◽  
Vol 18 (2) ◽  
pp. 100-106 ◽  
Author(s):  
V Raj Kumar ◽  
Priya Yadav ◽  
Efrem Kahsu ◽  
Farhana Girkar ◽  
Rajnish Chakraborty
Keyword(s):  
Retrospective Study ◽  
East Africa ◽  
Maxillofacial Surgery ◽  
Age Groups ◽  
Third Molar ◽  
Class I ◽  
Third Molars ◽  
Mandibular Third Molar ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

ABSTRACT Introduction The most commonly impacted tooth in the oral cavity is the mandibular third molar. Various etiologic factors have been suggested for impacted mandibular third molars. The pattern and prevalence of impacted mandibular third molars vary with different population and region. This study throws light on the prevalence and pattern of impacted mandibular third molars in Eritrea, East Africa. This is the first reported study regarding the same from Eritrea. Aim To assess the prevalence and pattern of impacted mandibular third molars in the population of Eritrea, East Africa by conducting a retrospective study from January 2009 to January 2014. Materials and methods This study was conducted in the Department of Oral and Maxillofacial Surgery, Orotta School of Medicine and Dental Medicine and the Orotta Referral Medical and Surgical Hospital, Asmara, Eritrea. A total of 1,813 clinical and radiographic records [orthopantomograms] were assessed and 276 cases were selected for the study as per the inclusion criteria. They were evaluated for the frequency among the various age groups, gender and region along with the sides affected, angulation and level of impaction. The presence of systemic conditions and associated pathologies was also assessed according to the type of impaction. Results The average age of these patients in the study was found to be 30 years, with the 20 to 30 years age group being the most affected (67.4%). Females (53.3%) were affected more than the males (46.7%). People from the Asmara region showed significantly more prevalence (79.7%) than the adjoining areas (20.3%). Mesioangular impaction was the most common angulation with a definite relationship to the age groups (p = 0.032). The level of impaction had no significant relationship to the age groups, gender, or region, although class I position A was found to be the most common type. Mesioangular class I position A impaction showed an apparent relationship with underlying systemic conditions, but it was statistically insignificant. Mesioangular impaction was found to be associated with the most number of pathologies (p = 0.001). Conclusion The prevalence of mandibular impaction was less in Eritrea (15.2%) compared with other populations. This study provides useful baseline data for the prevalence and pattern of mandibular impaction in the Eritrean population. Clinical significance This study throws light on the pattern, type, and frequency of mandibular impacted teeth as per age, sex, and region among the population of Eritrea. How to cite this article Kumar VR, Yadav P, Kahsu E, Girkar F, Chakraborty R. Prevalence and Pattern of Mandibular Third Molar Impaction in Eritrean Population: A Retrospective Study. J Contemp Dent Pract 2017;18(2):100-106.

scholarly journals Assessment of intraoperative risk factors for surgical difficulty in surgical extraction of impacted mandibular third molar – A prospective study.

2019 ◽  
Vol 6 (2) ◽  
pp. 41-43
Author(s):  
Manu Goel ◽  
Milind Shringarpure ◽  
Vasant Shewale ◽  
Chandrashekhar Bande ◽  
Ajit Joshi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Third Molar ◽  
Third Molars ◽  
Surgical Time ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Impacted Mandibular Third Molars ◽  
Surgical Difficulty ◽  
Mandibular Third Molars

The extraction of impacted third molars is among the most common surgical procedures carried out in the field of Oral and Maxillofacial Surgery. For proper planning of surgical extraction, especially for impacted mandibular third molars the estimated level of surgical difficulty of the case is important. This study was conducted to evaluate the intraoperative risk factors contributing to surgical difficulty in extraction of impacted mandibular third molars and consequently the post-operative outcome. Here, we have undertaken a study in which the intraoperative variables were considered, to evaluate their contribution for surgical difficulty and postoperative complications in surgical removal of 100 impacted mandibular third molars. Three variables were found significant associated with total surgical time intervention, i.e., surgeon’s experience (p=0.006), Inter-incisal opening (p=0.032), and cheek flexibility (p=0.004). Total surgical time intervention for ‘right side’ was higher with 49.20 ± 17.94 minutes (p=0.691). Total surgical time intervention for ‘gagging reflex present’ was 50.21 ± 17.812 (p=0.674). Multiple linear regression shows that surgeon’s experience was the only predictor (p<0.001). The surgical difficulty of impacted mandibular third molar are likely to depend on the intraoperative factors like Surgeon’s time, surgeon’s experience, check flexibility, and inter incisal mouth opening.

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