scholarly journals Surgical Treatment of A Premolar Case Retained In Inverted Position by Extra Buccal Access

2019 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Magnabosco Neto AE ◽  
Gregio SLP ◽  
Simm Filho JW

Dental impaction is usually asymptomatic. In most cases it is recognized by chance by general dentists or orthodontists, when a patient arrives your office for a routine check-up. Mandibular third molars are the most commonly impacted teeth. Very few studies have been done to assess the prevalence of impacted premolars in inverted position. This study aims to approach the planning, diagnosis and surgical treatment of a case of premolar held in reverse position through extra oral access. Key words: Tooth impaction; impacted premolars; pathology; migration; surgical treatment;

2020 ◽  
Vol 3 (2) ◽  
pp. 352-355
Author(s):  
Mabel Okiemute Etetafia ◽  
Ese Anibor ◽  
Martins Obaroefe

Introduction: Diagnosis and management of impacted mandibular third molars call for a cogent appraisal and treatment choice both for the sick person and the dental practitioner. This academic work scrutinized the pattern as well as treatment of impacted mandibular third molars at the Teem Clinic and Dental Centre, Ekpan, Delta State, in Nigeria.Materials and Methods: This cross-sectional survey involved 131 cases who reported impacted mandibular third molars. The age, gender, impacted tooth, type of impaction, pathological conditions, and treatment proffered were recorded.Results: The male to female ratio was 0.8:1, with an age range of 10 to 40 years. Of the lower third molar impactions 58 (42.0%) were mesioangular, 5 (3.6%) horizontal, 18 (13.0%) vertical and 57 (41.3%) were distoangular. A total of 47 (34.1%) quested for dental attention following varying degrees of pain induced by pericoronitis. Teeth removal was accomplished for 76 (55.0%) owing to carious lesions on the impacted teeth, proximate tooth, or both. Surgical extraction was the option taken in 69 (50.0 %) with caries on the impacted teeth while 3 (2.2%) had to pull out of their teeth done owing to carious lesions on the bordering second molars. In 3 (2.2%) both the impacted third molar and the proximate second molar were decayed. Conclusions: The prevailing indication for pulling out impacted mandibular third molars was acute pericoronitis. Mesioangular sort of impaction was most recurrent and ought to be considered for theplausibility of frequentness of complications.


2020 ◽  
Author(s):  
Zhouxi Ye ◽  
Wenhao Qian ◽  
Yubo Wu ◽  
Bing Sun ◽  
Zhiyao Li ◽  
...  

Abstract Background To evaluate the associations of impaction patterns of mandibular third molars (M3Ms) with pathologies caused by them. Methods In this study, 262 patients with 432 impacted M3Ms were included. The pathologies include pericoronitis, mandibular second molar (M2M) caries, and M2M distal periodontal pathology. The impaction patterns of M3Ms and the pathologies were examined, and the M2Ms outcomes after the surgeries were evaluated. χ2 test was used to analyze the data and a P value of <0.05 was considered statistically significant. Results Pericoronitis was the major symptom in all patients, whereas the propensities of M2M distal caries and periodontal pathologies increased in older patients. Soft tissue impacted and vertically angulated teeth were more associated with the pericoronitis (p <0.05); Mesio-angular impacted teeth in less deep positions had greater risks of M2Ms distal caries (p <0.05); Mesio-angular and horizontal impacted teeth in relative deep positions were more likely to cause M2Ms distal periodontal pathologies (p <0.05). Conclusions Extractions of soft tissue impacted teeth in vertical angulations should be considered. While removals of mesially and horizontally angulated or bony impacted teeth could be delayed.


Author(s):  
Mohamed Ali Sawas ◽  
Linah Essam Arabi ◽  
Samirah Hashim Jabir ◽  
Reem Nawaf AlSaadi ◽  
Mohammed Ahmed Al Nassir ◽  
...  

Estimates show that the prevalence of mandibular dental anterior crowding is high and might be up to 40%. The etiology of the condition has been multifactorial and evidence regarding the impact of mandibular third molars is still controversial. We discussed the potential role that impacted teeth (particularly mandibular third molars) might have in developing dental arch crowding. Evidence from different original studies and reviews regarding the impact of lower third molars on dental crowding was controversial. However, most of these studies showed that the correlation between these events was insignificant and additional studies might be needed for further validation. We have also identified many factors that can lead to dental arch crowding among the relevant studies in the literature. These factors might include general factors (including gender and age), skeletal factors (including malocclusion and growth of jaws) and dental factors (including primary tooth loss and tooth crown size), all of which were extensively discussed in the current study. Accordingly, further attention should also be paid to studying these factors.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Delsy T. Sahetapy ◽  
P. S. Anindita ◽  
Bernat S. P. Hutagalung

Abstract: Dental tooth impaction is a state of latent or not erupted or partly erupted after a normal eruption time. The impact of impacted teeth, namely the absence of pain, inflammation, and cysts but the prevalence of impacted teeth in several countries including in Indonesia is quite high. Some areas in Indonesia yet has particularly impacted teeth, especially data on partial erupted. This study aims to determine the prevalence of impacted teeth partially erupted on Totabuan Village community. This research is a descriptive cross sectional study. The study population is villagers Totabuan, the study sample as many as 37 people are 13 men and 24 women aged 24-60 years. Results of studies have impacted teeth partially erupted third molars most women (60%), and more common in the age of 24-35 years (62%). Partially erupted tooth impaction occurs most often in the lower jaw (53%) with most gear position on mesioangular (48.4%).Keywords: dental impaction, partial erupted.Abstrak: Gigi impaksi merupakan suatua keadaan gigi terpendam atau tidak erupsi baik sebagian maupun seluruhnya setelah melewati waktu erupsi normal. Dampak dari gigi impaksi yaitu adanya rasa sakit, inflamasi, serta kista akan tetapi prevalensi gigi impaksi di beberapa negara termasuk di Indonesia cukup tinggi. Beberapa daerah di Indonesia belum meiliki data mengenai gigi impaksi khususnya partial erupted. Penelitian ini bertujuan untuk mengetahui prevalensi gigi impaksi partial erupted pada masyarakat Desa Totabuan. Penelitian ini merupakan penelitian deskriptif dengan rancangan cross sectional study. Populasi penelitian yaitu masyarakat Desa Totabuan, dengan sampel penelitian sebanyak 37 orang yaitu 13 orang laki-laki dan 24 orang perempuan dengan usia 24-60 tahun. Hasil penelitian ditemukan adanya gigi impaksi molar tiga partial erupted paling banyak pada perempuan (60%), dan banyak ditemukan pada usia 24-35 tahun (62%). Gigi impaksi partial erupted paling sering terjadi pada rahang bawah (53%) dengan posisi gigi paling banyak pada mesioangular (48,4%). Berdasarkan penelitian yang telah dilakukan dapat disimpulkan bahwa gigi impaksi molar tiga partial erupted yang paling banyak ditemukan pada perempuan, dan banyak ditemukan pada usia yaitu 24-35 tahun. Gigi impaksi molar tiga partial erupted paling banyak ditemukan pada rahang bawah, dengan posisi gigi paling banyak pada mesioangular.Kata kunci: gigi impaksi, partial erupted.


Author(s):  
Seyed Hadi Hosseini ◽  
Zahra Mazareii Fard ◽  
Donya Maleki

Aim: As the patterns of impaction can affect the treatment plan of removing or remaining the impacted tooth, the difficulty of surgery, and the post-surgical complications, this survey aimed for assessment of the mandibular wisdom tooth impaction patterns in terms of angulation and depth in the north population of Iran. Materials and Methods: 196 Panoramic radiographs were gathered from patients attending to the department of oral and maxillofacial surgery of GUMS in 2018-2019. To perform this retrospective study the prevalence of impaction, angulation, and the level of the eruption were assessed. The data were analyzed by SPSS 16. Results: This study found that the most common pattern of impacted mandibular third molars was level B in terms of depth and mesioangular in terms of angulation. Conclusion: The current study notes the importance of determining the angulation and level of wisdom tooth in designing the pre-surgical treatment and in post-surgical complaints


2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Erol Cansiz ◽  
Sabri Cemil Isler ◽  
B. Alper Gultekin

Mandibular third molars are the most common impacted teeth. Mandibular first and second molars do not share the same frequency of occurrence. In rare cases the occlusal surfaces of impacted molars are united by the same follicular space and the roots pointing in opposite direction; these are called kissing molars. In some cases, a supernumerary fourth molar can be seen as unerupted and, in this case, such a supernumerary, deeply impacted fourth molar is seen neighboring kissing molars. The extraction of deeply impacted wisdom molars from the mandible may necessitate excessive bone removal and it causes complications such as damage to the inferior alveolar nerve and iatrogenic fractures of the mandible. This case report describes the use of the sagittal split osteotomy technique to avoid extensive bone removal and protect the inferior alveolar nerve during surgical extruction of multiple impacted teeth.


2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110132
Author(s):  
Zhou-Xi Ye ◽  
Wen-Hao Qian ◽  
Yu-Bo Wu ◽  
Chi Yang

To evaluate the associations of impaction patterns of mandibular third molars (M3Ms) with pathologies caused by them. In this study, 262 patients with 432 impacted M3Ms who referred in Shanghai Xuhui District Center were reviewed. The pathologies include pericoronitis, mandibular second molar (M2M) caries, and M2M distal periodontal pathology. The impaction patterns of M3Ms and the pathologies were examined, while the M2M outcomes after surgeries were evaluated. A χ2 test was used to analyze the data, with a p value of <0.05 being considered statistically significant. Pericoronitis was the major symptom in all patients, whereas the propensities of M2M distal caries and periodontal pathologies increased in older patients. Soft tissue impacted and vertically angulated teeth were more associated with pericoronitis ( p < 0.05); mesio-angular impacted teeth in less deep positions had greater risks of M2Ms distal caries ( p < 0.05); mesio-angular and horizontal impacted teeth in relative deep positions were more likely to cause M2Ms distal periodontal pathologies ( p < 0.05). Extractions of soft tissue impacted teeth in vertical angulations should be considered, while removals of mesially and horizontally angulated or bony impacted teeth could be delayed.


2020 ◽  
Author(s):  
Zhouxi Ye ◽  
Wenhao Qian ◽  
Chi Yang ◽  
Yubo Wu ◽  
Bing Sun ◽  
...  

Abstract Background To evaluate the associations of impaction patterns of mandibular third molars (M3Ms) with pathologies caused by them. Methods In this study, 262 patients with 432 impacted M3Ms were included. The pathologies include pericoronitis, mandibular second molar (M2M) caries, and M2M distal periodontal pathology. The impaction patterns of M3Ms and the pathologies were examined, and the M2Ms outcomes after the surgeries were evaluated. χ2 test was used to analyze the data and a P value of < 0.05 was considered statistically significant. Results Pericoronitis was the major symptom in all patients, whereas the propensities of M2M distal caries and periodontal pathologies increased in older patients. Soft tissue impacted and vertically angulated teeth were more associated with the pericoronitis (p < 0.05); Mesio-angular impacted teeth in less deep positions had greater risks of M2Ms distal caries (p < 0.05); Mesio-angular and horizontal impacted teeth in relative deep positions were more likely to cause M2Ms distal periodontal pathologies (p < 0.05). Conclusions Extractions of soft tissue impacted teeth in vertical angulations should be considered. While removals of mesially and horizontally angulated or bony impacted teeth could be delayed.


2015 ◽  
Vol 14 (2) ◽  
pp. 165-168
Author(s):  
Mozhgan Kazemian ◽  
Seyyed Hossein Hosseini Zarch ◽  
Elham Banihashemi ◽  
Mohammad Amin Khajavi ◽  
Elham Moradi

Aim: This study aimed to evaluate the frequency and distribution of impacted teeth and the associated pathologies.Materials and Methods: In this descriptive cross-sectional study, 10,000 panoramic radiographs of patients referred to a private radiology center and the radiology department of the School of Dentistry of Mashhad University of Medical Sciences were assessed from 2009 to 2012. All the radiographs were observed by an oral and maxillofacial radiologist. The number, position and inclination of impacted teeth and the associated pathologies were recorded.Results: Of 10,000 radiographs, 3,374 impacted teeth were observed. Third molar was the most prevalent impacted tooth of both jaws (95%), followed by canine, second premolar, second molar, and lateral incisor and first premolar teeth. The vertical position accounted for 36% of all impacted third molars positions, followed by mesioangular (30%), distoangular (22%), horizontal (11%), and buccolingual (1.5%) positions. The most common pathological feature related to impacted teeth was adjacent dental caries (64.7%). Moreover, root resorption of the adjacent tooth (0.6%) and increased follicular space (0.5%) were among the observed complications.Conclusion: In this study, the prevalence of tooth impaction was 33.74%, and the most common impacted teeth were vertically angulated third molars, accounting for most of the cases. In addition, adjacent dental caries was the most prevalent related pathology.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.165-168


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