Objectives:
To evaluate impacted mandibular third molar tooth region and obtain linear
measurements using CBCT images and to assess the relationship between the impacted third molar
and the mandibular canal.
Methods:
CBCT scans of 351 patients (208 females, 143 males) were assessed. Age, gender, and
impaction site were recorded for each patient. The relationship of third molars with the vertical
axis of second molars, 2nd molar resorption and the relationship between third molar apices and
the mandibular canal were assessed. In addition, the distance between ramus and second molar,
mesiodistal width of the third molar, the angle between third molar and second molar, and width
of the third molar capsule were measured. Binary Logistic Regression, Chi-Square Test, and General
Linear Model were used for statistical analysis.
Results:
The highest percentage of impaction was found for mesioangular followed by transversal
and vertical. The transversal impacted third molars revealed a significant association with adjacent
second molar root resorption (p<0.001). There was a statistical significance between the second
molar resorption and distance between ramus and second molar (p<0.001). The mesioangular impacted
third molars revealed significant relation with the mandibular canal (p<0.05). The most
frequent variation found was the dental canal followed by the retromolar canal. In general, higher
measurement values were obtained for men when compared to women (p<0.05).
Conclusion:
CBCT assessment of the third molar region provided useful information regarding
impacted mandibular third molar surgery operations.