scholarly journals Role of impacted teeth in dental arch crowding

2022 ◽  
Author(s):  
Mohamed Ali Sawas ◽  
Linah Essam Arabi ◽  
Samirah Hashim Jabir ◽  
Reem Nawaf AlSaadi ◽  
Mohammed Ahmed Al Nassir ◽  
...  
Keyword(s):  
Primary Tooth ◽  
Dental Arch ◽  
Third Molars ◽  
Impacted Teeth ◽  
Anterior Crowding ◽  
Gender And Age ◽  
Mandibular Third Molars ◽  
Dental Crowding ◽  
The Impact

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.

scholarly journals Opinions of American and Swedish Orthodontists about the Role of Erupting Third Molars as a Cause of Dental Crowding

2009 ◽  
Vol 79 (6) ◽  
pp. 1139-1142 ◽  
Author(s):  
E. Tüfekçi ◽  
D. Svensk ◽  
J. Kallunki ◽  
J. Huggare ◽  
S. J. Lindauer ◽  
...  
Keyword(s):  
United States ◽  
Third Molar ◽  
The United States ◽  
Third Molars ◽  
Chi Square ◽  
Mandibular Third Molars ◽  
Chi Square Analysis ◽  
Dental Crowding ◽  
Upper Third

Abstract Objective: To compare the opinions of Swedish orthodontists and American orthodontists regarding the association between third molar eruption and dental crowding. Materials and Methods: A survey was distributed to Swedish orthodontists (n = 230) asking their views on the force exerted by erupting third molars, its relationship to crowding, and their recommendations for prophylactic removal. Results were compared with those from a similar study conducted in the United States. Chi square analysis was used to determine differences in responses to questions between Swedish and American orthodontists. P ≤ .05 was considered significant. Results: Both Swedish and American orthodontists believed that lower third molars were more likely than upper third molars to cause force (65% and 58% for Swedish and American orthodontists, respectively) and crowding (42% and 40%, respectively). No statistically significant differences were seen between the answers of American and Swedish orthodontists regarding the role of upper and lower third molars in causing crowding. Although only 18% of Swedish orthodontists “generally” or “sometimes” recommended prophylactic removal of mandibular third molars, 36% of American orthodontists “generally” or “sometimes” recommended removal (P < .0001). Conclusions: Most orthodontists in the United States and Sweden do believe that erupting lower third molars exert an anterior force; however, they also believe that these teeth “rarely” or “never” cause crowding of the dentition. The reason that more American orthodontists recommend prophylactic removal of mandibular third molars remains unexplained.

THE MAIN DIRECTIONS OF SIBLING RESEARCH

2021 ◽  
pp. 96-115
Author(s):  
Oksana V. Baskaeva ◽  
Keyword(s):  
Personal Development ◽  
Personal Characteristics ◽  
Central Feature ◽  
Gender And Age ◽  
The Family ◽  
Sick Children ◽  
Future Direction ◽  
The 19Th Century ◽  
The Impact

An overview of the areas of sibling research that laid the foundation for the modern understanding of sibling issues is presented. Attention is focused on the importance of sibling relationships for personal development, socialization and adaptation, and on the existing shortage of relevant work at the same time. The main stages of the development of sibling theory in their continuity are considered, starting from the first studies devoted to the search for a connection between the order of birth and achievements and dated to the end of the 19th century, to the term “individual environment” developed by the genetics of behavior in the second half of the 20th century. It emphasizes the role of A. Adler, who has made sibling a central feature of family life and personal development and has long determined the future direction of empirical family research. It shows a gradual shift in the interest of researchers from studying the influence of birth order, gender, and age intervals between siblings on personal characteristics. In this connection, an analysis of the nature of sibling relations on the basis of reciprocity and complementarity, undertaken by Dunn, is given. Early works on the jealousy and rivalry of children in the family, the study of the impact of parental differential treatment on them, as well as the influence of child characteristics on siblings in families with sick children are considered.

scholarly journals Assessment of role of mandibular third molar in lower anterior crowding among orthodontic patients of Kathmandu Nepal

2020 ◽  
Vol 10 (3) ◽  
pp. 21-26
Author(s):  
Bashu Dev Pant ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya ◽  
Surendra Maharjan ◽  
...  
Keyword(s):  
Third Molar ◽  
Cross Sectional Study ◽  
Third Molars ◽  
Chi Square ◽  
Cross Sectional ◽  
Anterior Crowding ◽  
Mandibular Third Molar ◽  
Significant Difference ◽  
Orthodontic Patients

Introduction: Crowding in mandibular arch increases with increasing age and etiology of crowding is multifactorial in nature. Role of mandibular third molar in lower anterior crowding remains a topic of controvery over a period of century. The objective of this study was to assess whether there is any correlation between presence of mandibular third molar position and lower anterior crowding. Materials and Method: On the basis of third molar position one hundred and six sample of pretreatment orthodontic patients aged between 17 to 38 years were divided into erupted, erupting and agenesis group. The study was conducted in Peoples Dental College and Hospital from January 2020 to March 2020 after obtaining ethical approval from the institutional review committee. This cross-sectional study was done on dental casts and orthopantomogram; brass wire was used for measuring arch length and digital vernier caliper for measuring tooth material with modified segmental arch analysis method. Result: Among 106 samples collected 55 (51.88%) were female and 51(48.11%) were male and the mean age was 21.53 ± 3.91 years, Chi square and ANOVA test was used for Statistical analysis. This study showed no statistically significant differences between third molar position and lower anterior crowding on right (P= 0.68) and left side (P = 0.45). The study also showed that association between the third molar position and lower anterior crowding is more on left side compared to right side. Conclusion: Mandibular third molars have not statistically significant difference in lower anterior crowding so, extraction of third molars for relieving the anterior crowding is not justifiable

scholarly journals Clinical assessment of impacted lower third molars at Ekpan, Delta State in Nigeria

2020 ◽  
Vol 3 (2) ◽  
pp. 352-355
Author(s):  
Mabel Okiemute Etetafia ◽  
Ese Anibor ◽  
Martins Obaroefe
Keyword(s):  
Third Molar ◽  
Third Molars ◽  
Impacted Tooth ◽  
Female Ratio ◽  
Impacted Teeth ◽  
Pull Out ◽  
Carious Lesions ◽  
Surgical Extraction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

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.

Evaluation of the influence of mandibular third molars on mandibular anterior crowding relapse

2019 ◽  
Vol 78 (4) ◽  
pp. 297-302
Author(s):  
Paula Cotrin ◽  
Karina Maria Salvatore Freitas ◽  
Marcos Roberto Freitas ◽  
Fabrício Pinelli Valarelli ◽  
Rodrigo Hermont Cançado ◽  
...  
Keyword(s):  
Third Molars ◽  
Anterior Crowding ◽  
Mandibular Third Molars

scholarly journals Cone beam CT and treatment decision of mandibular third molars: removal vs. coronectomy—a 3-year audit

2020 ◽  
Vol 49 (3) ◽  
pp. 20190250 ◽  
Author(s):  
Louise Hauge Matzen ◽  
Julie Suhr Villefrance ◽  
Sven Erik Nørholt ◽  
Jesper Bak ◽  
Ann Wenzel
Keyword(s):  
Cone Beam Ct ◽  
Inferior Alveolar Nerve ◽  
Treatment Decision ◽  
Close Relation ◽  
Mandibular Canal ◽  
Panoramic Image ◽  
Third Molars ◽  
Sensory Disturbances ◽  
Mandibular Third Molars ◽  
The Impact

Objectives: To assess: (1) the workflow in the treatment decision process of mandibular third molars based on a panoramic image and CBCT and (2) the impact of radiographic markers in CBCT on the decision to perform coronectomy. Methods: 1437 teeth in 917 patients (mean age 27.8 years, range 18–72) underwent clinical and panoramic examination. If there was an indication for removal of the tooth, and signs of a close relation to the inferior alveolar nerve were present in the panoramic image, a CBCT was performed. Treatment decision based on panoramic image and CBCT was calculated. Statistical analyses were performed to assess whether signs in CBCT had an impact on the treatment decision “coronectomy”. Moreover, the actually operated teeth and post-operative sensory disturbances were assessed and discussed in relation to the radiographic method. Results: Based on the panoramic image, in 462 cases it was decided not to treat, 553 were scheduled for surgery, and 422 referred for a CBCT examination. “No bony separation between the tooth and mandibular canal” seen in CBCT was the main factor influencing the decision to perform a coronectomy (odds ratio = 56.8, p < 0.001). 840 mandibular third molars had undergone surgical intervention, 152 had a coronectomy and 688 were fully removed. Six patients perceived a sensory disturbance of the inferior alveolar nerve: one permanent and five temporary. Conclusion: 29% of the examined cases were referred for a CBCT and of these, the majority were scheduled for coronectomy based on the sign “no bony separation between the tooth and mandibular canal” seen in CBCT.

scholarly journals Angle Class I malocclusion treated with lower incisor extraction

2013 ◽  
Vol 18 (3) ◽  
pp. 150-158 ◽  
Author(s):  
Vanessa Leal Tavares Barbosa
Keyword(s):  
Class I ◽  
Dental Arch ◽  
Periodontal Health ◽  
Lower Incisor ◽  
Facial Profile ◽  
Anterior Crowding ◽  
Angle Class ◽  
Facial Esthetics ◽  
Dentofacial Orthopedics ◽  
Dental Crowding

In planning orthodontic cases that include extractions as an alternative to solve the problem of negative space discrepancy, the critical decision is to determine which teeth will be extracted. Several aspects must be considered, such as periodontal health, orthodontic mechanics, functional and esthetic alterations, and treatment stability. Despite controversies, extraction of teeth to solve dental crowding is a therapy that has been used for decades. Premolar extractions are the most common, but there are situations in which atypical extractions facilitate mechanics, preserve periodontal health and favor maintenance of the facial profile, which tends to unfavorably change due to facial changes with age. The extraction of a lower incisor, in selected cases, is an effective approach, and literature describes greater post-treatment stability when compared with premolar extractions. This article reports the clinical case of a patient with Angle Class I malocclusion and upper and lower anterior crowding, a balanced face and harmonious facial profile. The presence of gingival and bone recession limited large orthodontic movements. The molars and premolars were well occluded, and the discrepancy was mainly concentrated in the anterior region of the lower dental arch. The extraction of a lower incisor in the most ectopic position and with compromised periodontium, associated with interproximal stripping in the upper and lower arches, was the alternative of choice for this treatment, which restored function, providing improved periodontal health, maintained facial esthetics and allowed finishing with a stable and balanced occlusion. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO), as part of the requirements for obtaining the BBO Diplomate title.

scholarly journals Is prophylactic extraction of mandibular third molar indicated? A retrospective study.

2020 ◽  
Author(s):  
Zhouxi Ye ◽  
Wenhao Qian ◽  
Yubo Wu ◽  
Bing Sun ◽  
Zhiyao Li ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Older Patients ◽  
Third Molar ◽  
P Value ◽  
Third Molars ◽  
Impacted Teeth ◽  
Second Molar ◽  
Mandibular Third Molar ◽  
Mandibular Second Molar ◽  
Mandibular Third Molars

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.

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