Effect of Surgical Intervention for Removal of Mandibular Third Molar on Periodontal Healing of Adjacent Mandibular Second Molar: A Systematic Review and Bayesian Network Meta-Analysis

2016 ◽  
Vol 87 (3) ◽  
pp. 291-302 ◽  
Author(s):  
Luigi Barbato ◽  
Zamira Kalemaj ◽  
Jacopo Buti ◽  
Michela Baccini ◽  
Michele La Marca ◽  
...  
2017 ◽  
Vol 4 (1) ◽  
pp. 23-27
Author(s):  
Muhammad Ilyas ◽  
Jawad Ahmad Kundi ◽  
Irtifaq Ahmad Noor ◽  
Obaid Zeb ◽  
Salman Khan

OBJECTIVESThe aim of this study was to evaluate the relation of distal caries of second molar with patterns of impacted third molar.METHODOLOGYA retrospective study was carried out from January 2017 to June 2017.A total of 160 patients and 276 impacted teeth were selected with an age > 18 years. A single researcher assigned the diagnosis of caries and patterns of impacted teeth through clinical notes and orthopantomogram(OPG)which was reviewed by Head of Department. Winter’s and Pell and Gregory classification was used for impaction classification. The data was analyzed using SPSS 22.0 version. P ≤ 0.05 was considered as statistically significant.RESULTSFemale (56.3%) were predominant than male (43.8%) with mean age presentation was 24.2 ± 4.7 years.271 mandibular second molars were present. Vertical (64.5%) impaction was found to be the most frequent followed by mesioangular (19.6%). Pearson correlation showed that vertical impaction was significantly related to distal caries of second molar(Right side, r=.262 p=.002 and Left side, r=.240 p=.006).CONCLUSIONVertical impaction was positively related with distal caries therefore prophylactic removal of lower impacted teeth is recommended.


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.


2021 ◽  
Author(s):  
Joao Vitor Canellas ◽  
◽  
Fabio Ritto ◽  
Paul Tiwana ◽  
◽  
...  

Review question / Objective: This systematic review aims to compare the effects of different corticosteroids to reduce postoperative inflammatory complications (pain, edema, and trismus) after mandibular third molar surgery by applying a frequentist network meta-analysis approach. To this end, the proposed study will answer the following questions: 1) Among diverse corticosteroids currently available, what is the best preoperative option to control postoperative inflammatory complications? 2) What is the optimal dose and route of administration of corticosteroids prior to mandibular third molar surgery to control the pain, edema, and trismus induced by the surgery? Condition being studied: Inflammatory complications after mandibular third molar surgery (Pain, edema, and trismus).


2020 ◽  
Author(s):  
Ziyu Yan ◽  
Yao Tan ◽  
Xiaoyan Xie ◽  
Wei He ◽  
Chuanbin Guo ◽  
...  

Abstract Background The periodontal healing distal to the mandibular second molar (M2M) after coronectomy of the M3M was controversary. This study aimed to combine a digital method with cone-beam computed tomography (CBCT) and estimate periodontal healing of M2M after M3M coronectomy. An accurate and stable indicator in three dimensions was also tentatively explored. Methods Patients with a M3M in contact with the inferior alveolar canal were included. CBCT was applied immediately after coronectomy (baseline) and 6-months later. Data were investigated with digital software for registration. Previously reported and coronectomy-related factors were included for univariate and multivariate analyses. Results A total of 181 patients (213 M3Ms) completed 6-month follow-up. Significant reduction in the distal intra-bony defect (DBD) depth of the M2M was shown (1.28 ± 1.24 mm, P < 0.001). DBD depth of the M2M at baseline was the most influential factor (r = 0.59), followed by preoperative M3M condition, age, rotation and eruption of the root complex. Remaining enamel (OR = 6.93) and small retromolar space (0.67) contributed to re-contact of the root complex and M2M. Bone volume regenerated in the distal 2 mm was associated significantly with DBD-depth reduction (r = 0.74, P < 0.001). Conclusions Bone volume regenerated in the distal 2 mm of the M2M denoted stability of distal periodontal healing of the M2M. DBD depth at baseline was the most influential factor for healing of a DBD of the M2M after M3M coronectomy. The remaining enamel and a small retromolar space could contribute to re-contact of the root complex and the M2M. Trial registration: China Clinical Trial Center, ChiCTR1800014862. Registered 10 February 2018, http://www.chictr.org.cn/showproj.aspx?proj=24216


2017 ◽  
Vol 24 (07) ◽  
pp. 1088-1092
Author(s):  
Salman Shams ◽  
Syed Ghazanfar Hassan ◽  
Suneel Kumar Punjabi ◽  
Soonhan Abdullah

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