scholarly journals Complication occurs after odontectomy of mandibular third molar

2012 ◽  
Vol 24 (2) ◽  
Author(s):  
Dicca Neldi Busra ◽  
Tis Karasutisna ◽  
Abel Tasman Yuza
Keyword(s):  
Medical Records ◽  
Age Groups ◽  
Third Molar ◽  
Secondary Data ◽  
Impacted Third Molar ◽  
Postoperative Control ◽  
Mandibular Third Molar ◽  
Minor Surgery ◽  
Descriptive Survey

Introduction: The average age for completely eruption of the mandibular third molar is age 20-25. The eruption of mandibular third molar sometimes prevented by several factors, caused this tooth becomes impacted. All impacted third molar should be removed with minor surgery, which called odontectomy. Several complications and complaint are accompanied with extraction of impacted third molar. The purpose of this study was to determine the prevalence rate of complications post-odontectomy of mandibular third molar, based on genders, age of the patients, the classification of impactions, and the day of postoperative control. Methods: The characteristics of this study was a descriptive survey that collected the secondary data from the medical records, which used the research papers to collect the data. Results: The results of this study show that there are 545 medical records of the patient included to the study, 62.7% complications occur in women. Complications often occur in age groups over 30 years (56.3%). Conclusion: Most of complications occur in C position in class I, II, and III of Pell and Gregory classification. The most complications is oedem on the first day after surgery (43.1%) and on the day of sutures opened (12.3%).

scholarly journals Radiographic assessment of lower third molar eruption in different anteroposterior skeletal patterns and age-related groups

2014 ◽  
Vol 85 (4) ◽  
pp. 577-584 ◽  
Author(s):  
Aleksandar Jakovljevic ◽  
Emira Lazic ◽  
Ivan Soldatovic ◽  
Nenad Nedeljkovic ◽  
Miroslav Andric
Keyword(s):  
Logistic Regression ◽  
Age Groups ◽  
Third Molar ◽  
Width Ratio ◽  
Class Iii ◽  
Second Molar ◽  
Age Related ◽  
Mandibular Third Molar ◽  
Lateral Cephalograms ◽  
Third Molar Eruption

ABSTRACT Objective:  To analyze radiographic predictors for lower third molar eruption among subjects with different anteroposterior skeletal relations and of different age groups. Materials and Methods:  In total, 300 lower third molars were recorded on diagnostic digital orthopantomograms (DPTs) and lateral cephalograms (LCs). The radiographs were grouped according to sagittal intermaxillary angle (ANB), subject age, and level of lower third molar eruption. The DPT was used to analyze retromolar space, mesiodistal crown width, space/width ratio, third and second molar angulation (α, γ), third molar inclination (β), and gonion angle. The LC was used to determine ANB, angles of maxillar and mandibular prognathism (SNA, SNB), mandibular plane angle (SN/MP), and mandibular lengths. A logistic regression model was created using the statistically significant predictors. Results:  The logistic regression analysis revealed a statistically significant impact of β angle and distance between gonion and gnathion (Go-Gn) on the level of lower third molar eruption (P < .001 and P < .015, respectively). The retromolar space was significantly increased in the adult subgroup for all skeletal classes. The lower third molar impaction rate was significantly higher in the adult subgroup with the Class II (62.3%) compared with Class III subjects (31.7%; P < .013). Conclusion:  The most favorable values of linear and angular predictors of mandibular third molar eruption were measured in Class III subjects. For valid estimation of mandibular third molar eruption, certain linear and angular measures (β angle, Go-Gn), as well as the size of the retromolar space, need to be considered.

scholarly journals Expect the Exceptional

2014 ◽  
Vol 5 (3) ◽  
pp. 196-197
Keyword(s):  
Histopathological Examination ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Final Diagnosis ◽  
Impacted Third Molar ◽  
Mandibular Third Molar ◽  
Cell Layers ◽  
Cystic Cavity ◽  
Odontogenic Lesion ◽  
Molar Region

ABSTRACT A 20-year-old female reported with chief complaint of pain in the left mandibular third molar region. Intraoral examination revealed inflamed area was notice near the retromolar area. Radiological examination showed impacted left third molar with pericoronal radiolucency of about 2.5 mm. Surgically, a very small cystic cavity was noticed surrounding the crown of the impacted third molar. Histopathological examination revealed a small cystic space lined by epithelium of two to three cell layers thick. The final diagnosis of dentigerous cyst was made. Thus, odontogenic lesion may be found in radiographically normal follicular space. How to cite this article Sarode GS, Sarode SC, Patil S. Expect the Exceptional. World J Dent 2014;5(3):196-197.

scholarly journals Wisdom teeth - A major problem in young generation, study on the basis of types and associated complications

1970 ◽  
Vol 6 (3) ◽  
pp. 24-28
Author(s):  
G Biswas ◽  
P Gupta ◽  
D Das
Keyword(s):  
Third Molar ◽  
Radiographic Analysis ◽  
Young Generation ◽  
Medical Sciences ◽  
X Ray ◽  
Impacted Third Molar ◽  
Mandibular Third Molar ◽  
Vertical Impaction ◽  
Wisdom Teeth ◽  
The Mean

The aim of this study was to describe the characteristics and types of the impacted mandibular third molar at the highest risk for pain and pericoronitis using clinical and radiographic analysis. A total of 239 volunteers, including 147 (61.5 %) male and 92 (38.5%) female patients presenting with acute pericoronitis, participated in the study. The mean age of the participants was 28 years (range 16-40 years). The analysis of type, angulations and eruption level of the mandibular third molar were achieved by using I.O.P.A. X-ray and in few cases, lateral oblique of mandible. While mesioangular impaction was the most frequent angulation (44.4%), horizontal impaction was quite less (11%). Vertical impaction (27.6%) was slightly higher than distoangular impaction (15.9%) and aberrant (0.8 %). Key words: Impacted third molar; pericoronitis; types of impaction DOI: 10.3126/jcmsn.v6i3.4071Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 3 pp.24-28

scholarly journals The prevalence of malposition third molar with traumatic ulcer

2013 ◽  
Vol 25 (1) ◽  
Author(s):  
Tun Shafiqah Tun Abdul Majid ◽  
Ida Ayu Astuti ◽  
Tenny Setiani Dewi
Keyword(s):  
Medical Records ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Secondary Data ◽  
Oral And Maxillofacial Surgery ◽  
Abnormal Position ◽  
Mechanical Abrasion ◽  
The Third ◽  
Maxilla And Mandible ◽  
Surgery Department

Introduction: Malposition third molar is a condition when the third molar is erupted but in an abnormal position and relation to maxilla and mandible. Due to a frequent mechanical abrasion between the third molar and oral mucosa, a traumatic ulcer resulted. Hence, this research aims to determine the prevalence of traumatic ulcer in regards to a malposed third molar in Oral and Maxillofacial Surgery Department, Rumah Sakit Hasan Sadikin in a periodic of August 2008 to August 2011.Methods: The samples taken were all medical records which stated the coveted diagnosis which satisfied the variables of the age, gender and malposed third molar. The method of this research was descriptive retrospective study by using secondary data. Results: This research ratiocinates that the prevalence of malposition third molar with traumatic ulcers is 0.012% with tooth 18 caused most traumatic ulcer. Females predominant this condition and it is common in the third decade of age. Conclusion: Derived from the outcomes of this research, it can be concluded that the prevalence of malposition third molar with traumatic ulcer in Oral and Maxillofacial Surgery Department of Rumah Sakit Hasan Sadikin from August 2008 to August 2011 is 0.012%.

scholarly journals Effect of 1% Metronidazole Rinsing Solution on the Occurrence of Complications after Tooth Extraction: A Clinical Trial Study

2012 ◽  
Vol 3 (3) ◽  
pp. 234-238
Author(s):  
Hamid Badrian ◽  
Abbas Haghighat ◽  
Behnam Khorrami ◽  
Navid Khalighinajad ◽  
Majid Rajaei
Keyword(s):  
Clinical Trial ◽  
Tooth Extraction ◽  
Third Molar ◽  
Control Group ◽  
Case Group ◽  
Impacted Third Molar ◽  
Mandibular Third Molar ◽  
Common Operation ◽  
Males And Females ◽  
Spss Software

ABSTRACT Introduction Extraction of impacted third molar is a very common operation performed by dentists and oral and maxillofacial surgeons. This surgery is usually done without complications occurring; however, some complications arise from time to time. The aim of this study was to evaluate the effect of 1% metronidazole rinsing solution on the occurrence of complications after extraction of impacted third molars. Materials and methods In this clinical trial study 120 males and females aged 20 to 35 took part, randomly divided into two groups, each including 60 participants. In the case group, mandibular third molar socket was rinsed with 1% metronidazole rinsing solution in duration of the surgery extraction, while normal saline was used for the control group. Afterwards, four common complications—dry socket syndrome, swelling, pain and trismus - were evaluated at 24 hours, 3, 7 and 14 days following the operation. Data were analyzed with Mann-Whitney and t-test using SPSS software version 16. Results Except for pain 24 hours after the operation, none of the differences between the two groups were statistically significant (p ≤ 0.05). Discussion The results of this study show that using 1% metronidazole rinsing solution is not helpful in decreasing the occurrence of complications after extraction of an impacted third molar. It is therefore not recommended to use this solution until advantages are proved to prevent bacterial tolerance. How to cite this article Haghighat A, Khorrami B, Badrian H, Khalighinajad N, Rajaei M. Effect of 1% Metronidazole Rinsing Solution on the Occurrence of Complications after Tooth Extraction: A Clinical Trial Study. World J Dent 2012;3(3): 234-238.

scholarly journals Prevalence of impacted mandibular third molars among patients attending the dentomaxillofacial radiology clinic

2013 ◽  
Vol 25 (1) ◽  
Author(s):  
Sanjit Singh Munjit Singh ◽  
Suhardjo Sitam ◽  
Belly Sam
Keyword(s):  
Third Molar ◽  
Dental Arch ◽  
Third Molars ◽  
Panoramic Radiographs ◽  
Descriptive Research ◽  
The Third ◽  
Mandibular Third Molar ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Introduction: The third molar is undoubtedly the most variable tooth in the human dentition, and also the most common tooth to become impacted due to it being the last tooth to erupt into the dental arch The aim of research is to obtain the prevalence of the mandibular third molar (M3) impaction among the patients attending the Radiology Clinic. Methods: The type of research conducted was a descriptive research. The sampling was purposive, drawn from a population of 1451 digital panoramic radiographs taken from January – December in the year 2010, of which 392 samples were included in the survey, with patient ages ranging between 18 – 59 years at time of exposure. The position of the M3’s was assessed using the Pell and Gregory and, Winter’s impaction classification. Results: The prevalence of impacted mandibular M3’s in this study is 76.8% overall. Of the impacted mandibular M3’s present, 76.1% were bilateral impactions and of these bilateral impactions 50.7% are similar in impaction classification. Of the mandibular M3’s examined, 40.1% are in a vertical angulation, 33.3% mesioangular, 23.5% horizontal and 3.1% distoangular. The three most common types of impaction according to the Pell and Gregory classification are IIB at 38.5%, IA at 36.8% and IIA at 18.8%. Conclusion: Prevalence of  mandibular third molar of the patients attending the Radiology Clinic is 76.8%.

scholarly journals Comparison of Digital OPG and CBCT in Assessment of Risk Factors Associated with Inferior Nerve Injury during Mandibular Third Molar Surgery

Diagnostics ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 2282
Author(s):  
Rakhi Issrani ◽  
Namdeo Prabhu ◽  
Mohammed Sghaireen ◽  
Hasna Rasheed Alshubrmi ◽  
Amal Mohamed Alanazi ◽  
...  
Keyword(s):  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Mandibular Canal ◽  
Third Molars ◽  
Factors Associated ◽  
Impacted Third Molar ◽  
Mandibular Third Molar ◽  
Mandibular Molar ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Background: Pre-operative radiographic assessment of the anatomical relationship between the roots of the mandibular third molar and the inferior alveolar nerve (IAN) is a must to minimize the risk of IAN injury during surgery. Objectives: To compare the radiographic signs of digital orthopantomogram (OPG) and cone-beam computed tomography (CBCT). An additional objective was to assess the cortex status between the mandibular canal and third molar on CBCT images in relation to the demographic characteristics, region (right or left side), and angulation of mandibular molar. Methodology: In this retrospective study, a total of 350 impacted mandibular third molars with a close relationship between the inferior alveolar canal (IAC) and impacted mandibular third molars on digital OPG were further referred for CBCT imaging for assessment of the position of the mandibular canal. The study was conducted between August 2018 and February 2020. Digital OPGs were evaluated for radiographic signs like interruption of the mandibular canal wall, darkening of the roots, diversion of the mandibular canal, and narrowing of the mandibular canal. The age and sex of patients, site of impacted third molar, Winter’s classification of mandibular third molar, position of IAC relative to impacted molar, and the radiographic markers of OPG were assessed for cortical integrity using CBCT. Chi square testing was applied to study the values of difference and binomial logistic regression was done to assess the factors associated with cortication. Statistical significance was set at p ≤ 0.05. Results: Among 350 patients, 207 (59.1%) were male and 143 (40.9%) were female with a mean age of 36.8 years. The most common OPG sign was interruption of white line, seen in 179 (51.1%) cases. In total, 246 cases (70.3%) showed an absence of canal cortication between the mandibular canal and the impacted third molar on CBCT images. Cortication was observed in all cases with a combination of panoramic signs which was statistically significant (p = 0.047). Cortication was observed in 85 (50.6%) cases where IAC was positioned on the buccal side, 11 (16.9%) in cases of inferiorly positioned IAC, and just 8 (7.6%) for cases of lingually positioned IAC which was statistically significant (p = 0.003). Statistically insignificant (p > 0.05) results were noted for cortex status in CBCT images with regards to the age, sex, site, and angulation of impacted third molars. Conclusion: CBCT imaging is highly recommended for those cases where diversion of the mandibular canal is observed on OPG and when the roots are present between canals.

scholarly journals Evaluation of severity of pain after removal of impacted third molar by comparing two flap designs.

2020 ◽  
Vol 27 (03) ◽  
pp. 540-546
Author(s):  
Hassan Shahid ◽  
Alvina Ali Shaikh ◽  
Sadia Hassan ◽  
Salman Shafique ◽  
Fahad Ahmed ◽  
...  
Keyword(s):  
Oral Surgery ◽  
Third Molar ◽  
Conventional Technique ◽  
College Hospital ◽  
Impacted Third Molar ◽  
Post Operative Pain ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Group A ◽  
Mandibular Teeth

Objectives: To evaluate the severity of post-operative pain after surgical extraction of impacted mandibular third molar using two different techniques i.e. comma incision and standard Wards incision. Study Design: Interventional study. Setting: Department of Oral surgery, Isra Dental College Hospital. Period: From January 2016 to June 2016. Material & Methods: A sample of 50 patients of impacted third molar was selected by non-probability purposive sampling for tooth extraction either by conventional technique or by coma shaped incision. Post-operative amount of pain was measured on 1st, 3rd and 7th day respectively. Results: Mean ± SD age in group A and B was noted as 28.5 ± 4.32 and 27.2 ± 4.39 years respectively. Male and female in groups A and B were noted as 16 (64%) and 9 (36%), & 14 (56%) and 11 (44%) respectively. Right and left lower mandibular teeth extraction in groups A and B were noted 11 and 14, & 10 and 15 respectively. Pain was measured after extraction at day 1, day 3 and day 7. Conclusion: The Coma incision was preferable over the conventional method- the standard Ward`s incision because of lesser degree of post-operative pain.

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