scholarly journals Incidence of Impacted Mandibular Third Molars with Their Pattern and Associated Complications in Nepalese Population

2018 ◽  
Vol 2 (6) ◽  
pp. 146-149
Author(s):  
Pranay Ratna Sakya ◽  
Dipti Shreshta ◽  
Reena Kumari Shrestha ◽  
Khushboo Singh ◽  
Ravneet Malhi
Keyword(s):  
Third Molar ◽  
Dental Arch ◽  
Third Molars ◽  
Cross Sectional ◽  
High Prevalence ◽  
Normal Functional ◽  
Impacted Mandibular Third Molars ◽  
Common Observation ◽  
Mandibular Third Molars ◽  
Difficulty Index

INTRODUCTION: Impaction may be defined as the failure of complete eruption into a normal functional position of one tooth within normal time due to lack of space in the dental arch, caused by obstruction by another tooth or development in an abnormal position.MATERIAL AND METHODS: A cross sectional descriptive study was conducted on 945 patients (males=591, females=354) aged between 18- 50 years of age who had mandibular third molars impacted. The difficulty index for mandibular third molar for angulation and depth was based on Winter’s classification (1926).RESULTS: The most common type of impaction seen was Mesio- angular with (32%) followed by horizontal 264 (27.8%), then followed by other types. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 23.0CONCLUSION: Impacted third molars are a common observation in routine dental practice. The impaction rate of third molars is higher as compared to other teeth in the dentition. The high prevalence found in the present study, with more than half of these Nepalese adult patients having at least one impacted third molar.

scholarly journals Prevalence of Distal Carious Lesions in Mandibular Second Molars Due to Mesio-Angular Impacted Third Molars

2021 ◽  
Vol 30 (1) ◽  
pp. 50-55
Author(s):  
Talha Ashar ◽  
◽  
Asma Shakoor ◽  
Sadia Ghazal ◽  
Naghma Parveen ◽  
...  
Keyword(s):  
Third Molar ◽  
Data Entry ◽  
Target Population ◽  
Dental Arch ◽  
Third Molars ◽  
Cross Sectional ◽  
Second Molar ◽  
Carious Lesions ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

OBJECTIVE: This study was conducted to observe the relationship of mesio-angular impacted third molars to the development of distal caries in adjacent second molars. METHODOLOGY: This cross-sectional study was conducted at Nishtar Institute of Dentistry, Multan. Nine hundred and eighty nine periapical, bitewing and Panoramic radiographs were recorded and examined for distally carious second molars and impacted mandibular third molars. SPSS version 23.0 was used for data entry and analysis. RESULTS: Almost 40.8% of the target population reported with distal caries due to third molar impactions. A total of 53.30% of these impactions were of the mesio-angular variety. No distal caries was detected in transverse type of impactions. CONCLUSION: The current study concluded that the prevalence of distal caries in mandibular second molars and the positioning of adjacent impacted mandibular third molars in the dental arch were interlinked. Consequently, extraction of mandibular third molars should be considered to prevent caries and premature loss of second molar teeth. KEYWORDS: Distal caries, Impacted third molar, Infections, Risk Factor HOW TO CITE: Ashar T, Shakoor A, Ghazal S, Parveen N, Saleem MN, Raja HZ. Prevalence of distal carious lesions in mandibular second molars due to mesio-angular impacted third molars. J Pak Dent Assoc 2021;30(1):50-55.

scholarly journals Indications for removal of impacted mandibular third molars and associated pathologies

2020 ◽  
Vol 13 (2) ◽  
pp. 134-139
Author(s):  
Sushil Subedi ◽  
Ujjwal Koirala ◽  
Bijayata Shrestha
Keyword(s):  
Oral Surgery ◽  
Age Groups ◽  
Angular Position ◽  
Third Molar ◽  
Common Finding ◽  
Radiographic Examination ◽  
Third Molars ◽  
Cross Sectional ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Introduction: The purpose of this study was to assess the various indications of impacted mandibular third molar removal and pathologies associated with it. Methods: A retrospective cross-sectional study was conducted in the Department of Oral Surgery, Gandaki Medical College. The clinical case records from September 2016 to August 2019 were retrieved, reviewed, and analyzed. Surgically removed impacted mandibular third molars for which orthopantomogram were available and the lesions verified histologically were included in the study. Orthopantomograms were studied to determine the angular position of the impacted mandibular third molars and associated pathology. The data was entered in SPSS 20 and descriptive statistics was applied. Results: A total of 1344 impacted mandibular third molars (Male-709, 52.8%; Female - 635, 47.2%) were surgically extracted during the three-year period. The majority of patients (36.5%) were in the age groups of 25 - 34 years with a higher incidence of mesioangular impaction (33%). Recurrent pericoronitis (62.9%) was the most common indication followed by caries (11.7%). The radiographically detectable lesion was seen in 471 (35%) cases out of which 304 (64.5%) were symptomatic at the time of extraction. Among137 histopathologically diagnosed cases, chronic inflammatory lesion (76, 55.9%) was the most common finding. Conclusion: Awareness of the indications for removal of impacted mandibular third molars helps in proper management and prevention of future complications associated with retention and delayed extraction of such teeth. So, regular and periodic clinical and radiographic examination is required for patients with impacted mandibular third molars.

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 Incidence of impacted mandibular third molars in population of Bosnia and Herzegovina: a retrospective radiographic study

2013 ◽  
Vol 3 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Sadeta Šečić ◽  
Samir Prohić ◽  
Sanja Komšić ◽  
Amra Vuković
Keyword(s):  
Bosnia And Herzegovina ◽  
Statistical Difference ◽  
Oral Surgery ◽  
Third Molar ◽  
Dental Arch ◽  
Surgical Removal ◽  
Third Molars ◽  
Dentigerous Cysts ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Introduction: Impaction may be defined as the failure of complete eruption into a normal functional position of one tooth within normal time due to lack of space in the dental arch, caused by obstruction byanother tooth or development in an abnormal position. The mandibular third molar is the most frequently impacted tooth. The incidence varies from 9.5% to 68% in different populations.Methods: The study was conducted in Department of Oral Surgery, Faculty of Dentistry, University in Sarajevo. Study represents retrospective analysis of panoramic radiographs (orthopantomograms) of patientsreferred to Department of Oral Surgery from January 2010 to February 2013 with indication for surgical removal of impacted third molars.Results: Of the 2000 radiographs, 761 presented with at least one impacted third molar (38%). A total of 1034 impacted mandibular third molars were present (51.7%). The most common age group was thirddecade (61.2%). Signifi cant statistical difference in incidence of third molar impaction was found between females and males (p<0.05), but there was no statistical difference in incidence in urban and suburbanpopulation (p=0.374). Vertical angulation was the most common pattern of impaction (65%). Frequency of third molars erupted into their normal position (class IA) was 42%. Impacted mandibular molars wereassociated with periodontal pockets in 134 (6.5%) cases and with dentigerous cysts in 5 cases (0.2%).Conclusion: The present study provides useful data regarding the clinical status of third molars in population of Bosnia and Herzegovina.

scholarly journals Comparison of Piezosurgery and Conventional Rotary Instruments for Removal of Impacted Mandibular Third Molars: A Randomized Controlled Clinical and Radiographic Trial

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Hani Arakji ◽  
Mohamed Shokry ◽  
Nayer Aboelsaad
Keyword(s):  
Statistical Significance ◽  
Third Molar ◽  
Test Site ◽  
Surgical Removal ◽  
Third Molars ◽  
Randomized Controlled ◽  
Surgical Extraction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Bone Quantity

The purpose of this study was to test the effect of the surgical removal of impacted mandibular third molars using piezosurgery versus the conventional surgical technique on postoperative sequelae and bone healing.Material and Methods.This study was carried out as a randomized controlled clinical trial: split mouth design. Twenty patients with bilateral mandibular third molar mesioangular impaction class II position B indicated for surgical extraction were treated randomly using either the piezosurgery or the conventional bur technique on each site. Duration of the procedure, postoperative edema, trismus, pain, healing, and bone density and quantity were evaluated up to 6 months postoperatively.Results.Test and control sites were compared using pairedt-test. There was statistical significance in reduction of pain and swelling in test sites, where the time of the procedure was statistically increased in test site. For bone quantity and quality, statistical difference was found where test site showed better results.Conclusion.Piezosurgery technique improves quality of patient’s life in form of decrease of postoperative pain, trismus, and swelling. Furthermore, it enhances bone quality within the extraction socket and bone quantity along the distal aspect of the mandibular second molar.

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.

scholarly journals Lingual split bone technique – Revisited as a standard operating procedure for surgical removal of third molar during COVID pandemic

2021 ◽  
Vol 7 ◽  
pp. 18-22
Author(s):  
Sushmitha Mohan ◽  
Annamalai Thangavelu ◽  
Aravindraj
Keyword(s):  
Operating Procedure ◽  
Third Molar ◽  
Standard Operating Procedure ◽  
Surgical Removal ◽  
Third Molars ◽  
Standard Operating ◽  
Infectivity Rate ◽  
Alveolar Osteitis ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Objectives: The objective of the study is to revisit the forgotten art of Lingual split bone technique during the COVID pandemic as a Standard Operating Procedure (SOP) for the surgical removal of impacted mandibular third molars. It was originally introduced in early 90’s by Sir William Kelsey Fry and also we have compared its advantages over the bone guttering technique. Materials and Methods: Twenty seven cases were operated during COVID pandemic in our institution using Davi’s modified lingual split technique under strict COVID protocol. Results: All impacted mandibular third molars were successfully removed. With regards to post-operative complication; 3 patients had nerve injury (11%), 2 patients had lingual paraesthesia (7.6%), 1 patient had alveolar osteitis (3.8%), 2 patients had postoperative infection (7.6%), 3 patients had trismus (19%). The overall success rate was 100%. Also the results of a comparison between bone guttering and chisel-mallet technique were stated. Conclusion: The use of lingual split bone technique deserves consideration during this COVID time as an alternate for bone guttering in surgical removal of third molar as it ensures minimal cross infectivity rate among both dentists and patients. Thus, patient care can be delivered with confidence even during pandemic.

scholarly journals TO COMPARE THE EFFECT OF PRE-EMPTIVE DEXAMETHASONE AND METHYLPREDNISOLONE EITHER BY INTRAMUSCULAR OR BY SUBMUCOSAL ROUTE FOR THE POSTOPERATIVE CONTROL OF PAIN, SWELLING, AND LIMITED MOUTH OPENING FOLLOWING THE EXTRACTION OF IMPACTED THIRD MOLARS

2020 ◽  
pp. 1-7
Author(s):  
Kiran Shubha ◽  
Ravi Narula ◽  
Navneet Kaur
Keyword(s):  
Intramuscular Injection ◽  
Third Molar ◽  
Mouth Opening ◽  
Surgical Removal ◽  
Third Molars ◽  
Limited Mouth Opening ◽  
Submucosal Injection ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Better Than

Introduction: The surgical removal of impacted mandibular third molars is an invasive procedure that involves extensive tissue trauma and a considerable postoperative inflammatory response. Although the inflammatory process is necessary for healing when exacerbated it may cause pain, swelling and limited mouth opening. Corticosteroids are among the most widely employed pre-operative medication administered for the control of such complications. Objective: To compare the effects of single dose of pre-operative Injection Dexamethasone versus Injection Methylprednisolone via Intramuscular or Submucosal route for controlling the post-operative pain, swelling and limited mouth opening in the removal of impacted mandibular third molars. Material and Method:. The present study was conducted on 40 healthy adult patients with bilaterally symmetrical impacted mandibular third molar, reporting to the Department of oral and Maxillofacial Surgery of Guru Nanak Dev Dental College and Research Institute, Sunam. Clinically, pain, swelling, mouth-opening were evaluated pre-operatively as baseline and post-operatively on 1st, 3rd and 7th post-operative days. Results: The results of our study are summarized below: In Group A: Submucosal injection of dexamethasone gave better results in controlling pain, swelling and trismus in comparison to Intramuscular injection of dexamethasone. In Group B: Submucosal injection of methylprednisolone showed better results in terms of pain, swelling and trismus when compared with Intramuscular injection of methylprednisolone. In Group C: Intramuscular injection of dexamethasone gave better results in terms of pain and mouth opening but, swelling was reduced with Intramuscular methylprednisolone. In Group D: Submucosal injection of dexamethasone showed better results in terms of pain, but swelling and mouth opening was reduced when methylprednisolone was used submucosal. Conclusion: The results of our study concluded that Dexamethasone is better than Methylprednisolone in controlling post-operative sequelae after third molar surgery. This can attributed to the higher potency and longer half-life and less sodium retaining capacity of dexamethasone than methylprednisolone. The results of our study also concluded that submucosal route of administration of drug is better than Intramuscular route because of the repository effect of the submucosal route, also this route is beneficial to the patient as well to the surgeon because needle penetration is done in the pre-anesthetized area, also it is an easy technique to be mastered by the surgeon.

scholarly journals Flap vs flapless technique for impacted third molar removal: A split mouth prospective randomized control study

2021 ◽  
Vol 7 (3) ◽  
pp. 167-171
Author(s):  
Neeraj ◽  
Banshilal Beniwal ◽  
Padmanidhi Agarwal ◽  
Vikas Berwal ◽  
Richa Malik
Keyword(s):  
Healing Process ◽  
Third Molar ◽  
Mouth Opening ◽  
Third Molars ◽  
Pocket Depth ◽  
Second Molar ◽  
Group I ◽  
Flap Design ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

The aim of this study was to compare the post-operative sequelae of removal of impacted third molars in participants treated with conventional flap elevation technique or with a minimally invasive flapless technique. Participants with bilaterally impacted mandibular third molars were included. They were divided into two sites constituting 2 groups. One group was operated by using conventional flap design and elevation and other with flapless technique. Objective clinical parameters were recorded and compared in the post-operative period like mouth opening, swelling, surgical time, and pocket depth. Subjective parameters including pain were also assessed and statistically analyzed. The sites operated in Group II (Flapless technique) had better results (p≤0.05) in terms of pain, swelling, trismus, and pocket depth distal to second molar when compared to Group I (Flap). The flapless technique gives better surgical results and improved healing process after third molar removal and so should be recommended in routine clinical practice.

scholarly journals Correlation Between the Maturation Stages of Mandibular Third Molars and Chronological Age in Patients Visiting Sardar Begum Dental College, Peshawar

2019 ◽  
Vol 5 (2) ◽  
pp. 3-7
Author(s):  
Muhammad Ilyas ◽  
Asma Khan ◽  
Syed Murad Ali Shah ◽  
Salman Khan ◽  
Junaid Nadeem Malik
Keyword(s):  
Pearson Correlation ◽  
Third Molar ◽  
Cross Sectional Study ◽  
Chronological Age ◽  
P Value ◽  
Third Molars ◽  
Cross Sectional ◽  
Mandibular Third Molar ◽  
Maturation Stages ◽  
Mandibular Third Molars

OBJECTIVES: The objective of this study was to determine the correlation of chronological age with the maturation stages of mandibular third molar. METHODOLOGY: This descriptive, cross-sectional study was conducted at Sardar Begum Dental College, Gandhara University Peshawar on 384 patients from January 2018 to June 2018 and included patients having age 11-26 years with good quality Orthopantomogram showing mandibular third molar tooth germs bilaterally. Data were analyzed using SPSS version 22. p ≤ 0.05 was considered as statistically significant. RESULTS: Females 286 (74.5%) were predominant than males 98 (25.5%) with mean age presentation of 18.12±3.03 years. The most frequent stage of Demirjian’s stages of mandibular third molar was stage F (24.7%). Pearson correlation showed that maturation stages of mandibular third molars were significantly related to the chronological age ( r=0.446, p value=0.00). CONCLUSION: A correlation between maturation stages of mandibular third molars and chronological age existed.

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