Relative Impact of Patient Characteristics and Radiographic Variables on the Difficulty of Removing Impacted Mandibular Third Molars

2008 ◽  
Vol 9 (4) ◽  
pp. 51-58 ◽  
Author(s):  
Oladimeji A. Akadiri ◽  
Ambrose E. Obiechina ◽  
Juwon T. Arotiba ◽  
Abiodun O. Fasola
Keyword(s):  
Patient Characteristics ◽  
Surgical Removal ◽  
Relative Impact ◽  
Third Molars ◽  
Specific Patient ◽  
Tooth Impaction ◽  
Duration Of Surgery ◽  
Impacted Mandibular Third Molars ◽  
Surgical Difficulty ◽  
Mandibular Third Molars

Abstract Aim The aim of this study was to assess the relative contributions of patient characteristics and radiographic variables to the difficulty of extraction of impacted mandibular third molars in a Nigerian population. Methods and Materials Seventy-nine consecutive patients undergoing mandibular third molar extractions were recruited for this prospective cohort study. Specific patient characteristics and radiographic variables were recorded. All extractions were performed under local anesthesia by the same oral surgeon, and the surgical difficulty was assessed based on the duration of surgery. Results Body weight (BW) (P=0.009) and body surface area (BSA) (P=0.004) were the significant patient characteristics while tooth impaction depth (P=0.002), number of roots (P=0.035), and tooth angulation (P=0.003) were the significant radiographic variables associated with surgical difficulty using a univariate analysis. A multiple linear regression model was constructed with these variables using surgical difficulty as the dependent variable. Radiographic factors were found to be the more important determinants of surgical difficulty with the depth of impaction (P=0.038) being the singular most important factor. Conclusion Although the difficulty of surgical removal of impacted lower third molars is dependent on BW, BSA, impaction depth, tooth angulation, and the number of roots, radiographic variables were of greater importance with impaction depth being the most important single factor. Citation Akadiri OA, Obiechina AE, Arotiba JT, Fasola AO. Relative Impact of Patient Characteristics and Radiographic Variables on the Difficulty of Removing Impacted Mandibular Third Molars. J Contemp Dent Pract 2008 May; (9)4:051-058.

scholarly journals Factors affecting the Duration of Surgical Extraction of Impacted Mandibular Third Molars

2018 ◽  
Vol 9 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Salwan Y Bede
Keyword(s):  
Statistical Significance ◽  
Demographic Data ◽  
Surgical Removal ◽  
Third Molars ◽  
Factors Affecting ◽  
Surgical Extraction ◽  
Duration Of Surgery ◽  
Impacted Mandibular Third Molars ◽  
Unerupted Teeth ◽  
Mandibular Third Molars

ABSTRACT Aim The aim of this study is to evaluate the effect of demographic, clinical, and radiographic factors on the duration of surgical extraction of impacted lower third molars. Materials and methods This retrospective study included patients who underwent surgical removal of impacted lower third molars, and the investigated factors were demographic data including age and gender, radiographic data including the impacted tooth angulation and depth of impaction and ramus relation, and clinical data including the state of eruption of the impacted teeth. These factors were evaluated for association with the duration of surgery. Descriptive statistical analysis included percentages and mean ± standard deviation (SD). Student's t-test was used to compare means between two groups, while for comparing the means among three or more groups for statistical significance, analysis of variance (ANOVA) test was used. Results Forty patients were included: 20 (50%) males and 20 (50%) females. The age range was from 17 to 37 years with a mean ± SD of 23.4 ± 5.016 years. The duration of surgery (± SD) in all the patients ranged from 10 to 40 minutes with a mean of 25.8 ± 8.56 minutes. Clinically unerupted teeth and deep ramus relationship were associated with statistically significant increase in duration of surgical extraction. Conclusion This study identifies state of eruption and ramus relation to be significant predictive factors, whereas other investigated factors, namely, age of patient, sex, angulation of teeth, and depth of impaction, were found to be not significant in determining the duration of surgery and hence, the difficulty of extraction. Clinical significance Duration of surgical extraction of impacted mandibular third molars can be considered as an indicator for difficulty of surgical extraction. Difficult surgical extraction of impacted mandibular third molars can be anticipated in clinically unerupted teeth and those with deep ramus relationship. How to cite this article Bede SY. Factors affecting the Duration of Surgical Extraction of Impacted Mandibular Third Molars. World J Dent 2018;9(1):8-12.

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 Dentigerous Cystic Changes in the Follicles Associated with Radiographically Normal Impacted Mandibular Third Molars

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Ashok Dongol ◽  
Alok Sagtani ◽  
Mehul Rajesh Jaisani ◽  
Arpita Singh ◽  
Ashish Shrestha ◽  
...  
Keyword(s):  
Surgical Removal ◽  
Histopathologic Examination ◽  
Third Molars ◽  
Common Indication ◽  
Cystic Changes ◽  
Histopathologic Evaluation ◽  
Impacted Mandibular Third Molars ◽  
Follicle Size ◽  
The Mean ◽  
Mandibular Third Molars

Objective. To assess the incidence of dentigerous cystic changes in the follicles of radiographically normal impacted mandibular third molars. Methods. One hundred and thirteen follicles obtained after surgical removal of impacted mandibular third molars with radiolucency of less than 2.5 mm in the radiograph were sent for histopathologic evaluation to evaluate pathologic changes. Results. The incidence of dentigerous cystic changes observed was 15.9%, that is, 18 out of 113 patients (51 males and 62 females), with the maximum incidence of cystic changes seen in the follicular space size of 0.5 mm. The mean age of the patients included was 27.8 ± 8.1. The most common indication for extraction among the patients in this study was recurrent pericoronitis (95%). There were no statistically significant differences in occurrence of cystic changes based on age, gender, angulation, relation to ramus, depth, side of impaction, and follicle size (P>0.05). Conclusion. Dental follicles obtained from surgically removed impacted mandibular third molars should be submitted for histopathologic examination irrespective of the radiographic size of the follicle.

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.

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