scholarly journals A study of the relation between the lingual cortical bone of impacted mandibular third molars on CT scans and panoramic radiographs

2009 ◽  
Vol 55 (1) ◽  
pp. 29-33
Author(s):  
Mizuki OHASHI ◽  
Hiroshi NAKAJIMA ◽  
Chieko MASUDA ◽  
Wakako SUMIMOTO ◽  
Yuka NAKAMICHI ◽  
...  
2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Siddharth Gupta ◽  
Rahul R. Bhowate ◽  
Nitin Nigam ◽  
Sonal Saxena

Objective. The study was to evaluate impacted mandibular third molars (IM3M) for their angulation, level of eruption, third molar space and relation of inferior alveolar canal with their roots. Methods. Total 988 IM3M were studied in 578 individuals of age 18 years and above, dividing them into three groups i.e. symptomatic, asymptomatic and radiographic only. Individuals were also divided according to age, sex and side of IM3M (right or left). Panoramic radiographs were obtained after written consent and traced. ℵ2-test was applied to check inter-group and intra-group significance. Result. Out of 578 individuals 307 (53.11%) were males and 271 (46.89%) females. Maximum number of IM3M were in 18-27 years age group (398 i.e. 68.89%). Out of 988 IM3M, 39.93% were vertically placed. 61.84% IM3M were found at level A. Class II (79.65%) was the most common relation for third molar space. Notching (12.55%) was most common true inferior alveolar canal and IM3M root relation whereas superimposed (41.80%) was most common false inferior alveolar canal and IM3M root relation. For all the criteria significant inter-group difference was found (considering P<.05) and intra-group difference was non significant. Conclusion and significance. Panoramic radiographs can be used as reliable investigation for evaluation of IM3M.


2014 ◽  
Vol 86 (4) ◽  
pp. 565-570 ◽  
Author(s):  
Un-Bong Baik ◽  
Yoon-Ah Kook ◽  
Mohamed Bayome ◽  
Je-Uk Park ◽  
Jae Hyun Park

ABSTRACT Objective:  To investigate (1) whether vertical eruption of impacted third molars improves after mesialization of second molars and (2) what factors affect the vertical eruption of impacted third molars when space caused by missing molars is successfully closed by mesialization of the second molar using miniscrews. Materials and Methods:  The treatment group (Group 1) included 52 patients who had (1) missing mandibular first molars (ML-6) or missing deciduous mandibular second molars (ML-E), (2) initially impacted mandibular third molars, and (3) successful space closure of the edentulous area with orthodontics. Panoramic radiographs at start of treatment (T1) and at time of space closure (T2) were collected. The control group (Group 2) included 46 nonedentulous patients with impacted mandibular third molars without molar protraction treatment. Panoramic radiographs with similar T1/T2 treatment times were selected. Nine measurements were obtained regarding horizontal available space, vertical eruption, and third molar angulation. Results:  Third molars erupted vertically an average of 2.54 mm in Group 1 compared with 0.41 mm in Group 2. Age, gender, Nolla stage, and angle of the third molars did not show significant correlations with the vertical change of the impacted third molars, whereas the depth of third molar impaction and available space showed significant correlations. Conclusions:  Impacted mandibular third molars vertically erupt as a result of uprighting with mesialization of the second molar, and vertical eruption is affected by the initial vertical location of impacted third molars and available space.


KYAMC Journal ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 8-13
Author(s):  
Md Rubayet Alam Prodhan ◽  
Md Shahidul Islam ◽  
Rifat Rezwana ◽  
Md Moynul Hasan

Background: Third molar is the most commonly impacted tooth in the oral cavity and accounts for large of all impactions. The most common complication in the extraction of the third mandibular molars is nerve and vessels damage. Therefore, thorough radiographic assessment is a necessary to avoid these surgical complications. Objective: The purpose of this study was to evaluate the frequency, angulation, depth of the impacted mandibular third molars and its relationship with ramus on radiographs. Materials and Methods: This study comprised 800 orthopantomograms (OPGs) of patients attending different dental clinics and hospitals in Rangpur region, Bangladesh between June 2014 to May 2015. Panoromic Radiographic assessment was carried out to evaluate the pattern of third molar impaction in terms of age, gender, angulation of impaction, level of eruption and available retromolar space using panoramic radiographs and Pell & Gregory classification. Results: A total of 314 radiographic third molar areas were found in this study, out of them 137 belong to male patients and 177 belong to the female patients. The mesio angular types of angulation was most prevalent (46%) whereas distoangular was rare (5%) in our study. In relation to anterior border of the ramus of mandible Level B 52% and Class II 59% were the most common pattern of impaction. The female tends to be dominant as compared to male & the maximum number (35%) of impacted third molars are found in an age group of 38 years and above. Conclusion: Panoramic radiographs can be used as reliable investigation for evaluation of impacted mandibular third molar. KYAMC Journal.2021;12(01): 08-13


2013 ◽  
Vol 25 (1) ◽  
Author(s):  
Sanjit Singh Munjit Singh ◽  
Suhardjo Sitam ◽  
Belly Sam

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%.


2021 ◽  
Vol 10 (18) ◽  
pp. 4189
Author(s):  
Aleksandra Jaroń ◽  
Ewa Gabrysz-Trybek ◽  
Joanna Bladowska ◽  
Grzegorz Trybek

The development of radiology, rapid prototyping techniques, and the increasingly common use of 3D printing in dentistry inspires the use of these techniques to improve diagnostic and therapeutic processes. This study aimed to conduct a retrospective comparative analysis of dental panoramic radiographs, cone-beam computed tomography, and 3D printing in preoperative assessment of the procedure’s difficulty. Thirty clinical cases with a high degree of difficulty were selected, and based on evaluation with CBCT, a virtual 3D model of the region of surgical procedure was created, which was then printed using a 3D printer. The comparative analysis included the linear measurements performed in dental panoramic radiographs, cone-beam computed tomography, and 3D models in a preoperative assessment of the degree of retention and difficulty of impacted mandibular third molars in the mandible. Linear measurements performed on dental panoramic radiographs were significantly lower than in cone-beam computed tomography and 3D models. No statistically significant differences were obtained in linear measurements between 3D models and cone-beam computed tomography images except for the measurement of the lingual lamina thickness; however, due to the insignificant differences in measurements, with a mean of only 80 µm, the elective procedure of removal of the impacted third molar in the mandible may be safe.


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