Prevalence Of Pathologies Associated With Lower Third Molar Impaction - A Radiographic Study

Alladi Sneha; Pradeep Dhasarathan; O. R Muralidoss; Murugesan Krishnan; Vedha Vivigdha

doi:10.47750/jptcp.2023.30.10.039

Alladi Sneha

Postgraduate Student, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India

Pradeep Dhasarathan

Senior Lecturer , Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.

O. R Muralidoss

Professor , Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India

Murugesan Krishnan

Head of Department, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India

Vedha Vivigdha

Postgraduate Student, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, India.

Keywords

Cyst and Tumors, Impaction, Periapical radiolucencies, Dental, Age

Abstract

Introduction: The incidence of impacted mandibular third molars varies between different populations, and their removal remains a controversial issue. According to National Institute of Clinical experience (NICE) guidelines , well defined criteria for removal of third molar were unrestorable caries , periapical pathologies , infection , disease of the follicle , cyst or tumors. The outcomes of this research will offer significant insights to dental practitioners and individuals about the possible advantages and drawbacks of retaining or extracting impacted lower third molars
Materials And Methods: In this retrospective study, 11,000 panoramic radiographs of patients who visited Saveetha dental college between December 2020 and January 2022 were analyzed. The study focused on radiographic lesions associated with impacted mandibular third molars, including caries in the third molar and adjacent tooth, pericoronal and periapical radiolucencies around impacted lower third molars, and odontomes. The exclusion criteria included patients under 20 years of age, those with a history of pathology or trauma, and syndromic patients.
Results: Among 11,000 panoramic radiographs evaluated, 14,847 impacted mandibular third molars were found. The prevalence of pathologies associated with mandibular third molars were caries (46.5%), pericoronal radiolucencies (32.7%), periapical radiolucencies (12.6%), cyst and tumors (6.9%).The study also found that the prevalence of pathologies associated with mandibular third molars increased with age, and males were more affected than females.

Conclusion: In conclusion, this study provides valuable information on the prevalence of pathologies associated with lower third molars, which can aid in decision-making regarding the management of impacted third molars. Additionally, the results highlight the importance of regular dental check-ups and radiographic examinations to monitor the development of pathologies associated with mandibular third molars.Hence, based on the high incidence of pathology related to mandibular third molars, prophylactic extraction can be considered as a viable option.

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References

1. Yilmaz S, Adisen MZ, Misirlioglu M, Yorubulut S. Assessment of Third Molar Impaction Pattern and Associated Clinical Symptoms in a Central Anatolian Turkish Population. Med Princ Pract 2016;25:169–75.
2. Kumar MP S, Reader, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences. Prevalence and patterns of impacted maxillary third molar in a private dental institution. Int J Dent Oral Sci 2021:3820–6.
3. Madhulaxmi, Professor, Department of Oral & Maxillofacial Surgery, Saveetha Institute of Medical and Technical Sciences, Saveetha University, 162, Chennai. Age and gender related distribution of patients undergoing mandibular third molar extractions- A retrospective study. Int J Dent Oral Sci 2021:3113–8.
4. Website n.d. National Institute for Clinical Excellence (NICE): Guidelines for wisdom teeth removals (updated November 2003). Available at: http://www.nice.org.uk/Embcat.asp?pageoldsite/appraisals/ wis/_guide.htm&d525. Accessed January 2005.
5. Marimuthu M, Professor, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals Saveetha University of Medical And Technical Science (SIMATS) Saveetha University. 162, PH Road, Chennai-600077, Tamil Nadu, India. Dental impactions performed under general anaesthesia - A retrospective study on the frequency and implications. Int J Dent Oral Sci 2021:1793–6.
6. Hassan AH. Pattern of third molar impaction in a Saudi population. Clin Cosmet Investig Dent 2010;2:109–13.
7. Almendros-Marqués N, Berini-Aytés L, Gay-Escoda C. Influence of lower third molar position on the incidence of preoperative complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:725–32.
8. Vadivel J, Sangar S. Awareness of dental students towards CBCT: A cross sectional study. J Indian Acad Oral Med Radiol 2020;32:366.
9. Age and gender related distribution of patients undergoing maxillary third molar extractions. Int J Pharm Res 2020;13. https://doi.org/10.31838/ijpr/2021.13.01.185.
10. Stephens RG, Kogon SL, Reid JA. The unerupted or impacted third molar--a critical appraisal of its pathologic potential. J Can Dent Assoc 1989;55:201–7.
11. Husain S, Rengalakshmi S. Correlation between mandibular third molar and mandibular incisor crowding: A retrospective CBCT-based study. J Dent Res Dent Clin Dent Prospects 2021;15:247–50.
12. Ganapathy D, Professor and Head, Department of Prosthodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai-77, India 162, Poonamallee High Road Chennai 600077 Tamil Nadu, India. Fear Of Dental Extraction. Int J Dent Oral Sci 2021:2470–3.
13. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85065037439&origin=inward&txGid=e6815ec8c6d520d0a7c439e61abf044c.
14. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85113805870&origin=inward&txGid=eb0ad2570bdc26b401f48b1342219108.
15. Ganapathy D, Professor and Head, Department of Prosthodontics, Saveetha Dental College,Chennai, 600 077, India. Psychological aspect of patients undergoing dental extraction. Int J Dent Oral Sci 2021:1409–12.
16. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85114118866&origin=inward&txGid=af0fc9c2a1a382e561415341249db686.
17. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85113737011&origin=inward&txGid=73dfb07f3cb5b2455a46f498f475e23b.
18. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85103552399&origin=inward&txGid=ab742c1fc4b6dead5d167d6cdfc5a94a.
19. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85141540332&doi=10.23805%2fJO.2022.14.18&origin=inward&txGid=1cbbaedc7a5415912b9e4500ac60fdf1.
20. Website n.d. https://www.scopus.com/record/display.uri?eid=2-s2.0-85065045438&origin=inward&txGid=56c5cefeec1e399f8b3d375b8065c063.
21. Krishnan, Sneha & Periasamy, Senthilnathan & Murugaiyan, Arun. (2020). Evaluating The Incidence Of Distal Caries In Mandibular Second Molars Due To Mesioangularly Impacted Mandibular Third Molars. 63-68.

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Published

May 13, 2023

DOI https://doi.org/10.47750/jptcp.2023.30.10.039

How to Cite

Alladi Sneha, Pradeep Dhasarathan, O. R Muralidoss, Murugesan Krishnan, & Vedha Vivigdha. (2023). Prevalence Of Pathologies Associated With Lower Third Molar Impaction - A Radiographic Study. Journal of Population Therapeutics and Clinical Pharmacology, 30(10), 356–360. https://doi.org/10.47750/jptcp.2023.30.10.039