nach oben

Journal of Maxillofacial and Oral Surgery

Erschienen in:

23.02.2021 | Original Article

Pathologies Associated with Second Mandibular Molar Due to Various Types of Impacted Third Molar: A Comparative Clinical Study

verfasst von: D. Prasanna Kumar, Mandeep Sharma, G. Vijaya Lakshmi, Rohit Singh Subedar, V. M. Nithin, Vinay Patil

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 4/2022

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Impacted third molars are associated with various degrees of damage to the second molars. The possible complications also include distal cervical caries, root resorption of second molar, periodontal problems, odontogenic cysts, etc. Whether a particular impacted third molar is going to affect second molar depends upon its position and orientation in the bone.

Materials and Method

This study was carried out in 418 cases. Three examiners evaluated the patient clinically and radiographically and only those cases were included in this study where at least two observers agreed. A total of 341 cases (163 males and 178 female), age range (15–40 years) with impacted mandibular third molars, were included. Clinically and radiographically, the impacted mandibular third and second molars were evaluated; simultaneously, the prevalence of various pathologies associated with mandibular second molar (dental caries, periodontal pockets, root resorption) due to impacted third molar was also evaluated and compared among various types and positions of impactions.

Results

Statistical analysis was carried out using Pearson Chi-square and Asymp. Sig. (two-sided) test. Prevalence of mesioangular impactions was maximum (50.1%). Mesioangular impaction and position B (Pell and Gregory classification) were significantly associated with dental caries (32.20% and 33.90%, respectively), and periodontal pockets were seen higher with position B impactions (26.8%) {horizontal (14.7%), disto-angular (12.10%), vertical (14.5%) mesioangular (16.4%%)} in adjacent mandibular second molar. Root resorption was seen maximally in horizontal impaction (17.30%) with position c type (12.30%). The order of pathologies associated with second molar due to impacted third molar was dental caries (19.9%) > periodontal pockets (15.2%) > root resorption (8.5%).

Discussion

Evidence regarding pathologies are associated with second molar due to impacted third molar aids in decision making for surgical removal of third molars. Different types of impaction and the prevalence of pathologies related to them would aid in treatment planning of the impacted tooth as certain types have high probability of pathologies associated.

Santosh P (2015) Impacted mandibular third molars: review of literature and a proposal of a combined clinical and radiological classification. Ann Med Health Sci Res 5(4):229–234CrossRef

Juodzbalys G, Daugela P (2013) Mandibular third molar impaction: review of literature and a proposal of a classification. J Oral Maxillofac Res 4(2):e1

Chaves AJ, Nascimento LR, Costa ME, Franz-Montan M, Oliveira-Júnior PA, Groppo FC (2008) Effects of surgical removal of mandibular third molar on the periodontium of the second molar. Int J Dent Hygiene 6(2):123–8CrossRef

Nazir A, Akhtar MU, Ali S (2014) Assessment of different patterns of impacted mandibular third molars and their associated pathologies. J Adv Med Dent Sci Res 2(2):14–22

Yilmaz S, Adisen MZ, Misirlioglu M, Yorubulut S (2016) Assessment of third molar impaction pattern and associated clinical symptom in a central Antolian Turkish population. Med Princ Pract 25(2):169–175CrossRef

Radike AW. Criteria for diagnosis of dental caries. In: Proceedings of the conference on the clinical testing of cariostatic agents. Chicago: American Dental Association; October 14e16, 1968. p. 87e8. Chicago: ADA Council on Dental Research; 1972.

Blakey GH, Jacks MT, Offenbacher S, Nance PE, Phillips C, Haug RH, White RP Jr (2006) Progression of periodontal disease in the second/third molar region in subjects with asymptomatic third molars. J Oral Maxillofac Surg 64(2):189–193CrossRef

Nemcovsky CE, Lihfeld H, Zubery Y (1996) Effect of non-erupted 3rd molars on distal roots and supporting structures of approxima! Teeth. A radiographic survey of 202 cases. J Clin Periodontol 23:810–815CrossRef

Tsai HH (2005) Factors associated with mandibular third molar eruption and impaction. J Clin Pediatr Dent 30:109–114CrossRef

10.

Levesque GY, Dermirjian A, Tanguay R (1981) Sexual dimorphism in the development emergence and agenesis of the mandibular third molar. J Dent Res 60:1735–1741CrossRef

11.

Introna F, Santoro V, De Donno A, Belviso M (2008) Morphologic analysis of third-molar maturity by digital orthopantomographic assessment. Am J Forensic Med Pathol 29:55–61CrossRef

12.

Tulloch JFC, Bouckoms AAA, Ung N (1990) Evaluation of the costs and relative effectiveness of alternative strategies for the removal of mandibular third molars. Int J Technol Assess Health Care 6:505–515CrossRef

13.

Statements by the American Association of Oral and Maxillofacial Surgeons concerning the management of selected clinical conditions and associated clinical procedures: the management of impacted third molar teeth. Rosemont: American Association of Oral and Maxillofacial Surgeons; 2007.

14.

Chu FC, Li TK, Lui VK, Newsome PR, Chow RL, Cheung LK (2003) Prevalence of impacted teeth and associated pathologies—a radiographic study of the Hong Kong Chinese population. Hong Kong Med J 9(3):158–163

15.

Allen RT, Witherow H, Collyer J, Roper-Hall R, Nazir MA, Mathew G (2009) The mesioangular third molar—to extract or not to extract? Analysis of 776 consecutive third molars. Br Dent J 26:586–587

16.

Chang SW, Shin SY, Kum KY, Hong J (2009) Correlation study between distal caries in the mandibular second molar and the eruption status of the mandibular third molar in the Korean population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108(6):838–843CrossRef

17.

Ozeç I, HergünerSiso S, Taşdemir U, Ezirganli S, Göktolga G (2009) Prevalence and factors affecting the formation of second molar distal caries in a Turkish population. Int J Oral Maxillofac Surg 38(12):1279–1282CrossRef

18.

Falci SG, de Castro CR, Santos RC, de Souza Lima LD, Ramos-Jorge ML, Botelho AM, Dos Santos CR (2012) Association between the presence of a partially erupted mandibular third molar and the existence of caries in the distal of the second molars. Int J Oral Maxillofac Surg 41(10):1270–1274CrossRef

19.

Sheikh MA, Riaz M, Shafiq S (2012) Incidence of distal caries in mandibular second molars due to impacted third molars a clinical and radiographic study. PODJ 32:364–370

20.

Srivastava N, Shetty A, Goswami RD, Apparaju V, Bagga V, Kale S (2017) Incidence of distal caries in mandibular second molars due to impacted third molars: nonintervention strategy of asymptomatic third molars causes harm? A retrospective study. Int J Appl Basic Med Res 7(1):15–19CrossRef

21.

Syed KB, Alshahrani FS, Alabsi WS et al (2017) Prevalence of distal caries in mandibular second molar due to impacted third molar. J Clin Diagn Res 11(3):ZC28–ZC30

22.

Blakey GH, Marciani RD, Haug RH et al (2002) Periodontal pathology associated with asymptomatic third molars. J Oral Maxillofac Surg 60:1227–1233CrossRef

23.

Mansfield JM, Campbell JH, Bhandari AR et al (2012) Molecular analysis of 16S rRNA genes identifies potentially pathogenic bacteria and archaea in the plaque of partially erupted third molars. J Oral Maxillofac Surg 70:1507–1514CrossRef

24.

White RP Jr, Madianos PN, Offenbacher S et al (2002) Microbial complexes detected in the second/third molar region in patients with asymptomatic third molars. J Oral Maxillofac Surg 60:1234–1240CrossRef

25.

Socransky SS, Haffajee AD, Cugini MA et al (1998) Microbial complexes in subgingival plaque. J Clin Periodontol 25:134CrossRef

26.

Haffajee AD, Cugini MA, Tanner A et al (1998) Subgingivalmicrobiota in healthy, well-maintained elder and periodontitis subjects. J Clin Periodontol 25:346CrossRef

27.

White RP Jr, Fisher EL, Phillips C, Tucker M, Moss KL, Offenbacher S (2011) Visible third molars as risk indicator for increased periodontal probing depth. J Oral Maxillofac Surg 69(1):92–103CrossRef

28.

Rajasuo A, Meurman JH, Murtomaa H (1993) Periodontopathic bacteria and salivary microbes before and after extraction of partly erupted third molars. Scand J Dent Res 101:87–91

29.

Gröndahl HG, Lekholm U (1973) Influence of mandibular third molars on related supporting tissues. Int J Oral Surg 2(4):137–142CrossRef

30.

Peng KY, Tseng YC, Shen EC, Chiu SC, Fu E, Huang YW (2001) Mandibular second molar periodontal status after third molar extraction. J Periodontol 72(12):1647–1651CrossRef

31.

Quee TA, Gosselin D, Millar EP, Stamm JW (1985) Surgical removal of the fully impacted mandibular third molar. The influence of flap design and alveolar bone height on the periodontal status of the second molar. J Periodontol 56(10):625–630CrossRef

32.

Yamaoka M, Furusawa K, Ikeda M, Hasegawa T (1999) Root resorption of mandibular second molar teeth associated with the presence of the third molars. Aust Dent J 44:112–116CrossRef

33.

Consolaro A (2011) O conceito de reabsorçõesdentáriasou As reabsorçõesdentáriasnãosãomultifatoriais, nemcomplexas, controvertidasoupolêmicas! Dent Press J Orthod 16:19–24CrossRef

34.

Oenning AC, Melo SL, Groppo FC, Haiter-Neto F (2015) Mesial inclination of impacted third molars and its propensity to stimulate external root resorption in second molars—a cone-beam computed tomographic evaluation. J Oral Maxillofac Surg 73:379–386CrossRef

35.

Lacerda-Santos JT et al (2018) External root resorption of second molars caused by impacted third molars: an observational study in panoramic radiographs. Rev Odontol UNESP 47(1):25–30CrossRef

36.

D’Costa ZV, Ahmed J, Ongole R, Shenoy N, Denny C, Binnal A (2017) Impacted third molars and its propensity to stimulate external root resorption in second molars: comparison of orthopantomogram and cone beam computed tomography. World J Dent 8(4):281–287CrossRef

Titel: Pathologies Associated with Second Mandibular Molar Due to Various Types of Impacted Third Molar: A Comparative Clinical Study
verfasst von: D. Prasanna Kumar
Mandeep Sharma
G. Vijaya Lakshmi
Rohit Singh Subedar
V. M. Nithin
Vinay Patil
Publikationsdatum: 23.02.2021
Verlag: Springer India
Erschienen in: Journal of Maxillofacial and Oral Surgery / Ausgabe 4/2022
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-021-01517-0

Neu im Fachgebiet Chirurgie

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

TAVI versus Klappenchirurgie: Neue Vergleichsstudie sorgt für Erstaunen

21.05.2024 TAVI Nachrichten

Bei schwerer Aortenstenose und obstruktiver KHK empfehlen die Leitlinien derzeit eine chirurgische Kombi-Behandlung aus Klappenersatz plus Bypass-OP. Diese Empfehlung wird allerdings jetzt durch eine aktuelle Studie infrage gestellt – mit überraschender Deutlichkeit.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Pathologies Associated with Second Mandibular Molar Due to Various Types of Impacted Third Molar: A Comparative Clinical Study