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Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars
AIM: This study was performed to histologically evaluate peri-coronal tissues of partially impacted and erupted third molars that did not exhibit pathologic peri-coronal radiolucency. MATERIALS AND METHODS: Healthy patients with erupted or partially erupted (with part or all of the dental crown pres...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258927/ https://www.ncbi.nlm.nih.gov/pubmed/37308850 http://dx.doi.org/10.1186/s12903-023-03082-z |
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author | Menditti, Dardo Mariani, Pierluigi Russo, Diana Rinaldi, Barbara Fiorillo, Luca Cicciù, Marco Laino, Luigi |
author_facet | Menditti, Dardo Mariani, Pierluigi Russo, Diana Rinaldi, Barbara Fiorillo, Luca Cicciù, Marco Laino, Luigi |
author_sort | Menditti, Dardo |
collection | PubMed |
description | AIM: This study was performed to histologically evaluate peri-coronal tissues of partially impacted and erupted third molars that did not exhibit pathologic peri-coronal radiolucency. MATERIALS AND METHODS: Healthy patients with erupted or partially erupted (with part or all of the dental crown present in the oral cavity) mandibular third molars (classified as IA and IIA according to the Pell and Gregory classification) and vertically positioned (according to the Winter classification or erupted third molars) associated with peri coronal radiolucency of equal to or less than 2.5 mm. Associated with third molar surgery, tissue sampling from the distal area was performed, which was subjected to an anatomopathological examination to determine the histological nature. RESULTS: One hundred teeth (100 patients) were selected, and 100 specimens were analyzed. 53% of the sample were included in the non-pathological group and 47% showed pathological changes (fibrotic tissue (n 15), periodontal cyst-like (n 9), squamous epithelial metaplasia (4 cases), islands of odontogenic epithelial residues organized micro-cyst with keratocystic/ameloblastic appearance (4 cases), granulation tissue (n 8), giant cell tumour (n 4) and lobular capillary hemangioma (n 4)). Pathological changes did not have differences in incidence between the gender (p value = 0.85) and did not show any correlation with age, (p value = 0,96). CONCLUSIONS: These findings suggest that radiographic appearance may not be a reliable indicator of the absence of disease within a dental follicle. Therefore, clinicians should pay attention to or follow up on even peri-coronal radiolucency of less than 2.5 mm. |
format | Online Article Text |
id | pubmed-10258927 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102589272023-06-13 Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars Menditti, Dardo Mariani, Pierluigi Russo, Diana Rinaldi, Barbara Fiorillo, Luca Cicciù, Marco Laino, Luigi BMC Oral Health Research AIM: This study was performed to histologically evaluate peri-coronal tissues of partially impacted and erupted third molars that did not exhibit pathologic peri-coronal radiolucency. MATERIALS AND METHODS: Healthy patients with erupted or partially erupted (with part or all of the dental crown present in the oral cavity) mandibular third molars (classified as IA and IIA according to the Pell and Gregory classification) and vertically positioned (according to the Winter classification or erupted third molars) associated with peri coronal radiolucency of equal to or less than 2.5 mm. Associated with third molar surgery, tissue sampling from the distal area was performed, which was subjected to an anatomopathological examination to determine the histological nature. RESULTS: One hundred teeth (100 patients) were selected, and 100 specimens were analyzed. 53% of the sample were included in the non-pathological group and 47% showed pathological changes (fibrotic tissue (n 15), periodontal cyst-like (n 9), squamous epithelial metaplasia (4 cases), islands of odontogenic epithelial residues organized micro-cyst with keratocystic/ameloblastic appearance (4 cases), granulation tissue (n 8), giant cell tumour (n 4) and lobular capillary hemangioma (n 4)). Pathological changes did not have differences in incidence between the gender (p value = 0.85) and did not show any correlation with age, (p value = 0,96). CONCLUSIONS: These findings suggest that radiographic appearance may not be a reliable indicator of the absence of disease within a dental follicle. Therefore, clinicians should pay attention to or follow up on even peri-coronal radiolucency of less than 2.5 mm. BioMed Central 2023-06-12 /pmc/articles/PMC10258927/ /pubmed/37308850 http://dx.doi.org/10.1186/s12903-023-03082-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Menditti, Dardo Mariani, Pierluigi Russo, Diana Rinaldi, Barbara Fiorillo, Luca Cicciù, Marco Laino, Luigi Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
title | Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
title_full | Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
title_fullStr | Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
title_full_unstemmed | Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
title_short | Early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
title_sort | early pathological changes of peri-coronal tissue in the distal area of erupted or partially impacted lower third molars |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258927/ https://www.ncbi.nlm.nih.gov/pubmed/37308850 http://dx.doi.org/10.1186/s12903-023-03082-z |
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