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Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?

STATEMENT OF THE PROBLEM: The removal of a third molar tooth associated with a pathological condition is usually an easy decision. However, it is necessary for clinicians to know about the prevalence of preoperative pathologies associated with impacted mandibular third molars to the identification o...

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Detalles Bibliográficos
Autores principales: Altan, Ahmet, Akbulut, Nihat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Dentistry Shiraz University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421329/
https://www.ncbi.nlm.nih.gov/pubmed/30937337
http://dx.doi.org/10.30476/DENTJODS.2019.44563
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author Altan, Ahmet
Akbulut, Nihat
author_facet Altan, Ahmet
Akbulut, Nihat
author_sort Altan, Ahmet
collection PubMed
description STATEMENT OF THE PROBLEM: The removal of a third molar tooth associated with a pathological condition is usually an easy decision. However, it is necessary for clinicians to know about the prevalence of preoperative pathologies associated with impacted mandibular third molars to the identification of the prophylactic approach to be applied to symptom-free impacted third molars. PURPOSE: The objective was to investigate the effect of the angulation of impacted mandibular third molars on the prevalence of associated pathologies. MATERIALS AND METHOD: In this retrospective study, we examined the panoramic radiographs of 954 patients referred for impacted third molar surgery. A total of 1598 impacted mandibular third molar teeth were included in the study. Pathological conditions included the caries on distal surface of the adjacent second molar, caries on impacted mandibular third molars, bone loss distal to the adjacent second molar, the radiolucent area distal to the impacted mandibular third molar were determined. RESULTS: Caries were observed more in the impacted third molar (18.9%) compared to the adjacent second molar (15.8%). The radiolucent area on distal surface of the impacted mandibular molar was 11%, while the periodontal bone loss distal to the adjacent second molar was 4.9%. Mesioangular-impacted mandibular third molars had high risk of caries development on second and third molar. The prevalence of periodontal tissue damage to the adjacent second molar was higher in horizontal and mesioangular angulation. Vertical and distoangular-impacted mandibular third molars had high risk for bone loss at distal aspect. CONCLUSION: The prevalence rate of pathological conditions in mesioangular impacted teeth was higher.
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spelling pubmed-64213292019-04-01 Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses? Altan, Ahmet Akbulut, Nihat J Dent (Shiraz) Original Article STATEMENT OF THE PROBLEM: The removal of a third molar tooth associated with a pathological condition is usually an easy decision. However, it is necessary for clinicians to know about the prevalence of preoperative pathologies associated with impacted mandibular third molars to the identification of the prophylactic approach to be applied to symptom-free impacted third molars. PURPOSE: The objective was to investigate the effect of the angulation of impacted mandibular third molars on the prevalence of associated pathologies. MATERIALS AND METHOD: In this retrospective study, we examined the panoramic radiographs of 954 patients referred for impacted third molar surgery. A total of 1598 impacted mandibular third molar teeth were included in the study. Pathological conditions included the caries on distal surface of the adjacent second molar, caries on impacted mandibular third molars, bone loss distal to the adjacent second molar, the radiolucent area distal to the impacted mandibular third molar were determined. RESULTS: Caries were observed more in the impacted third molar (18.9%) compared to the adjacent second molar (15.8%). The radiolucent area on distal surface of the impacted mandibular molar was 11%, while the periodontal bone loss distal to the adjacent second molar was 4.9%. Mesioangular-impacted mandibular third molars had high risk of caries development on second and third molar. The prevalence of periodontal tissue damage to the adjacent second molar was higher in horizontal and mesioangular angulation. Vertical and distoangular-impacted mandibular third molars had high risk for bone loss at distal aspect. CONCLUSION: The prevalence rate of pathological conditions in mesioangular impacted teeth was higher. Journal of Dentistry Shiraz University of Medical Sciences 2019-03 /pmc/articles/PMC6421329/ /pubmed/30937337 http://dx.doi.org/10.30476/DENTJODS.2019.44563 Text en Copyright: © Journal of Dentistry Shiraz University of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Altan, Ahmet
Akbulut, Nihat
Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?
title Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?
title_full Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?
title_fullStr Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?
title_full_unstemmed Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?
title_short Does the Angulation of an Impacted Mandibular third Molar Affect the Prevalence of Preoperative Pathoses?
title_sort does the angulation of an impacted mandibular third molar affect the prevalence of preoperative pathoses?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421329/
https://www.ncbi.nlm.nih.gov/pubmed/30937337
http://dx.doi.org/10.30476/DENTJODS.2019.44563
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