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Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions
OBJECTIVES: This study aimed to assess the radiographic position of impacted mandibular third molars (IMTMs) and their association with pathological conditions. MATERIALS AND METHODS: The impaction depth, relationship with ramus, and angulation of 1600 IMTMs and their association with 2(nd) molar di...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012125/ https://www.ncbi.nlm.nih.gov/pubmed/33833805 http://dx.doi.org/10.1155/2021/8841297 |
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author | Haddad, Zahra Khorasani, Mansour Bakhshi, Mahin Tofangchiha, Maryam shalli, Zeynab |
author_facet | Haddad, Zahra Khorasani, Mansour Bakhshi, Mahin Tofangchiha, Maryam shalli, Zeynab |
author_sort | Haddad, Zahra |
collection | PubMed |
description | OBJECTIVES: This study aimed to assess the radiographic position of impacted mandibular third molars (IMTMs) and their association with pathological conditions. MATERIALS AND METHODS: The impaction depth, relationship with ramus, and angulation of 1600 IMTMs and their association with 2(nd) molar distal caries and root resorption, pathological conditions, and proximity to the mandibular canal were evaluated on panoramic radiographs. The IMTM position was determined based on the depth of impaction according to the Pell and Gregory classification, relationship with ramus according to the Pell and Gregory classification, and angulation according to the Winter's classification. The classical and Bayesian logistic regressions were applied to analyze the effect of IMTM position on the associated complications using the odds ratio (OR) and 95% confidence interval (credible interval for Bayesian models). Two-tailed P value < 0.05 was considered statistically significant. RESULTS: Of 1600 IMTMs evaluated in this study, 195 (12.2%), 252 (15.8%), and 119 (7.4%) had caused second molar distal caries, second molar root resorption, and pathological lesions, respectively, and 872 (54.5%) had contact with the mandibular canal. Impaction angulation was a risk factor for second molar distal caries (maximum OR = 5.01, 95% CI: 3.12–8.18). Changed angulation and greater impaction depth were the risk factors for second molar root resorption (minimum OR = 1.64, 95% CI: 0.58–4.02). Decreased distance between the ramus and distal side of the second molar was a risk factor for associated pathological lesions (minimum OR = 2.73, 95% CI: 1.79–4.25). Mesioangular and horizontal angulations and greater impaction depth were the risk factors for contact with the mandibular canal (maximum OR = 3.44, 95% CI: 2.6–4.57 and minimum OR = 1.3, 95% CI: 094–1.8). CONCLUSIONS: The frequency of complications associated with IMTMs was low, but considerable. The occurrence of these conditions might be affected by the impaction position. Thus, regular follow-ups are recommended in order to be able to surgically intervene when the first signs of pathologies arise. |
format | Online Article Text |
id | pubmed-8012125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-80121252021-04-07 Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions Haddad, Zahra Khorasani, Mansour Bakhshi, Mahin Tofangchiha, Maryam shalli, Zeynab Int J Dent Research Article OBJECTIVES: This study aimed to assess the radiographic position of impacted mandibular third molars (IMTMs) and their association with pathological conditions. MATERIALS AND METHODS: The impaction depth, relationship with ramus, and angulation of 1600 IMTMs and their association with 2(nd) molar distal caries and root resorption, pathological conditions, and proximity to the mandibular canal were evaluated on panoramic radiographs. The IMTM position was determined based on the depth of impaction according to the Pell and Gregory classification, relationship with ramus according to the Pell and Gregory classification, and angulation according to the Winter's classification. The classical and Bayesian logistic regressions were applied to analyze the effect of IMTM position on the associated complications using the odds ratio (OR) and 95% confidence interval (credible interval for Bayesian models). Two-tailed P value < 0.05 was considered statistically significant. RESULTS: Of 1600 IMTMs evaluated in this study, 195 (12.2%), 252 (15.8%), and 119 (7.4%) had caused second molar distal caries, second molar root resorption, and pathological lesions, respectively, and 872 (54.5%) had contact with the mandibular canal. Impaction angulation was a risk factor for second molar distal caries (maximum OR = 5.01, 95% CI: 3.12–8.18). Changed angulation and greater impaction depth were the risk factors for second molar root resorption (minimum OR = 1.64, 95% CI: 0.58–4.02). Decreased distance between the ramus and distal side of the second molar was a risk factor for associated pathological lesions (minimum OR = 2.73, 95% CI: 1.79–4.25). Mesioangular and horizontal angulations and greater impaction depth were the risk factors for contact with the mandibular canal (maximum OR = 3.44, 95% CI: 2.6–4.57 and minimum OR = 1.3, 95% CI: 094–1.8). CONCLUSIONS: The frequency of complications associated with IMTMs was low, but considerable. The occurrence of these conditions might be affected by the impaction position. Thus, regular follow-ups are recommended in order to be able to surgically intervene when the first signs of pathologies arise. Hindawi 2021-03-24 /pmc/articles/PMC8012125/ /pubmed/33833805 http://dx.doi.org/10.1155/2021/8841297 Text en Copyright © 2021 Zahra Haddad et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Haddad, Zahra Khorasani, Mansour Bakhshi, Mahin Tofangchiha, Maryam shalli, Zeynab Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions |
title | Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions |
title_full | Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions |
title_fullStr | Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions |
title_full_unstemmed | Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions |
title_short | Radiographic Position of Impacted Mandibular Third Molars and Their Association with Pathological Conditions |
title_sort | radiographic position of impacted mandibular third molars and their association with pathological conditions |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012125/ https://www.ncbi.nlm.nih.gov/pubmed/33833805 http://dx.doi.org/10.1155/2021/8841297 |
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