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Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial

PURPOSE: Mandibular third molar (M3) extraction is the common surgical procedures carried out; however, one of the complications is development of periodontal disease in adjacent second molars (M2). Hence the purpose of this study was to evaluate the effect of extraction of M3 on the periodontal sta...

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Autores principales: Singh, Swathi, Gottumukkala, Sruthima Naga Venkata Satya, Konathala, Santosh Venkata Ramesh, Penmetsa, Gautami Subhadra, Dwarakanath, Chinnaswami Doraiswami, Bypalli, Vivek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Istanbul University Faculty of Dentistry 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826707/
https://www.ncbi.nlm.nih.gov/pubmed/36660217
http://dx.doi.org/10.26650/eor.2022992668
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author Singh, Swathi
Gottumukkala, Sruthima Naga Venkata Satya
Konathala, Santosh Venkata Ramesh
Penmetsa, Gautami Subhadra
Dwarakanath, Chinnaswami Doraiswami
Bypalli, Vivek
author_facet Singh, Swathi
Gottumukkala, Sruthima Naga Venkata Satya
Konathala, Santosh Venkata Ramesh
Penmetsa, Gautami Subhadra
Dwarakanath, Chinnaswami Doraiswami
Bypalli, Vivek
author_sort Singh, Swathi
collection PubMed
description PURPOSE: Mandibular third molar (M3) extraction is the common surgical procedures carried out; however, one of the complications is development of periodontal disease in adjacent second molars (M2). Hence the purpose of this study was to evaluate the effect of extraction of M3 on the periodontal status of M2. MATERIALS AND METHODS: Study included 120 sites with mandibular M2 adjacent to the impacted M3. Plaque index(PI), gingival index(GI), probing pocket depths(PD), clinical attachment levels(CAL), Gingival recession(GR) and alveolar bone height(ABH) before and 9-12 months after surgical extraction of M3 were assessed. Patients perception was assessed using dichotomous rating. Four types of impactions(IMP) were included along with surgical cofactors like degree of impaction, flap design, bone removal, tooth sectioning. RESULTS: At baseline mesioangular and horizontal IMP showed greater PPD and CAL. After extraction of M3 there was significant decrease in PPD & CAL. 14% cases showed significant increase gingival recession at the distobuccal of M2. Although 10.9% of patients had an alveolar bony defect(ABD) distal to the M2, there was considerable improvement in ABH from baseline. The ABDs are mostly associated with mesioangular and horizontal IMP. CONCLUSION: Extraction of impacted M3 proves to be beneficial on periodontal status of M2. However, occasionally, mesioangular and horizontal IMP are likely to develop ABD distal to M2 and hence can be followed by regenerative procedures to prevent the formation of ABD.
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spelling pubmed-98267072023-01-18 Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial Singh, Swathi Gottumukkala, Sruthima Naga Venkata Satya Konathala, Santosh Venkata Ramesh Penmetsa, Gautami Subhadra Dwarakanath, Chinnaswami Doraiswami Bypalli, Vivek Eur Oral Res Articles PURPOSE: Mandibular third molar (M3) extraction is the common surgical procedures carried out; however, one of the complications is development of periodontal disease in adjacent second molars (M2). Hence the purpose of this study was to evaluate the effect of extraction of M3 on the periodontal status of M2. MATERIALS AND METHODS: Study included 120 sites with mandibular M2 adjacent to the impacted M3. Plaque index(PI), gingival index(GI), probing pocket depths(PD), clinical attachment levels(CAL), Gingival recession(GR) and alveolar bone height(ABH) before and 9-12 months after surgical extraction of M3 were assessed. Patients perception was assessed using dichotomous rating. Four types of impactions(IMP) were included along with surgical cofactors like degree of impaction, flap design, bone removal, tooth sectioning. RESULTS: At baseline mesioangular and horizontal IMP showed greater PPD and CAL. After extraction of M3 there was significant decrease in PPD & CAL. 14% cases showed significant increase gingival recession at the distobuccal of M2. Although 10.9% of patients had an alveolar bony defect(ABD) distal to the M2, there was considerable improvement in ABH from baseline. The ABDs are mostly associated with mesioangular and horizontal IMP. CONCLUSION: Extraction of impacted M3 proves to be beneficial on periodontal status of M2. However, occasionally, mesioangular and horizontal IMP are likely to develop ABD distal to M2 and hence can be followed by regenerative procedures to prevent the formation of ABD. Istanbul University Faculty of Dentistry 2022-09-05 2022-09-05 /pmc/articles/PMC9826707/ /pubmed/36660217 http://dx.doi.org/10.26650/eor.2022992668 Text en Copyright © 2021 European Oral Research https://creativecommons.org/licenses/by-nc-nd/4.0/This article is licensed under Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license ( (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the journal endorses its use. The material cannot be used for commercial purposes. If the user remixes, transforms, or builds upon the material, he/she may not distribute the modified material. No warranties are given. The license may not give the user all of the permissions necessary for his/her intended use. For example, other rights such as publicity, privacy, or moral rights may limit how the material can be used.
spellingShingle Articles
Singh, Swathi
Gottumukkala, Sruthima Naga Venkata Satya
Konathala, Santosh Venkata Ramesh
Penmetsa, Gautami Subhadra
Dwarakanath, Chinnaswami Doraiswami
Bypalli, Vivek
Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
title Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
title_full Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
title_fullStr Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
title_full_unstemmed Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
title_short Periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
title_sort periodontal status of mandibular second molar after extraction of impacted mandibular third molars- a prospective clinical trial
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826707/
https://www.ncbi.nlm.nih.gov/pubmed/36660217
http://dx.doi.org/10.26650/eor.2022992668
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