Investigation of the Radiological Status of Permanent First Molars in a Turkish Subpopulation

Year 2023, , 105 - 113, 28.03.2023

Ali Altındağ , Fatma Yüce , Güldane Mağat

https://doi.org/10.33808/clinexphealthsci.1058955

Abstract

Objective: Missing or filled first permanent molars (FPMs) affects occlusal status and oral health. This study aims to determine the prevalence of missing, restored FPMs (filling, root canal treatment, prosthetic restoration), and dental implants in the first molar region.
Methods: In our study, panoramic radiographs of 1765 female and 1230 male patients were evaluated. Patients were divided into three age groups: 15-34 years old, 35-54 years old, and >55 years old. The maxillary and mandibular FPMs status is divided into two groups presence (caries, filled, root treatment, prosthetic restoration, root treatment + prosthetic restoration, and healthy) or absence (empty, radix relicta, dental implant, and dental bridge).
Results: In the evaluated images, 36.92% of maxillary FPMs and 27.39% of mandibular FPMs were healthy. FPMs on the right or left side of the jaws did not affect their clinical status, while their presence on the lower or upper jaw affected their clinical status.
Conclusion: Most of the FPMs (67.85%) were with caries or restorations. The number of healthy FPMs decreases with increasing age. The study indicates an important result regarding protecting FPMs and preventive dentistry.

Keywords

First permanent molar, panoramic radiography, health status

References

• Balkaya B, Aydemir H. Birinci büyük azı dişlerin çürük, eksiklik ve dolgu dağılımı. Atatürk Univ Diş Hek Fak Derg. 2000;10(1):17-20. (Turkish) https://dergipark.org.tr/tr/download/article-file/27776
• Hescot P, Bourgeois D, Doury J. Oral health in 35–44 year old adults in France. Int Dent J. 1997;47(2):94-99. DOI: 10.1111/j.1875-595X.1997.tb00682.x
• Yılmaz AB, Ceylan G, Yanıkoğlu N, Akgül M. Atatürk Üniversitesi Diş Hekimliği Fakültesi öğrencilerinde ağız sağlığı çalışması ve diş hekimliği eğitiminin ağız sağlığına etkisinin araştırılması. Atatürk Üniv Diş Hek Fak Derg 1997;7(1):36-39. (Turkish) https://dergipark.org.tr/en/download/article-file/27902
• Bulucu B, İnan AGU. Daimi birinci molar dişin çürük deneyimi, çürük risk tahmin modeli olabilir mi? Atatürk Üniv Diş Hek Fak Derg. 2005;15(3):5-10. (Turkish) https://dergipark.org.tr/en/download/article-file/27564
• Shyam R, Manjunath BC, Kumar A, Narang R, Goyal A, Piplani A. Assessment of dental caries spectrum among 11 to 14-year-old school going children in India. J Clin Diagn Res. 2017;11(6): ZC78. DOI: 10.7860/JCDR/2017/27254.10107
• Al‐Hadi Hamasha A, Sasa I, Al Qudah M. Risk indicators associated with tooth loss in Jordanian adults. Community Dent Oral Epidemiol. 2000;28(1):67-72. DOI: 10.1034/j.1600-0528.2000.280109.x
• İncebeyaz B, Deniz HA, Polat E, Kolsuz ME. Birinci daimi molar dişlerin yaş ve cinsiyete göre klinik durumlarinin değerlendirilmesi. Ankara Üniv Diş Hek Fak Derg. 2019;46(3):137-144. (Turkish) https://dergipark.org.tr/en/download/article-file/1590337
• Cheng R-B, Tao W, Zhang Y, Cheng M, Li Y. Analysis of the first permanent molar caries epidemiological investigation in area of northeast China. Hua Xi Kou Qiang Yi Xue Za Zhi (West China J Stomatol). 2008;26(1):73-76. PMID: 18357890
• Maden DEA, Altun C. Çocuk dişhekimliğinde kötü prognozlu daimi birinci molarların çekim endikasyonları ve klinik değerlendirmeleri. Atatürk Üniv Diş Hek Fak Derg 2013;23(3):408-413. (Turkish) https://dergipark.org.tr/en/download/article-file/27139
• Gülhan A. Pedodonti. İstanbul, İstanbul Üniversitesi Rektörlüğü Basımevi ve Film Merkezi;1994. (Turkish)
• Karabekiroğlu S, Ünlü N. Yüksek Çürük Riskli Genç Yetişkinlerde Diş Çürüğüne Ait Temel Parametrelerin Değerlendirilmesi. Ege Üniv Diş Hek Fak Derg. 2014;35(2):26-31. (Turkish) DOI: 10.5505/eudfd.2014.03274
• Nakayama K, Nonoyama M, Takaki Y, Kagawa T, Yuasa K, Izumi K, Ozeki S, Ikebe T. Assessment of the relationship between impacted mandibular third molars and inferior alveolar nerve with dental 3-dimensional computed tomography. J Oral Maxillofac Surg. 2009;67(12):2587-2591. DOI: 10.1016/j.joms.2009.07.017
• Opydo-Szymaczek J, Gerreth K. Developmental enamel defects of the permanent first molars and incisors and their association with dental caries in the region of Wielkopolska, Western Poland. Oral Health Prev Dent. 2015;13(5):461-469. DOI: 10.3290/j.ohpd.a33088
• Fuentes R, Farfán C, Astete N, Navarro P, Arias A. Distal root curvatures in mandibular molars: analysis using digital panoramic X-rays. Folia Morphol. 2018;77(1):131-137. DOI: 10.5603/FM.a2017.0066
• Aksoy MC, Kocer G, Kucukesmen HC, Eroglu E, Senturk MF. Distribution and pattern of implant therapy in a part of the Turkish population. J Pak Med Assoc. 2016;66(10):1277-1280. PMID: 27686303
• Ozmen B. Evaluation of permanent first molar tooth loss in young population from North Turkey. Balk J Dent Med. 2019;23(1):20-23. DOI: 10.2478/bjdm-2019-0004
• Salehrabi R, Rotstein I. Endodontic treatment outcomes in a large patient population in the USA: an epidemiological study. J Endod. 2004;30(12):846-850. DOI: 10.1097/01.don.0000145031.04236.ca
• Cobankara F, Orucoglu H. Kök kanal tedavisi insidansının yaş, cinsiyet ve diş gruplarına göre incelenmesi. Cumhuriyet Üniv Diş Hek Fak Derg 2004;7:20-24.
• Chen SC, Chueh LH, Hsiao CK, Tsai MY, Ho SC, Chiang CP. An epidemiologic study of tooth retention after nonsurgical endodontic treatment in a large population in Taiwan. J Endod. 2007;33(3):226-229. DOI: 10.1016/j.joen.2006.11.022
• Macek MD, Beltran‐Aguilar ED, Lockwood SA, Malvitz DM. Updated comparison of the caries susceptibility of various morphological types of permanent teeth. J Public Health Dent. 2003;63(3):174-182. DOI: 10.1111/j.1752-7325.2003.tb03496.x
• García-Cortés JO, Medina-Solís CE, Loyola-Rodriguez JP, Mejía-Cruz JA, Medina-Cerda E, Patiño-Marín N, Pontigo-Loyola AP. Dental caries' experience, prevalence and severity in Mexican adolescents and young adults. Rev Salud Publica. 2009;11(1):82-91. PMID: 19721982
• Žemaitienė M, Grigalauskienė R, Vasiliauskienė I, Saldūnaitė K, Razmienė J, Slabšinskienė E. Prevalence and severity of dental caries among 18-year-old Lithuanian adolescents. Medicina. 2016;52(1):54-60. DOI: 10.1016/j.medici.2016.01.006
• Dodds MW, Johnson DA, Yeh CK. Health benefits of saliva: a review. J Dent. 2005;33(3):223-233. DOI: 10.1016/j.jdent.2004.10.009
• Lukacs JR, Largaespada LL. Explaining sex differences in dental caries prevalence: Saliva, hormones, and “life‐history” etiologies. Am J Hum Biol. 2006;18(4):540-555. DOI: 10.1002/ajhb.20530
• Wyne AH. The bilateral occurrence of dental caries among 12-13 and 15-19 year old school children. J Contemp Dent Pract. 2004;5(1):42-52. PMID: 14973559
• Manji F, Fejerskov O. An epidemiological approach to dental caries; in Thylstrup A, Fejerskov O (eds): Textbook of Clinical Cariology. Copenhagen: Munksgaard; 1994. p. 167-168.
• Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent. 2010;4(03):270-279. DOI: 10.1055/s-0039-1697839
• Sanchez‑Perez L, Irigoyen‑Camacho ME, Molina‑Frechero N, Zepeda‑Zepeda M. Fissure depth and caries ıncidence in first permanent molars: A five‑year follow‑up study in schoolchildren. Int J Environ Res Public Health. 2019;16(19):3550. DOI: 10.3390/ijerph16193550
• Shaffer JR, Wang X, Desensi RS, Wendell S, Weyant RJ, Cuenco KT, Court R, McNeil DW, Marazita ML. Genetic susceptibility to dental caries on pit and fissure and smooth surfaces. Caries Res 2012;46(1):38-46. DOI: 10.1159/000335099
• Demirbuga S, Tuncay O, Cantekin K, Cayabatmaz M, Dincer AS, Kılınç HI, Sekerci AE. Frequency and distribution of early tooth loss and endodontic treatment needs of permanent first molars in a Turkish pediatric population. Eur J Dent. 2013;7(1):99-104. DOI: 10.4103/1305-7456.119085
• Duman S, Duruk G. The evaluation of the clinical and radiographic records of the first molar teeth in pediatric patients. Ann Med Res. 2019;26(10):2333-2339. DOI: 10.5455/annalsmedres.2019.08.490
• Poureslami P, Pouradeli S, Poureslami H, Shahrokhi E. Evaluation of health status of first permanent molar teeth among 12-year-old students in rural areas of south of Kerman, Iran, 2016. J Oral Health Oral Epidemiol 2018;7(1):33-38. DOI: 10.22122/johoe.v7il.391
• Gjermo P, Beldi MI, Bellini HT, Martins CR. Study of tooth loss in an adolescent Brazilian population. Community Dent Oral Epidemiol. 1983;11(6):371-374. DOI: 10.1111/j.1600-0528.1983.tb01394.x
• Halicioglu K, Toptas O, Akkas I, Celikoglu M. Permanent first molar extraction in adolescents and young adults and its effect on the development of third molar. Clin Oral Invest. 2014;18(5):1489-1494. DOI: 10.1007/s00784-013-1121-1