Prevalence of Impacted Wisdom Teeth in Middle Black Sea Population

Year 2017, , 58 - 61, 30.06.2017

Ferhat Ayranci

https://doi.org/10.5799/jcei.333381

Abstract

Objective: The aim of this cross-sectional randomized study was to investigate the prevalence
and angulation of third molar impaction in patients between 19‒26 years old who were living
in the Middle Black Sea region of Turkey.
Methods: Total 1006 patients between 19 and 26 years of age who were referred to the Ordu
University Faculty of Dentistry Department of Oral Maxillofacial Surgery between 2010 and
2015 were included in the study. Of these 1,006 patients, 410 were male and 596 were female.
The prevalence and positions of the impacted third molar teeth from the 4th quadrant on the
panoramic radiographs were documented according to the classifications of Pell and Gregory
as well as that of Winter. In the Pell and Gregory classification, the teeth in class C were evaluated
as impacted teeth.
Results: There was a total of 1,518 impacted molars. Of the included patients, 48.3% had
impacted third molars. The most common angulation of impacted third molars was the vertical
position in both mandible (28.4%) and maxilla (28.8%). The prevalence of impacted mandibular
third molars (57.3%) was significantly higher than that of the impacted maxillary third molars
(42.7%) (P<0.05). The prevalence and angulation of impacted third molars between genders
was not significant (P>0.05).
Conclusion: The pattern of third molar impaction in the Middle Black Sea region was
characterized by a high prevalence of level C impaction with a vertical position that was greater
in the mandibles and had no sex predilection.

Keywords

Pell and Gregory, prevalence, Turkish population, Winter, impacted teeth

References

• 1. Hassan AH. Pattern of third molar impaction in a Saudi population Clin Cosmet Investig Dent 2010;2:109-113. 2. Dachi SF, Howell FV. A survey of 3,874 routine full-mouth radiographs. I. A study of retained roots and teeth Oral Surg Oral Med Oral Pathol 1961;14:916-924. 3. Eshghpour M, Rezaei NM, Nejat A. Effect of menstrual cycle on frequency of alveolar osteitis in women undergoing surgical removal of mandibular third molar: a single-blind randomized clinical trial J Oral Maxillofac Surg 2013;71:1484-1489. 4. Bishara SE. Impacted maxillary canines: a review Am J Orthod Dentofacial Orthop 1992;101:159-171. 5. Akarslan ZZ, Kocabay C. Assessment of the associated symptoms, pathologies, positions and angulations of bilateral occurring mandibular third molars: is there any similarity? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:e26-32. 6. Hattab FN, Rawashdeh MA, Fahmy MS. Impaction status of third molars in Jordanian students Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:24-29. 7. Al-Anqudi SM, Al-Sudairy S, Al-Hosni A, Al-Maniri A. Prevalence and Pattern of Third Molar Impaction: A retrospective study of radiographs in Oman Sultan Qaboos Univ Med J 2014;14:e388-392. 8. Molander B, Ahlqwist M, Grondahl HG, Hollender L. Agreement between panoramic and intra-oral radiography in the assessment of marginal bone height Dentomaxillofac Radiol 1991;20:155-160. 9. Emine Sen Tunç AEK. Prevalence Of Congenitally Missing Permanent Teeth In Blacksea Region Children Atatürk Univ. Diş Hek. Fak. Derg. 2006 2:37-40 10. Pell GJ GG. Impacted mandibular third molars: Classification and Impacted mandibular third molars: Classification and modified technique for removal Dent Dig. 1933;39:330-338. 11. Gupta S, Bhowate RR, Nigam N, Saxena S. Evaluation of impacted mandibular third molars by panoramic radiography ISRN Dent 2011;2011:406714. 12. Santosh P. Impacted Mandibular Third Molars: Review of Literature and a Proposal of a Combined Clinical and Radiological Classification Ann Med Health Sci Res 2015;5:229-234. 13. Yilmaz S, Adisen MZ, Misirlioglu M, Yorubulut S. Assessment of Third Molar Impaction Pattern and Associated Clinical Symptoms in a Central Anatolian Turkish Population Med Princ Pract 2016;25:169-175. 14. Hashemipour MA, Tahmasbi-Arashlow M, Fahimi-Hanzaei F. Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population Med Oral Patol Oral Cir Bucal 2013;18:e140-145. 15. Almendros-Marques N, Berini-Aytes L, Gay-Escoda C. Influence of lower third molar position on the incidence of preoperative complications Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:725-732. 16. Bataineh AB, Albashaireh ZS, Hazza'a AM. The surgical removal of mandibular third molars: a study in decision making Quintessence Int 2002;33:613-617. 17. Hugoson A, Kugelberg CF. The prevalence of third molars in a Swedish population. An epidemiological study Community Dent Health 1988;5:121-138. 18. Eshghpour M, Nezadi A, Moradi A, Shamsabadi RM, Rezaei NM, Nejat A. Pattern of mandibular third molar impaction: A cross-sectional study in northeast of Iran Niger J Clin Pract 2014;17:673-677. 19. Kumar Pillai A, Thomas S, Paul G, Singh SK, Moghe S. Incidence of impacted third molars: A radiographic study in People's Hospital, Bhopal, India J Oral Biol Craniofac Res 2014;4:76-81. 20. Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:e161-166. 21. Fielding AF, Douglass AF, Whitley RD. Reasons for early removal of impacted third molars Clin Prev Dent 1981;3:19-23. 22. Schersten E, Lysell L, Rohlin M. Prevalence of impacted third molars in dental students Swed Dent J 1989;13:7-13. 23. Quek SL, Tay CK, Tay KH, Toh SL, Lim KC. Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey Int J Oral Maxillofac Surg 2003;32:548-552. 24. Kim JC, Choi SS, Wang SJ, Kim SG. Minor complications after mandibular third molar surgery: type, incidence, and possible prevention Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e4-11. 25. Kramer RM, Williams AC. The incidence of impacted teeth. A survey at Harlem hospital Oral Surg Oral Med Oral Pathol 1970;29:237-241. 26. Magraw CB, Moss KL, Fisher EL, Offenbacher S, White RP, Jr. Prevalence of Visible Third Molars in the United States Population: How Many Individuals Have Third Molars? J Oral Maxillofac Surg 2016;74:13-17.