Evaluation of the prevalence of impacted permanent second molars on panoramic radiographs

Yıl 2025, Cilt: 30 Sayı: 3, 363 - 373, 25.09.2025

Ali Altındağ , Büşra Öztürk , Serkan Bahrilli

https://doi.org/10.21673/anadoluklin.1554801

Öz

Aim: The objective of this study was to assess the prevalence of impaction in permanent second molars.

Methods: Panoramic images from 10.000 patients aged 15 and older, who presented to our clinic between January 2021 and January 2022, were meticulously examined. Inclusion criteria comprised 78 impacted second molars observed in 53 patients. The classification of second molars was conducted based on impaction type and angulation.

Results: The overall prevalence of second molar impaction was determined to be 0.53%, with 39.6% identified in female patients and 60.4% in male patients. Type 1 impaction was the most frequently detected and constituted 50%, while Type 2 and Type 3 impactions were detected at rates of 34.6% and 15.4%, respectively. Impaction types of mandibular second molar did not differ according to gender, side, or distance from the mandibular first molar distal surface to the anterior border of the ramus.

Conclusion: The prevalence of impacted permanent second molars was notably limited. Despite the infrequency of impaction, quick identification is critical for optimal treatment timing and the avoidance of associated consequences.

Anahtar Kelimeler

Impacted tooth , molar , panoramic , prevalence

Gömülü daimi ikinci molar diş prevelansının panoramik radyograflarda değerlendirilmesi

Öz

Amaç: Bu çalışmanın amacı daimi ikinci molar dişlerin gömülü kalma sıklığını değerlendirmektir.

Yöntemler: Ocak 2021 ile Ocak 2022 tarihleri arasında kliniğimize başvuran 15 yaş ve üzeri 10.000 hastanın panoramik görüntüleri değerlendirilmiştir. Çalışmada dâhil etme kriterlerini sağlayan, 53 hastada toplam 78 gömülü ikinci molar diş kullanılmıştır. İkinci molar dişlerinin sınıflandırılması gömülülük tipine ve açılanmasına göre yapılmıştır.

Bulgular: İkinci molar diş gömülülüğünün genel prevalansı %0,53 olarak saptanmıştır. Gömülü vakaların %39,6’sı kadın, %60,4’ü ise erkek hastalarda görülmüştür. En yaygın gömülülük tipi %50 oranında Tip 1 olarak belirlenmiştir. Tip 2 ve Tip 3 gömülülük sıklıkları ise sırasıyla %34,6 ve %15,4 olarak tespit edilmiştir. Alt ikinci molar dişin gömülü kalma tiplerinin cinsiyet, taraf ya da mandibular birinci molar dişin distal yüzeyinden ramusun ön kenarına kadar olan mesafeye göre anlamlı bir farklılık göstermediği bulunmuştur.

Sonuç: Daimi ikinci molar dişlerin gömülülük prevalansı oldukça nadirdir. Ancak sık gözlenmemesine rağmen, optimal tedavi zamanlaması ve ilişkili sonuçlardan kaçınmak için erken teşhis kritik öneme sahiptir.

Anahtar Kelimeler

Azı dişi , gömülü diş , panoramik , prevalans

Kaynakça

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