Mesioangular Pozisyondaki Mandibular Üçüncü Molar Dişlerin Eğimi ve Komşu İkinci Molar Dişlerin Distalinde Çürük Varlığı Arasındaki İlişki: Retrospektif Bir Çalışma

Yıl 2018, Cilt: 21 Sayı: 3, 178 - 183, 17.10.2018

Ahmet Altan Emrah Soylu

https://doi.org/10.7126/cumudj.444396

Cited By: 2

Öz

Amaç:
Bu çalışmanın amacı; mezioangular pozisyondaki mandibular üçüncü molar dişlerin
eğimi ile komşu ikinci molar dişlerin distal yüzeyindeki çürük varlığı
arasındaki ilişkiyi incelemektir.

Gereç ve Yöntem:
Bu retrospektif çalışmada, alt çenede kısmen sürmüş mesioangular pozisyonda gömülü
dişi olan, 617 hastanın (328 kadın, 289 erkek) panoramik radyografları incelendi.
Mandibular okluzal düzlem ve mandibular üçüncü moların oklüzal yüzeyi
arasındaki açı ölçüldü. 11 ° ila 30 ° arasında bir değere sahip mezioangular
üçüncü molar dişler Grup 1 olarak, 31 ° ve 50 ° arasındakiler Grup 2 olarak, 51
° ve 70 ° arasındakiler Grup 3 olarak sınıflandırıldı. Ardından komşu ikinci
molar dişin distal temas noktasındaki çürük varlığı tespit edildi.

Bulgular:
Mesioangular pozisyonda toplam 816 adet mandibular üçüncü molar diş analiz
edildi. Bunlardan 439'u (% 53,8) kadınlarda, 377'si (% 46.2) erkeklerde görüldü.
İkinci molar dişin distalinde çürük prevalansı erkeklerde % 34.5, kadınlarda %
21.4 idi (p <0.001). Açısal değerlere göre oluşturulan gruplar arasında
istatistiksel olarak anlamlı bir fark görüldü (p <0.05). Sonuçlar, 51 ° ila
70 ° arasında bir eğime sahip mandibular üçüncü molar dişlerin, ikinci molar
dişlerin distal yüzeyinde çürük oluşumu için daha yüksek bir risk arzettiğini
gösterdi.

Sonuç:
51 ° ila 70 ° arasında bir eğime sahip gömülü mandibular üçüncü molar dişlerin profilaktik
olarak erken çekimi, komşu ikinci molar dişlerin distal yüzeyinde çürük
oluşumunu önleyebilir.

Anahtar Kelimeler

oral cerrahi, diş çürükleri, üçüncü molar diş

The Relationship Between the Slope of the Mesioangular Lower Third Molars and the Presence of Second Molar Distal Caries: A Retrospective Study

Öz

Objective: The purpose of this study was to examine the
relationship between the degree of mesioangular mandibular third molar teeth and
the presence of distal caries in the second molar teeth.

Materials and Methods: In this retrospective study, panoramic radiographs of
617 patients (328 females, 289 males) with impacted teeth in partially erupted
mesioangular position were examined. The angle between the mandibular occlusal
plane and the occlusal surface of the mandibular third molar was measured. Third
molar teeth in mesioangular positions with an angle between 11° and 30° were
classified as Group 1, an angle between 31° and 50° as Group 2, and an angle
between 51° and 70° as Group 3. For each group, the presence of caries in the
distal contact point of adjacent second molar teeth was detected.

Results: A total of 816 mandibular third molar teeth in the mesioangular
position were analyzed. Of these, 439 (53.8%) were in females and 377 (46.2%)
were in males. The prevalence of caries in the distal aspect of the second
molar teeth was 34.5% in males and 21.4% in females (p<0.001). A
statistically significant difference was found between the groups (p<0.05).
The results showed that a slope of 51° to 70° in mandibular third molar
presents a higher risk for caries formation in the distal aspect of second
molar teeth.

Conclusions: Early prophylactic extraction of impacted mandibular
teeth with a slope between 51° and 70° may prevent caries formation in the distal
aspect of adjacent second molar teeth.

Anahtar Kelimeler

oral surgery, dental caries, third molar

Kaynakça

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