Prevalence Of Pathologies Caused By Mandibular Third Molar Tooth Positions

Yıl 2023, , 582 - 586, 31.12.2023

Muhammet Bahattin Bingül

https://doi.org/10.35440/hutfd.1372174

Öz

Background: he aim of this study was to evaluate the pathologies caused by mandibular im-pacted third molars in individuals living in the Şanlıurfa region.
Materials and Methods: In this retrospective study conducted at Harran University Faculty of Dentistry between 2018 and 2020, panoramic radiographs of 904 patients (525 females, 379 males) were analyzed. The prevalence, impaction and position of third molars, conditions and pathologies related to these teeth were evaluated.
Results: 1664 mandibular third molars of 904 patients were analyzed. When the distribution by gender is examined, 42.79% are men and 57.21% are women. In terms of mandibular third molar position, 60.34% of the teeth are vertical. In terms of mandibular third molar eruption level, 61.39% of the teeth are at level A. When we look at pathologies based on teeth, there is 16.81% caries.
Conclusions: While third molars may remain without any symptoms for a long period of life, they may cause caries, cysts and bone loss in adjacent teeth. Tooth extraction may be recom-mended prophylactically to prevent third molar teeth from causing greater pathology in later ages.

Anahtar Kelimeler

Mandibular third molar, Pathology, Prevalence

Etik Beyan

The ethics committee approval of the study was obtained from Harran University Clinical Research Ethics Committee with the ethics committee decision dated 26/12/2022 and numbered HRU/22.25.24.

Mandibular Üçüncü Molar Diş Pozisyonlarının Oluşturduğu Patolojilerin Prevelansı

Öz

Aim: This study aimed to evaluate the pathologies caused by mandibular impacted third molar teeth of individuals living in the Şanlıurfa region.
Materials and Methods: In this retrospective study; Panoramic radiographs of 904 patients (525 women, 379 men) who applied to Harran University Faculty of Dentistry for various reasons between 2018 and 2020 were examined. The prevalence of third molar teeth, impaction and position, conditions and pathologies related to these teeth were evaluated.
Results: In this study, 1664 mandibular third molar teeth of 904 patients were examined. When the distribution by gender is examined, 42.79% are men and 57.21% are women. In terms of mandibular third molar position, 60.34% of the teeth are vertical. In terms of mandibular third molar eruption level, 61.39% of the teeth are at level A. When we look at complications based on teeth, there is 16.81% caries.
Conclusion: While third molars may remain without any symptoms for a long period of life, they may cause caries, cysts and bone loss in adjacent teeth. Tooth extraction may be recommended prophylactically to prevent third molar teeth from causing greater pathology in later ages.

Anahtar Kelimeler

Mandibular third molar, pathology, prevelance

Etik Beyan

The ethics committee approval of the study was obtained from Harran University Clinical Research Ethics Committee with the ethics committee decision dated 26/12/2022 and numbered HRU/22.25.24.

Kaynakça

• 1. Altan A, Akbulut N. Does the Angulation of an Impacted Mandibular third Molar Affect thePrevalence of Preopera-tive Pathoses? J Dent Shiraz Univ Med Sci 2019;20:48-52.
• 2. Toedtling V, Coulthard P, Thackray G. Distal caries of the second molar in the presence of a mandibular third mo-lar- a prevention protocol. Br Dent J 2016;221:297- 302.
• 3. Oenning AC, Freire AR, Rossi AC, Prado FB, Caria PHF, Correr-Sobrinho L, et al. Resorptive potential of impacted mandibular third molars: 3D simulation by finite element analysis. Clin Oral Investig 2018;22:3195- 3203.
• 4. Etöz M, Şekerci AE, Şişman Y. Türk toplumunda üçüncü molar dişlerin retrospektif radyografik analizi. Atatürk Üniv.Diş Hek. Fak. Derg.2011;21:3;170-174.
• 5. Özeç İ, Hergüner Siso Ş, Taşdemir U, Ezirganli Ş, Göktolga G. Prevalence and factors affecting the formation of se-cond molar distal caries in a Turkish population. Int. J. Oral Maxillofac. Surg. 2009; 38: 1279–82.
• 6. Sağlam AA, Tüzüm MS. Clinical and radiologic investiga-tion of the incidence, complications, and suitable removal times for fully impacted teeth in the Turkish population. Quintessence Int. 2003;34(1):53-9.
• 7. Flygare L, Ohman A. Preoperative imaging procedures for lower wisdom teeth removal. Clin Oral Investig. 2008; 12: 291-302.
• 8. Polat HB, Ozan F, Kara I, Ozdemir H, Ay S. Prevalence of commonly found pathoses associated with mandibular impacted third molars based on panoramic radiographs in Turkish population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(6): 41-7.
• 9. Gomes AC, Vasconcelos BC, Silva ED, Caldas AF, Pita IC. Sensitivity and specificity of pantomography to predict in-ferior alveolar nerve damage during extraction of impac-ted lower third molars. J Oral Maxillofac Surg. 2008; 66: 256-59.
• 10. Toedtling V, Coulthard P, Thackray G. Distal caries of the second molar in the presence of a mandibular third mo-lar- a prevention protocol. Br Dent J 2016;221:297- 302
• 11. Kang F, Huang C, Sah MK, Jiang B. Effect of Eruption Status of the Mandibular Third Molar on Distal Caries in the Adjacent Second Molar. J Oral Maxillofac Surg 2016;74:684-92.
• 12. Passarelli PC, Lajolo C, Pasquantonio G, D'Amato G, Doci-mo R, Verdugo F, et al. Influence of mandibular third mo-lar surgical extraction on the periodontal status of adjacent second molars. J Periodontol 2019;90:847- 55.
• 13. Zafersoy S, Çelik I, Gungor K, Erten CH. Clinical and radiog-raphical evaluation of mandibulary and maxillary third molars. T Klin J Dental Sci. 2002; 8:75-9.
• 14. Altan A, Soylu E. Mezioangular Alt Üçüncü Azı Dişlerinin Eğimi ile İkinci Molar Distal Çürük Varlığı Arasındaki İlişki: Retrospektif Bir Çalışma. Cumhuriyet Dent J. 2018;21:178-183.
• 15. Göksu VC, Ersoy HE, Eberliköse H, Yücel E. Gömülü Man-dibular Üçüncü Molar Diş Pozisyonlarının Demografik Ola-rak İncelenmesi: Retrospektif Çalışma. ADO Klinik Bilimler Dergisi. 2021; 10(3): 165-171.
• 16. Ayranci F OM, Sivrikaya EC, Rastgeldi ZO. Prevalence of Impacted Wisdom Teeth in Middle Black Sea Population. J Clin Exp Invest 2017;8:50-3.
• 17. Çimen T, Çetin B, Yaşar F. Alt üçüncü molar dişlerin pozis-yonlarının değerlendirilmesi ile retromolar bölgede gözle-nen kemik rezorpsiyonun araştırılması. Selcuk Dental Jo-urnal. 2019; 6(4): 82-87.
• 18. Chou YU, Ho PS, Ho KY, Wang WC, Hu KF. Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly pati-ents. Kaohsiung J Med Sci 2017; 33: 246-251.
• 19. Nunn ME, Fish MD, Garcia RI Kaye EK, Figueroa R, Gohel A, et al. Retained asymptomatic third molars and risk for second molar pathology. J Dent Res 2013; 92(12):1095-1099.
• 20. Moss KL, Beck JD, Mauriello SM, Offenbacher S, White RP. Third molar periodontal pathology and caries in senior adults. J Oral Maxillofac Surg 2017; 65: 103-108.
• 21. Oğuz Y, Soydan SS, Onay EO, Cubuk S. Incidence of root canal treatment of second molars following adjacent im-pacted third molar extraction. J Dent Sci 2016;11:90-4.
• 22. Allen RT, Witherow H, Collyer J, Roper-Hall R, Nazir MA, Mathew G. The mesioangular third molar--to extract or not to extract? Analysis of 776 consecutive third molars. Br Dent J 2009;206:586- 7.
• 23. Sumer M, Yıldız L, Nal S, Sumer AP, Mısır F. Gömülü üçüncü molar dişlerin perikoronal dokularındaki patolojik değişiklikler. Ondokuz Mayıs Üniv Diş Hek Fak Derg 2006; 7: 195–198.
• 24. Ventä I, Kylätie E, Hiltunen K. Pathology related to third molars in the elderly persons. Clin Oral Investig 2015; 19: 1785-1789.
• 25. Karslıoğlu H, Sümer A (2019). Orta Yaş ve Üstü raporlarda Üçüncü Molar Dişlerin Değerlendirilmesi. Ege Üniversitesi Diş Hekimliği Fakültesi, 40(2), 97 - 102.