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Evaluation of Third Molars According to the Operative Difficulty Score

Yıl 2025, , 81 - 84, 15.01.2025
https://doi.org/10.37990/medr.1561673

Öz

Aim: Third molars (M3) are the most common type of impacted tooth, and the prevalence of impaction varies between 27% and 68.8%. The aim of this study was to evaluate M3 according to their operative difficulty score and angulation.
Material and Method: A total of 1000 patients who returned to our clinic for M3 extraction were included in the study. Preoperative clinical and radiological operative difficulty scores (ODS) and angulations were evaluated from 0 to 6. Descriptive statistics were performed.
Results: When M3 were evaluated according to ODS, 343 (34.3%) were ODS 1, 106 (10.6%) were ODS 3, 327 (32.7%) were ODS 4, 188 (18.8%) were ODS 5 and 36 (3.6%) were ODS 6. When evaluated according to their angulations, 621 (62.1%) M3 were found in the vertical position, 184 (18.4%) in the mesioangular position, 70 (7%) in the horizontal position, 104 (10.4%) in the distoangular position, and 21 (2.1%) in the buccolingual-palatal position.
Conclusion: This study will allow the evaluation of the level of difficulty before the operation in the surgery of the M3 and the creation of a better treatment plan. Thus, perioperative and postoperative complications can be minimized.

Kaynakça

  • Peñarrocha-Diago M, Camps-Font O, Sánchez-Torres A, et al. Indications of the extraction of symptomatic impacted third molars. A systematic review. J Clin Exp Dent. 2021;13:278-86.
  • Dicus-Brookes C, Partrick M, Blakey GH, et al. Removal of symptomatic third molars may improve periodontal status of remaining dentition. J Oral Maxillofac Surg. 2013;71:1639-46.
  • Jeyashree T, Kumar MPS. Evaluation of difficulty index of impacted mandibular third molar extractions. J Adv Pharm Technol Res. 2022;13:98-101.
  • Kandasamy S, Rinchuse DJ, Rinchuse DJ. The wisdom behind third molar extractions. Aust Dent J. 2009;54:284-92.
  • Hermida-Cabrera P, Lima-Sánchez B, Montoya-Salazar V, et al. Proposal and validation of a new index to assess the difficulty of lower third molar extraction. Dent J. 2024;12:138.
  • Gay-Escoda C, Sánchez-Torres A, Borrás-Ferreres J, Valmaseda-Castellón E. Third molar surgical difficulty scales: systematic review and preoperative assessment form. Med Oral Patol Oral Cir Bucal. 2022;27:e68-76.
  • Al-Dajani M, Abouonq AO, Almohammadi TA, et al. A cohort study of the patterns of third molar impaction in panoramic radiographs in Saudi population. Open Dent J. 2017;11:648-60.
  • Sánchez-Jorge MI, Cortés-Bretón-Brinkmann J, Acevedo-Ocaña R, et al. Perceived surgical difficulty of mandibular third molar extraction. A comparative cross-sectional study of dentists with postgraduate qualification in oral surgery and maxillofacial surgeons in a Spanish subpopulation. Med Oral Patol Oral Cir Bucal. 2024;29:263-72.
  • Lang MS, Gonzalez ML, Dodson TB. Do antibiotics decrease the risk of inflammatory complications after third molar removal in community practices?. J Oral Maxillofac Surg. 2017;75:249-55.
  • Saruhan N. Gömülü 3. molar dişlerin operatif zorluk skoruna ve komplikasyonlara göre değerlendirilmesi. Med J SDU. 2018;25:282-6.
  • Mercier P, Precious D. Risks and benefits of removal of impacted third molars. A critical review of the literature. Int J Oral Maxillofac Surg. 1992;21:17-27.
  • van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:142-5.
  • Brasileiro BF, de Bragança RM, Van Sickels JE. An evaluation of patients' knowledge about perioperative information for third molar removal. J Oral Maxillofac Surg. 2012;70:12-8.
  • Contar CM, de Oliveira P, Kanegusuku K, et al.Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal. 2010;15:e74-8.
  • Chaparro-Avendaño AV, Pérez-García S, Valmaseda-Castellón E, et al.Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005;10:422-31.
  • Bali A, Bali D, Sharma A, Verma G. Is pederson index a true predictive difficulty index for impacted mandibular third molar surgery? A meta-analysis. J Maxillofac Oral Surg. 2013;12:359-64.
  • Carvalho RW, do Egito Vasconcelos BC. Assessment of factors associated with surgical difficulty during removal of impacted lower third molars. J Oral Maxillofac Surg. 2011;69:2714-21.
  • Park KL. Which factors are associated with difficult surgical extraction of impacted lower third molars?. J Korean Assoc Oral Maxillofac Surg. 2016;42:251-8.
  • Gümrükçü Z, Balaban E, Karabağ M. Is there a relationship between third-molar impaction types and the dimensional/angular measurement values of posterior mandible according to Pell & Gregory/Winter Classification?. Oral Radiol. 2021;37:29-35.
  • Mahdey HM, Arora S, Wei M. Prevalence and difficulty index associated with the 3(rd) mandibular molar impaction among Malaysian Ethnicities: a clinico-radiographic study. J Clin Diagn Res. 2015;9:ZC65-8.
  • Habets LL, Bezuur JN, Naeiji M, Hansson TL. The Orthopantomogram, an aid in diagnosis of temporomandibular joint problems. II. The vertical symmetry. J Oral Rehabil. 1988;15:465-71.
Yıl 2025, , 81 - 84, 15.01.2025
https://doi.org/10.37990/medr.1561673

Öz

Kaynakça

  • Peñarrocha-Diago M, Camps-Font O, Sánchez-Torres A, et al. Indications of the extraction of symptomatic impacted third molars. A systematic review. J Clin Exp Dent. 2021;13:278-86.
  • Dicus-Brookes C, Partrick M, Blakey GH, et al. Removal of symptomatic third molars may improve periodontal status of remaining dentition. J Oral Maxillofac Surg. 2013;71:1639-46.
  • Jeyashree T, Kumar MPS. Evaluation of difficulty index of impacted mandibular third molar extractions. J Adv Pharm Technol Res. 2022;13:98-101.
  • Kandasamy S, Rinchuse DJ, Rinchuse DJ. The wisdom behind third molar extractions. Aust Dent J. 2009;54:284-92.
  • Hermida-Cabrera P, Lima-Sánchez B, Montoya-Salazar V, et al. Proposal and validation of a new index to assess the difficulty of lower third molar extraction. Dent J. 2024;12:138.
  • Gay-Escoda C, Sánchez-Torres A, Borrás-Ferreres J, Valmaseda-Castellón E. Third molar surgical difficulty scales: systematic review and preoperative assessment form. Med Oral Patol Oral Cir Bucal. 2022;27:e68-76.
  • Al-Dajani M, Abouonq AO, Almohammadi TA, et al. A cohort study of the patterns of third molar impaction in panoramic radiographs in Saudi population. Open Dent J. 2017;11:648-60.
  • Sánchez-Jorge MI, Cortés-Bretón-Brinkmann J, Acevedo-Ocaña R, et al. Perceived surgical difficulty of mandibular third molar extraction. A comparative cross-sectional study of dentists with postgraduate qualification in oral surgery and maxillofacial surgeons in a Spanish subpopulation. Med Oral Patol Oral Cir Bucal. 2024;29:263-72.
  • Lang MS, Gonzalez ML, Dodson TB. Do antibiotics decrease the risk of inflammatory complications after third molar removal in community practices?. J Oral Maxillofac Surg. 2017;75:249-55.
  • Saruhan N. Gömülü 3. molar dişlerin operatif zorluk skoruna ve komplikasyonlara göre değerlendirilmesi. Med J SDU. 2018;25:282-6.
  • Mercier P, Precious D. Risks and benefits of removal of impacted third molars. A critical review of the literature. Int J Oral Maxillofac Surg. 1992;21:17-27.
  • van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79:142-5.
  • Brasileiro BF, de Bragança RM, Van Sickels JE. An evaluation of patients' knowledge about perioperative information for third molar removal. J Oral Maxillofac Surg. 2012;70:12-8.
  • Contar CM, de Oliveira P, Kanegusuku K, et al.Complications in third molar removal: a retrospective study of 588 patients. Med Oral Patol Oral Cir Bucal. 2010;15:e74-8.
  • Chaparro-Avendaño AV, Pérez-García S, Valmaseda-Castellón E, et al.Morbidity of third molar extraction in patients between 12 and 18 years of age. Med Oral Patol Oral Cir Bucal. 2005;10:422-31.
  • Bali A, Bali D, Sharma A, Verma G. Is pederson index a true predictive difficulty index for impacted mandibular third molar surgery? A meta-analysis. J Maxillofac Oral Surg. 2013;12:359-64.
  • Carvalho RW, do Egito Vasconcelos BC. Assessment of factors associated with surgical difficulty during removal of impacted lower third molars. J Oral Maxillofac Surg. 2011;69:2714-21.
  • Park KL. Which factors are associated with difficult surgical extraction of impacted lower third molars?. J Korean Assoc Oral Maxillofac Surg. 2016;42:251-8.
  • Gümrükçü Z, Balaban E, Karabağ M. Is there a relationship between third-molar impaction types and the dimensional/angular measurement values of posterior mandible according to Pell & Gregory/Winter Classification?. Oral Radiol. 2021;37:29-35.
  • Mahdey HM, Arora S, Wei M. Prevalence and difficulty index associated with the 3(rd) mandibular molar impaction among Malaysian Ethnicities: a clinico-radiographic study. J Clin Diagn Res. 2015;9:ZC65-8.
  • Habets LL, Bezuur JN, Naeiji M, Hansson TL. The Orthopantomogram, an aid in diagnosis of temporomandibular joint problems. II. The vertical symmetry. J Oral Rehabil. 1988;15:465-71.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ağız ve Çene Cerrahisi
Bölüm Özgün Makaleler
Yazarlar

Görkem Tekin 0000-0002-6572-2675

Gizem Çalışkan 0000-0002-4944-0344

Nesrin Saruhan Köse 0000-0003-1160-4179

Yayımlanma Tarihi 15 Ocak 2025
Gönderilme Tarihi 5 Ekim 2024
Kabul Tarihi 3 Kasım 2024
Yayımlandığı Sayı Yıl 2025

Kaynak Göster

AMA Tekin G, Çalışkan G, Saruhan Köse N. Evaluation of Third Molars According to the Operative Difficulty Score. Med Records. Ocak 2025;7(1):81-84. doi:10.37990/medr.1561673

 Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

Editors
Assoc. Prof. Serkan Öner
İzmir Bakırçay University, Department of Radiology, İzmir, Türkiye

E-mail: medrecsjournal@gmail.com

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