Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis
(1) Background: This study assessed the spatial position and anatomical features associated with impacted third molars through a map-reading strategy employing cone-beam computed tomography (CBCT). (2) Methods: The positioning of impacted third molars on CBCT was assessed using Winter’s and Pell and...
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MDPI AG
2024-01-01
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Online Access: | https://www.mdpi.com/2075-4418/14/3/260 |
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author | Djalma Maciel de Lima Cyntia Rodrigues de Araújo Estrela Cristiane Martins Rodrigues Bernardes Lucas Rodrigues de Araújo Estrela Mike Reis Bueno Carlos Estrela |
author_facet | Djalma Maciel de Lima Cyntia Rodrigues de Araújo Estrela Cristiane Martins Rodrigues Bernardes Lucas Rodrigues de Araújo Estrela Mike Reis Bueno Carlos Estrela |
author_sort | Djalma Maciel de Lima |
collection | DOAJ |
description | (1) Background: This study assessed the spatial position and anatomical features associated with impacted third molars through a map-reading strategy employing cone-beam computed tomography (CBCT). (2) Methods: The positioning of impacted third molars on CBCT was assessed using Winter’s and Pell and Gregory’s classifications. External root resorption in mandibular second molars was categorized according to Herman’s classification. Additionally, the relationship between the mandibular third molar root apex and the mandibular canal was examined. Comparative statistical analysis was conducted using Fisher’s exact test, with a significance level considered as 5%. (3) Results: The results indicated that, based on Winter’s classification, 48.06 % of impacted teeth were positioned mesioangularly. Employing Pell and Gregory’s classification, 43.22% of the impacted molars fell into positions B and C, with 54.2% classified as Class II. A notable 69.7% of teeth exhibited no contact between the root apex and the mandibular canal, and external root resorption in the distal aspect of the second molar was absent in 88.7% of cases. (4) Conclusions: Utilizing the map-reading strategy with CBCT scans to assess the anatomical positions and characteristics of impacted third molars enhances professional confidence and sets a standard for quality and safety in the surgical procedure for patients. |
first_indexed | 2024-03-08T03:58:14Z |
format | Article |
id | doaj.art-00a9e2be8b3e455b827260d779aac7bf |
institution | Directory Open Access Journal |
issn | 2075-4418 |
language | English |
last_indexed | 2024-03-08T03:58:14Z |
publishDate | 2024-01-01 |
publisher | MDPI AG |
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series | Diagnostics |
spelling | doaj.art-00a9e2be8b3e455b827260d779aac7bf2024-02-09T15:10:00ZengMDPI AGDiagnostics2075-44182024-01-0114326010.3390/diagnostics14030260Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective AnalysisDjalma Maciel de Lima0Cyntia Rodrigues de Araújo Estrela1Cristiane Martins Rodrigues Bernardes2Lucas Rodrigues de Araújo Estrela3Mike Reis Bueno4Carlos Estrela5Department of Oral Biology, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, BrazilDepartment of Oral Biology, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, BrazilDepartment of Oral Biology, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, BrazilDepartment of Oral Biology, School of Dentistry, Evangelical University of Goiás, Anápolis 75083-515, BrazilCenter for Radiology and Orofacial Images, Diagnostic Imaging Center, Cuiabá 78043-272, BrazilDepartment of Endodontics, School of Dentistry, Federal University of Goiás, Goiânia 74605-020, Brazil(1) Background: This study assessed the spatial position and anatomical features associated with impacted third molars through a map-reading strategy employing cone-beam computed tomography (CBCT). (2) Methods: The positioning of impacted third molars on CBCT was assessed using Winter’s and Pell and Gregory’s classifications. External root resorption in mandibular second molars was categorized according to Herman’s classification. Additionally, the relationship between the mandibular third molar root apex and the mandibular canal was examined. Comparative statistical analysis was conducted using Fisher’s exact test, with a significance level considered as 5%. (3) Results: The results indicated that, based on Winter’s classification, 48.06 % of impacted teeth were positioned mesioangularly. Employing Pell and Gregory’s classification, 43.22% of the impacted molars fell into positions B and C, with 54.2% classified as Class II. A notable 69.7% of teeth exhibited no contact between the root apex and the mandibular canal, and external root resorption in the distal aspect of the second molar was absent in 88.7% of cases. (4) Conclusions: Utilizing the map-reading strategy with CBCT scans to assess the anatomical positions and characteristics of impacted third molars enhances professional confidence and sets a standard for quality and safety in the surgical procedure for patients.https://www.mdpi.com/2075-4418/14/3/260anatomyimpacted third molarmandibular canalcone-beam computed tomographysurgeryinferior third molar |
spellingShingle | Djalma Maciel de Lima Cyntia Rodrigues de Araújo Estrela Cristiane Martins Rodrigues Bernardes Lucas Rodrigues de Araújo Estrela Mike Reis Bueno Carlos Estrela Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis Diagnostics anatomy impacted third molar mandibular canal cone-beam computed tomography surgery inferior third molar |
title | Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis |
title_full | Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis |
title_fullStr | Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis |
title_full_unstemmed | Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis |
title_short | Spatial Position and Anatomical Characteristics Associated with Impacted Third Molars Using a Map-Reading Strategy on Cone-Beam Computed Tomography Scans: A Retrospective Analysis |
title_sort | spatial position and anatomical characteristics associated with impacted third molars using a map reading strategy on cone beam computed tomography scans a retrospective analysis |
topic | anatomy impacted third molar mandibular canal cone-beam computed tomography surgery inferior third molar |
url | https://www.mdpi.com/2075-4418/14/3/260 |
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