The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar

Abstract Background The aim of this study was to evaluate the ability of oral/maxillofacial surgeons (OMFSs) and orthodontists to predict third molar eruption by examining a simple panoramic radiograph in cases where full spontaneous eruption occurred. Methods Panoramic radiographs of 17 patients, 1...

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Main Authors: Aline do Carmo Bastos, Joelma Bezerra de Oliveira, Karina Flexa Ribeiro Mello, Patrícia Botelho Leão, Flavia Artese, David Normando
Format: Article
Language:English
Published: SpringerOpen 2016-07-01
Series:Progress in Orthodontics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40510-016-0134-0
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author Aline do Carmo Bastos
Joelma Bezerra de Oliveira
Karina Flexa Ribeiro Mello
Patrícia Botelho Leão
Flavia Artese
David Normando
author_facet Aline do Carmo Bastos
Joelma Bezerra de Oliveira
Karina Flexa Ribeiro Mello
Patrícia Botelho Leão
Flavia Artese
David Normando
author_sort Aline do Carmo Bastos
collection DOAJ
description Abstract Background The aim of this study was to evaluate the ability of oral/maxillofacial surgeons (OMFSs) and orthodontists to predict third molar eruption by examining a simple panoramic radiograph in cases where full spontaneous eruption occurred. Methods Panoramic radiographs of 17 patients, 13–16 years of age, were obtained just after orthodontic treatment (T1), when the third molars were intraosseous. The radiographs at T1 were presented to 28 OMFSs and 28 orthodontists—who were asked to give a prognosis for the lower third molars on both sides (n = 34). The full spontaneous eruption of all third molars was clinically observed when patients were older than 18 years (T2). These teeth were clinically asymptomatic at T1 and T2. Results OMFSs decided by extractions in 49.6 % of cases while orthodontists in 37.8 % (p < 0.001), when the radiographs were examined at T1. Agreement between OMFSs and orthodontists was excellent (Kappa = 0.76, p < 0.0001), as well as intragroup agreement for both OMFSs (Kappa = 0.83) and orthodontists (Kappa = 0.96). Conclusions Despite a remarkable agreement for third molar prognosis, orthodontists and OMFSs were unable to predict lower third molar eruption by examining a simple panoramic radiograph. Both indicated extractions of a considerable number of spontaneously erupted asymptomatic teeth.
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spelling doaj.art-38a97c6e2d87433c93e80f578803f5b32022-12-22T02:03:19ZengSpringerOpenProgress in Orthodontics2196-10422016-07-011711510.1186/s40510-016-0134-0The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molarAline do Carmo Bastos0Joelma Bezerra de Oliveira1Karina Flexa Ribeiro Mello2Patrícia Botelho Leão3Flavia Artese4David Normando5Department of Orthodontics, Brazilian Association of DentistryDepartment of Orthodontics, Brazilian Association of DentistryDepartment of Orthodontics, Brazilian Association of DentistryDepartment of Orthodontics, Brazilian Association of DentistryDepartment of Orthodontics, Rio de Janeiro State UniversityDepartment of Orthodontics, Federal University of ParáAbstract Background The aim of this study was to evaluate the ability of oral/maxillofacial surgeons (OMFSs) and orthodontists to predict third molar eruption by examining a simple panoramic radiograph in cases where full spontaneous eruption occurred. Methods Panoramic radiographs of 17 patients, 13–16 years of age, were obtained just after orthodontic treatment (T1), when the third molars were intraosseous. The radiographs at T1 were presented to 28 OMFSs and 28 orthodontists—who were asked to give a prognosis for the lower third molars on both sides (n = 34). The full spontaneous eruption of all third molars was clinically observed when patients were older than 18 years (T2). These teeth were clinically asymptomatic at T1 and T2. Results OMFSs decided by extractions in 49.6 % of cases while orthodontists in 37.8 % (p < 0.001), when the radiographs were examined at T1. Agreement between OMFSs and orthodontists was excellent (Kappa = 0.76, p < 0.0001), as well as intragroup agreement for both OMFSs (Kappa = 0.83) and orthodontists (Kappa = 0.96). Conclusions Despite a remarkable agreement for third molar prognosis, orthodontists and OMFSs were unable to predict lower third molar eruption by examining a simple panoramic radiograph. Both indicated extractions of a considerable number of spontaneously erupted asymptomatic teeth.http://link.springer.com/article/10.1186/s40510-016-0134-0Third molarImpactionExtractionDental eruption
spellingShingle Aline do Carmo Bastos
Joelma Bezerra de Oliveira
Karina Flexa Ribeiro Mello
Patrícia Botelho Leão
Flavia Artese
David Normando
The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar
Progress in Orthodontics
Third molar
Impaction
Extraction
Dental eruption
title The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar
title_full The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar
title_fullStr The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar
title_full_unstemmed The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar
title_short The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar
title_sort ability of orthodontists and oral maxillofacial surgeons to predict eruption of lower third molar
topic Third molar
Impaction
Extraction
Dental eruption
url http://link.springer.com/article/10.1186/s40510-016-0134-0
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