Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients

The objective of this study was to verify whether caries and periodontal diseases, when present on the distal surface of the second molars (M2s), are associated with the eruption of the third molars (M3s). In this split-mouth study, we evaluated 70 elderly patients with unilateral maxillary or mandi...

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Autores principales: Yu-Hsiang Chou, Pei-Shan Ho, Kun-Yen Ho, Wen-Chen Wang, Kai-Fang Hu
Formato: Artículo
Lenguaje:English
Publicado: Wiley 2017-05-01
Colección:Kaohsiung Journal of Medical Sciences
Materias:
Acceso en línea:http://www.sciencedirect.com/science/article/pii/S1607551X17301444
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author Yu-Hsiang Chou
Pei-Shan Ho
Kun-Yen Ho
Wen-Chen Wang
Kai-Fang Hu
author_facet Yu-Hsiang Chou
Pei-Shan Ho
Kun-Yen Ho
Wen-Chen Wang
Kai-Fang Hu
author_sort Yu-Hsiang Chou
collection DOAJ
description The objective of this study was to verify whether caries and periodontal diseases, when present on the distal surface of the second molars (M2s), are associated with the eruption of the third molars (M3s). In this split-mouth study, we evaluated 70 elderly patients with unilateral maxillary or mandibular M3s who presented to the outpatient clinics of two hospitals. Patients underwent comprehensive oral examinations and radiographical measurements, and we assessed the outcomes of periodontal disease and caries. Periodontal measurements included plaque index, bleeding on probing, and periodontal probing pocket depth (PD). Moreover, caries were assessed through visual–tactile examination and radiography. We performed the χ2 test to determine factors associated with M3 and non-M3 outcomes. Eighty-one unilateral erupted M3s were observed in the study patients. Both the distobuccal region (p<0.0001) and the distolingual region (p=0.006) had a higher PD on the nonextraction side than the extraction side, and the caries rate was significantly higher on the nonextraction side than on the extraction side (p <0.0001 on M2 with caries and p=0.003 on M2 with distal caries). M3 eruption, at the same or different occlusal plane levels of M2, is a risk factor for periodontal diseases and caries in M2s in elderly patients. M3s may continue to negatively impact dental health well into later life.
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spelling doaj.art-5260373f11a24c20a8b1e21ae56475a12022-12-22T02:42:00ZengWileyKaohsiung Journal of Medical Sciences1607-551X2017-05-0133524625110.1016/j.kjms.2017.03.001Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patientsYu-Hsiang Chou0Pei-Shan Ho1Kun-Yen Ho2Wen-Chen Wang3Kai-Fang Hu4Division of Periodontics, Department of Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanFaculty of Dental Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Dentistry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanThe objective of this study was to verify whether caries and periodontal diseases, when present on the distal surface of the second molars (M2s), are associated with the eruption of the third molars (M3s). In this split-mouth study, we evaluated 70 elderly patients with unilateral maxillary or mandibular M3s who presented to the outpatient clinics of two hospitals. Patients underwent comprehensive oral examinations and radiographical measurements, and we assessed the outcomes of periodontal disease and caries. Periodontal measurements included plaque index, bleeding on probing, and periodontal probing pocket depth (PD). Moreover, caries were assessed through visual–tactile examination and radiography. We performed the χ2 test to determine factors associated with M3 and non-M3 outcomes. Eighty-one unilateral erupted M3s were observed in the study patients. Both the distobuccal region (p<0.0001) and the distolingual region (p=0.006) had a higher PD on the nonextraction side than the extraction side, and the caries rate was significantly higher on the nonextraction side than on the extraction side (p <0.0001 on M2 with caries and p=0.003 on M2 with distal caries). M3 eruption, at the same or different occlusal plane levels of M2, is a risk factor for periodontal diseases and caries in M2s in elderly patients. M3s may continue to negatively impact dental health well into later life.http://www.sciencedirect.com/science/article/pii/S1607551X17301444Elderly patientsPeriodontitisSecond molar cariesThird molar
spellingShingle Yu-Hsiang Chou
Pei-Shan Ho
Kun-Yen Ho
Wen-Chen Wang
Kai-Fang Hu
Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
Kaohsiung Journal of Medical Sciences
Elderly patients
Periodontitis
Second molar caries
Third molar
title Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
title_full Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
title_fullStr Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
title_full_unstemmed Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
title_short Association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
title_sort association between the eruption of the third molar and caries and periodontitis distal to the second molars in elderly patients
topic Elderly patients
Periodontitis
Second molar caries
Third molar
url http://www.sciencedirect.com/science/article/pii/S1607551X17301444
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