The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study
Abstract Objectives The purpose of this study was to investigate the pattern of mandibular third molar (MTM) impaction and associated carious lesions in adjacent mandibular second molars (MSMs) in a sample of Emirati individuals. Methods This retrospective study assessed 2000 orthopantomograms of Em...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-07-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-022-02338-4 |
| _version_ | 1818018594179514368 |
|---|---|
| author | Mohammed Amjed Alsaegh Dana Ayed Abushweme Khadeija Othman Ahmed Salhah Othman Ahmed |
| author_facet | Mohammed Amjed Alsaegh Dana Ayed Abushweme Khadeija Othman Ahmed Salhah Othman Ahmed |
| author_sort | Mohammed Amjed Alsaegh |
| collection | DOAJ |
| description | Abstract Objectives The purpose of this study was to investigate the pattern of mandibular third molar (MTM) impaction and associated carious lesions in adjacent mandibular second molars (MSMs) in a sample of Emirati individuals. Methods This retrospective study assessed 2000 orthopantomograms of Emirati patients who visited the Specialized Fujairah Dental Center between 2015 and 2020. The depth, ramus relation and angulation of the impacted MTMs were assessed according to the Pell and Gregory classification and Winter’s classification. In addition, carious lesions in adjacent MSMs associated with the evaluated parameters were identified. Results A total of 461 (23.05%) of the patients had at least one impacted MTM. The mean age of the study population was 26.24 years. Mesioangular, level B, and class II impactions were the most common, at 47.37% (χ2 = 382.134; p < 0.001), 45.48% (χ2 = 56.889; p < 0.001), and 74.05% (χ2 = 513.099; p < 0.001), respectively. There was a higher percentage of level C impaction among females than among males (χ2 = 19.178; p < 0.001). A total of 126 impacted teeth (18.36%) had associated carious lesions. These carious lesions were predominantly found in teeth with mesioangular impactions (χ2 = 59.430; p < 0.001), level A and B impactions (χ2 = 23.301; p < 0.001), and class II and I impactions (χ2 = 17.918; p = 0.006). Conclusions It is imperative to raise awareness of soft tissue mesioangular-impacted MTMs, as they are the most frequently associated with the development of carious lesions in adjacent MSMs. Approximately one quarter of evaluated Emiratis had at least one impacted MTM, with the most prevalent pattern being class II, level B, and mesioangular impactions. Furthermore, surgical removal is expected to be more challenging for females than for males. |
| first_indexed | 2024-04-14T07:41:43Z |
| format | Article |
| id | doaj.art-c3f9abff96ec4a65b8b043cbb86915c6 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-14T07:41:43Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-c3f9abff96ec4a65b8b043cbb86915c62022-12-22T02:05:29ZengBMCBMC Oral Health1472-68312022-07-012211910.1186/s12903-022-02338-4The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective studyMohammed Amjed Alsaegh0Dana Ayed Abushweme1Khadeija Othman Ahmed2Salhah Othman Ahmed3Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of SharjahDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Ajman University, Fujairah CampusDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Ajman University, Fujairah CampusKalba Specialized Dental Center, Emirates Health Service, MOHAPAbstract Objectives The purpose of this study was to investigate the pattern of mandibular third molar (MTM) impaction and associated carious lesions in adjacent mandibular second molars (MSMs) in a sample of Emirati individuals. Methods This retrospective study assessed 2000 orthopantomograms of Emirati patients who visited the Specialized Fujairah Dental Center between 2015 and 2020. The depth, ramus relation and angulation of the impacted MTMs were assessed according to the Pell and Gregory classification and Winter’s classification. In addition, carious lesions in adjacent MSMs associated with the evaluated parameters were identified. Results A total of 461 (23.05%) of the patients had at least one impacted MTM. The mean age of the study population was 26.24 years. Mesioangular, level B, and class II impactions were the most common, at 47.37% (χ2 = 382.134; p < 0.001), 45.48% (χ2 = 56.889; p < 0.001), and 74.05% (χ2 = 513.099; p < 0.001), respectively. There was a higher percentage of level C impaction among females than among males (χ2 = 19.178; p < 0.001). A total of 126 impacted teeth (18.36%) had associated carious lesions. These carious lesions were predominantly found in teeth with mesioangular impactions (χ2 = 59.430; p < 0.001), level A and B impactions (χ2 = 23.301; p < 0.001), and class II and I impactions (χ2 = 17.918; p = 0.006). Conclusions It is imperative to raise awareness of soft tissue mesioangular-impacted MTMs, as they are the most frequently associated with the development of carious lesions in adjacent MSMs. Approximately one quarter of evaluated Emiratis had at least one impacted MTM, with the most prevalent pattern being class II, level B, and mesioangular impactions. Furthermore, surgical removal is expected to be more challenging for females than for males.https://doi.org/10.1186/s12903-022-02338-4Impacted teethMandibular third molarLower third molarWisdom teethClassifications of impactionImpaction |
| spellingShingle | Mohammed Amjed Alsaegh Dana Ayed Abushweme Khadeija Othman Ahmed Salhah Othman Ahmed The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study BMC Oral Health Impacted teeth Mandibular third molar Lower third molar Wisdom teeth Classifications of impaction Impaction |
| title | The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study |
| title_full | The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study |
| title_fullStr | The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study |
| title_full_unstemmed | The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study |
| title_short | The pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among Emiratis: a retrospective study |
| title_sort | pattern of mandibular third molar impaction and its relationship with the development of distal caries in adjacent second molars among emiratis a retrospective study |
| topic | Impacted teeth Mandibular third molar Lower third molar Wisdom teeth Classifications of impaction Impaction |
| url | https://doi.org/10.1186/s12903-022-02338-4 |
| work_keys_str_mv | AT mohammedamjedalsaegh thepatternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT danaayedabushweme thepatternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT khadeijaothmanahmed thepatternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT salhahothmanahmed thepatternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT mohammedamjedalsaegh patternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT danaayedabushweme patternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT khadeijaothmanahmed patternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy AT salhahothmanahmed patternofmandibularthirdmolarimpactionanditsrelationshipwiththedevelopmentofdistalcariesinadjacentsecondmolarsamongemiratisaretrospectivestudy |