Correlationof Mandibular Second Molar Caries with Patterns of Mandibular Third Molar Impaction: A retrospective study

Muhammad Ilyas; Jawad Ahmad Kundi; Irtifaq Ahmad Noor; Obaid Zeb; Salman Khan

doi:10.37762/jgmds.4-1.29

Authors

Muhammad Ilyas, Dr. Sardar Begum Dental College
Jawad Ahmad Kundi, Dr. Sardar Begum Dental College
Irtifaq Ahmad Noor, Dr. Sardar Begum Dental College
Obaid Zeb, Dr. Sardar Begum Dental College
Salman Khan, Dr. Sardar Begum Dental College

DOI:

https://doi.org/10.37762/jgmds.4-1.29

Keywords:

Third molar, patterns, second molar, caries

Abstract

OBJECTIVES
The aim of this study was to evaluate the relation of distal caries of second molar with patterns of impacted third molar.
METHODOLOGY
A retrospective study was carried out from January 2017 to June 2017.A total of 160 patients and 276 impacted teeth were selected with an age > 18 years. A single researcher assigned the diagnosis of caries and patterns of impacted teeth through clinical notes and orthopantomogram(OPG)which was reviewed by Head of Department. Winter’s and Pell and Gregory classification was used for impaction classification. The data was analyzed using SPSS 22.0 version. P ≤ 0.05 was considered as statistically significant.
RESULTS
Female (56.3%) were predominant than male (43.8%) with mean age presentation was 24.2 ± 4.7 years.271 mandibular second molars were present. Vertical (64.5%) impaction was found to be the most frequent followed by mesioangular (19.6%). Pearson correlation showed that vertical impaction was significantly related to distal caries of second molar(Right side, r=.262 p=.002 and Left side, r=.240 p=.006).
CONCLUSION
Vertical impaction was positively related with distal caries therefore prophylactic removal of lower impacted teeth is recommended.

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References

Hupp JR, Ellis E, 3rd, Tucker MR. Principles of Management of Impacted Teeth. 6th ed. Philadelphia: Elsevier Publishers; 2014. Contemporary Oral and Maxillofacial Surgery; pp. 143–67 DOI: https://doi.org/10.1016/B978-0-323-09177-0.00009-8

Sadeta Sesis SP, Komsic S, Vukovic A. Incidence of impacted mandibular third molars in population of Bosnia and Herzegovina: A retrospective radiographic study. J Health Sci. 2013;3:151–8 DOI: https://doi.org/10.17532/jhsci.2013.80

Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: A retrospective clinico-radiographic survey. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116:e161–6 DOI: https://doi.org/10.1016/j.oooo.2011.12.019

Akarslan ZZ, Kocabay C. Assessment of the associated symptoms, pathologies, positions and angulations of bilateral occurring mandibular third molars: Is there any similarity? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:e26–32 DOI: https://doi.org/10.1016/j.tripleo.2009.05.036

Al-Khateeb TH, Bataineh AB. Pathology Associated with impacted mandibular third molars in a group of Jordanians. J Oral Maxillofac Surg. 2006;64:1598–602 DOI: https://doi.org/10.1016/j.joms.2005.11.102

Bouloux GF, Busaidy KF, Beirne OR, Chuang SK, Dodson TB. What is the risk of future extraction of asymptomatic third molars? A systematic review. J Oral Maxillofac Surg. 2015;73:806–11 DOI: https://doi.org/10.1016/j.joms.2014.10.029

Marciani, R.D. Is there pathology associated with asymptomatic third molars?. J Oral Maxillofac Surg. 2012; 70: S15–S19 DOI: https://doi.org/10.1016/j.joms.2012.04.025

Fejerskov O, Kidd E. Dental Caries: The Disease and Its Clinical Management. 2nd ed. Oxford: Blackwell Publishing Ltd.; 2008

Winter GB. The principles of exodontia as applied to the impacted third molars: A complete treatise on the operative technic with clinical diagnoses and radiographic interpretations. St Louis, Missouri: American Medical Book Co; 1926

Pell GJ, Gregory GT. Report on a ten year study of a tooth division technique for the removal of impacted teeth. Am J Orthod Oral Surg. 1942;28:B660–6 DOI: https://doi.org/10.1016/S0096-6347(42)90021-8

Quek SL, Tay CK, Tay KH, Toh SL, Lim KC. Pattern of third molar impaction in a Singapore Chinese population: A retrospective radiographic survey. Int J Oral Maxillofac Surg. 2003;32:548–52 DOI: https://doi.org/10.1016/S0901-5027(03)90413-9

Reddy KV, Prasad KV. Prevalence of third molar impactions in urban population of age 22–30 years in South India: An epidemological study. J Indian Dent Assoc. 2011;5:609–11

Haidar Z, Shalhoub SY. The incidence of impacted wisdom teeth in a Saudi community. Int J Oral Maxillofac Surg. 1986;15:569–71 DOI: https://doi.org/10.1016/S0300-9785(86)80060-6

Byahatti S, Ingafou MS. Prevalence of eruption status of third molars in Libyan students. Dent Res J (Isfahan) 2012;9:152–7 DOI: https://doi.org/10.4103/1735-3327.95228

Kruger E, Thomson WM, Konthasinghe P. Third molar outcomes from age 18 to 26: Findings from a population-based New Zealand longitudinal study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92:150–5 DOI: https://doi.org/10.1067/moe.2001.115461

Srivastava N, Shetty A, Goswami RD, Apparaju V, Bagga V, Kale S. Incidence of distal caries in mandibular second molars due to impacted third molars: Nonintervention strategy of asymptomatic third molars causes harm? A retrospective study.Int J Appl Basic Med Res. 2017 Jan-Mar; 7(1): 15–19 DOI: https://doi.org/10.4103/2229-516X.198505

Ozec I, Herguner Siso S, Tasdemir U, Eziganli S, Goktolga G. Prevalence and factors affecting the formation of second molar distal caries in a Turkish population. Int J Oral Maxillofac Surg. 2009;38(12):1279–82 DOI: https://doi.org/10.1016/j.ijom.2009.07.007

Ahmed I, Gul e E, Kumar N. Mandibular third molar angulation in extraction and non-extraction orthodontic cases. J Ayub Med Coll Abbottabad. 2011;23(3):32–35

Falci SG, de Castro CR, Santos RC, de Souza Lima LD, Ramos-Jorge ML, Botelho AM, et al. Association between the presence of a partially erupted mandibular third molar and the existence of caries in the distal of the second molars. Int J Oral Maxillofac Surg. 2012;41(10):1270–74 DOI: https://doi.org/10.1016/j.ijom.2012.03.003

Syed KB,Alshahrani FS, Alabsi WS, Alqahtani ZA, Hameed MS, Mustafa AB et al.Prevalence of Distal Caries in Mandibular Second Molar Due to Impacted Third Molar.J Clin Diagn Res. 2017 Mar; 11(3): ZC28–ZC30 DOI: https://doi.org/10.7860/JCDR/2017/18582.9509

Silva HO, Pinto ASB, Pinto MC, Rego MRS, Gois JF, De Araújo TLC, et al. Dental caries on distal surface of mandibular second molar. Braz Dent Sci. 2015;18(1):51–59 DOI: https://doi.org/10.14295/bds.2015.v18i1.1063

Allen RT, Witherow H, Collyer J, Roper-Hall R, Nazir MA, Mathew G. The mesioangular third molar –to extract or not to extract? Nalysis of 776 consecutive third molars. Br Dent J. 2009;206(11):E23:586–87 DOI: https://doi.org/10.1038/sj.bdj.2009.491

Bruce RA, Frederickson GC, Small GS. Age of patients and morbidity associated with mandibular third molar surgery. J Am Dent Assoc. 1980;101(2):240–45 DOI: https://doi.org/10.14219/jada.archive.1980.0183