The Association of Gender with the Patterns of Impactions and Associated Radiolucency’s in Mandible and Maxilla
DOI:
https://doi.org/10.37762/jgmds.9-4.313Keywords:
Thirds Molar Impactons, Gender, Angle of Impaction, Periapical Radiolucency, Peri Coronal Radiolucency, CariesAbstract
OBJECTIVES
To find the association between gender and the patterns of impactions and associated radiolucency in Mandible
and Maxilla.
METHODOLOGY
A cross-sectional descriptive study was conducted on 385 Orthopantomograms (OPG) of patients visiting Sharif
Medical and Dental College (SMDC), Services Institute of Medical Sciences (SIMS) and Institute of Dentistry,
CMH, Lahore Medical College, Lahore over a period of three months from December 2020 to February 2021.
The angle of the impacted third molar was classified using Winters classification. The Pell and Gregory
classification was used for depth of third molar impaction and ramus relationship of mandibular third molars.
Statistical analysis was done using SPSS 23 and a P value ≤ 0.05 was considered significant.
RESULTS
The angle of impaction and gender in impacted mandibular third molars were significantly associated with each
other (p=0.011) while the depth of impaction (p=0.729), and ramus relationship(p=0.318) were not significantly
associated with gender. The associa tion between gender and periapical radiolucency (p=0.605), peri coronal
radiolucency (p=0.591), caries (p=0.499) and external resorption (p=0.499) were non-significant. In maxillary
impacted third molars the association between gender and depth of impaction (p=0.121), angle of impaction
(p=0.284), periapical radiolucency (p=0.111), peri coronal radiolucency (p=0.805) and caries (p=1.000) were
non-significant.
CONCLUSION
In impacted mandibular third molars the periapical, peri coronal radiolucency,caries and external resorption were
more in the males as compared to the females. In maxillary third molar impactions, the periapical radiolucency
radiolucency was greater in males while peri coronal radiolucency was greater in females.
Downloads
Metrics
References
Pranati T, Marimuthu M, Sandeep AH. GENDER VARIATION IN ANGULATIONS OF IMPACTED THIRD MOLARS: A RETROSPECTIVE STUDY. PalArch's J. Archaeol. Egypt/ Egyptol.. 2020 Nov 28;17(7):368-83
Kim JY, Yong HS, Park KH, Huh JK. Modified difficult index adding extremely difficult for fully impacted mandibular third molar extraction. J Korean Assoc Oral Maxillofac Surg. 2019 Dec 1;45(6):309-15
Shora KR, Channar KA, Shaikh IA, Memon AB, Shaikh AH, Maheshwari B, Pershad R, Memon M. Clinical Presentation of Mandibular Impacted Teeth and Associated Pathologies in the Unaizah, Al Qaseem; Saudi Arabia. J. Pharm. Res. Int. 33(19A): 49-55, 2021
Al-Abdallah M. Prevalence of Permanent Tooth Impaction and Associated Features in a Dental Population. J Med J 2021;March: Vol. 55 (1): 35-44
Rauf S, Ali W, Tariq Q, Chaudhry R, Kazmi SS, Imtiaz M. Pattern of mandibular third molar impaction: a radiographic study. Pak Oral Dental J. 2019 Oct 9;39(3):238-42
Gümrükçü Z, Balaban E, Karabağ M. Is there a relationship between third-molar impaction types and the dimensional/angular measurement values of posterior mandible according to Pell & Gregory/Winter Classification?. Oral Radiol.. 2021 Jan;37(1):29-35
Khojastepour L, Khaghaninejad MS, Hasanshahi R, Forghani M, Ahrari F. Does the winter or pell and gregory classification system indicate the apical position of impacted mandibular third molars? J. Oral Maxillofac. Surg.. 2019 Nov 1;77(11):2222-e1
Pell GJ. Impacted mandibular third molars: classification and modified techniques for removal. Dent Digest. 1933;39:330-8
Jaroń A, Trybek G. the pattern of mandibular third molar impaction and assessment of surgery difficulty: A Retrospective study of radiographs in east Baltic population. Int J Environ Res Public Health. 2021 Jan;18(11):6016
Shareif MS, Paul S, Ghani NF, Fareez IM. Pattern of mandibular third molar impaction in Malaysia population and their association with gender, age and race. J. Int. Dent. Medical Res. 2020;13(1):194-200
Obuekwe ON, Enabulele JE. Gender variation in pattern of mandibular third molar impaction. Age (years). 2017;20(5):2-8
Sejfija Z, Koҁani F, Macan D. Prevalence of pathologies associated with impacted third molars in kosovar population: An orthopanthomography study. Acta Stomatol Croat. 2019 Mar;53(1):72
Yilmaz S, Adisen MZ, Misirlioglu M, Yorubulut S. Assessment of third molar impaction pattern and associated clinical symptoms in a central anatolian turkish population. Med Princ Pract. 2016;25(2):169-75
Siddiqi KM, Jammal M, Saleem MM, Khan S, Karamat S. PATTERN AND FREQUENCY OF IMPACTED MANDIBULAR THIRD MOLARS AMONG PATIENTS REPORTING AT ISLAMABAD DENTAL HOSPITAL. Pak Oral Dental J. 2020 Dec 31;40(4):225-8
Al-Khateeb TH, Bataineh AB. Pathology associated with impacted mandibular third molars in a group of Jordanians. J. Oral Maxillofac. Surg. 2006 Nov 1;64(11):1598-602
Alayan IA, Shabeesh M. Prevalence and Angulation of Mandibular Third Molar Impaction in Zliten, Libya: A Retrospective Radiographic Study. International Journal Of Medical Science And Clinical Research Studies. 2022 May 6;2(5):315-21
Juodzbalys G. A classification for assessing surgical difficulty in the extraction of mandibular impacted third molars: Description and clinical validation. Quintessence Int. 2018;49:745-53
Pentapati KC, Gadicherla S, Smriti K, Vineetha R. Association of impacted mandibular third molar with caries on distal surface of second molar. Pesqui Bras Odontopediatria Clin Integr. 2019 Sep 2;19
Ye ZX, Qian WH, Wu YB, Yang C. Pathologies associated with the mandibular third molar impaction. Sci. Prog.. 2021 Apr;104(2):00368504211013247
Passi D, Singh G, Dutta S, Srivastava D, Chandra L, Mishra S, Srivastava A, Dubey M. Study of pattern and prevalence of mandibular impacted third molar among Delhi-National Capital Region population with newer proposed classification of mandibular impacted third molar: A retrospective study. Natl. j. maxillofac. surg.. 2019 Jan;10(1):59
Rezaei F, Imani MM, Khavid A, Nabavi A. Patterns of Mandibular Third Molar Impaction in an Iranian Subpopulation. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2020 Jul 20;20
Kumar SM, Al-Hobeira H, Shaikh S, Siddiqui AA, Syed J, Mian RI. Distribution of impacted third molars based on gender and patterns of angulation in dental students of the Hai’l region, Saudi Arabia: A panoramic radiographic (OPG) Study. Int J Contemp Med Res. 2017;4(9):1829-32
Jaroń A, Trybek G. The pattern of mandibular third molar impaction and assessment of surgery difficulty: A Retrospective study of radiographs in east Baltic population. International Journal of Environmental Research and Public Health. 2021 Jun 3;18(11):6016
Prajapati VK, Mitra R, Vinayak KM. Pattern of mandibular third molar impaction and its association to caries in mandibular second molar: A clinical variant. Dent Res J. 2017 Mar;14(2):137
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Hira Butt, Fatima Hafeez, Fizza Tahir, Nauman Rauf Khan, Sadaf Amjad Khawaja, aneela amjad
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
