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Journal of Maxillofacial and Oral Surgery
Published in: Journal of Maxillofacial and Oral Surgery 1/2017

01-03-2017 | Research Paper

Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience

Authors: Shital Patel, Saloni Mansuri, Faizan Shaikh, Taksh Shah

Published in: Journal of Maxillofacial and Oral Surgery | Issue 1/2017

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Abstract

Aim

To study the incidence of mandibular third molar impaction in relation to type and side of impaction, age and sex of patients and indications for its surgical removal through data collected from a single institute over a period of 3 and half years.

Methods

The records of 1198 patients who underwent the surgical removal of impacted mandibular third molars were reviewed retrospectively. Records were divided into groups according to sex, age, type and side of impaction. Radiographs were studied to determine angular position of impacted mandible third molar.

Results

We found that there was a high incidence of mesioangular lower third molar impaction (33.97 %), highest number of patients were found in 15–30 years of age group (48.33 %), a left side (56.93 %) was more commonly involved, female predominance (63.44 %) was observed and recurrent pericoronitis (33.81 %) was the most common indication.

Conclusion

Awareness of the indications for surgical removal of impacted mandibular third molar to the patients will help to avoid future risk of complications and morbidity associated with the same. This will not only help in saving time and money but also prevents the psychological trauma associated with delayed treatment. Removal of only symptomatic IMTM seems to be the logical choice in view of financial constraint in developing countries like India but at the same time early removal offers freedom from future complications in selected cases. So surgeons should apply a meticulous approach in selecting the patients for SRIMTM.
Literature
1.
James RH, Edward E, Myron RT (2008) Principles of management of impacted teeth. Contemporary oral and maxillofacial surgery, vol 6. Elsevier, Mosby, pp 143–167
2.
Venu Gopal Reddy K (2012) Distribution of third molar impaction among rural and urban dwellers in the age group of 22–30 years in South India: a comparative study. J. Maxillofac Oral Surg 11(3):271–275CrossRefPubMed
3.
Kaveri GS, Prakash S (2012) Third molar: a threat to periodontal health?? J Maxillofac Oral Surg 11(2):220–223CrossRefPubMed
4.
van der Linden W, Cleanton-Jones P, Lownie M (1995) Disease and lesions associated with third molar: review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:142–145CrossRefPubMed
5.
Liedholm R, Knutsson K, Lysell L, Rohlin M (1999) Mandibular third molar: oral surgeon’s assessment of the indications for removal. Br J Oral Maxillofac Surg 37:440–443CrossRefPubMed
6.
Olasoji HO, Odusanya SA (2000) Comparative study of third molar impaction in rural and urban areas of south western Nigeria. J Odontostomatol Trop 23(90):25–28
7.
Al-Khateeb TH, Bataineh AB (2006) Pathology associated with impacted mandibular third molar in group of Jordanians. J Oral Maxillofac Surg 64:1598–1602CrossRefPubMed
8.
Babu HSC, Reddy PB, Pattathan RKB, Desai R, Shubha AB (2013) Factors influencing lingual nerve paraesthesia following third molar surgery: a prospective clinical study. J. Maxillofac Oral Surg 12(2):168–172
9.
National Institute of Health (1980) Consensus development conference for removal of third molar. J Oral Surg 38:235–236
10.
Kandasamy S, Rinchuse DJ (2009) The wisdom behind third molar extractions. Aust Dent J 54:284–292CrossRefPubMed
11.
Blondeau F, Daniel NG (2007) Extraction of impacted mandibular third molar: postoperative complications and their risk factors. J Can Dent Assoc 73:325PubMed
12.
Brann CR, Brickley MR, Shepherd JP (1999) Factors influencing nerve damage during lower third molar surgery. Br Dent J 86:514–516
13.
Krishnan B, El Sheikh MH, El-Gehani R, Orafi H (2009) Indication for removal of impacted mandibular third molar: a single institutional experience in Libya. J Maxillofac Oral Surg 8(3):246–248CrossRefPubMedPubMedCentral
14.
McArdle LW, Renton TF (2005) Distal cervical caries in mandibular second molar: an indication for the prophylactic removal of the third molar? Br J Oral Maxillofac Surg 44:42–45CrossRefPubMed
15.
Knutsson K, Brehmer B, Lysell L et al (1996) Pathoses associated with mandibular third molars subjected to removal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:10CrossRefPubMed
16.
Yamaoka M, Furusawa K, Ikelada M et al (1999) Root resorption of mandibular second molar teeth associated with presence of third molars. Aust Dent J 44:112CrossRefPubMed
17.
Nitzan D, Karen T, Marmary Y (1981) Does an impacted tooth cause root resorption of adjacent one. Oral Surg Oral Med Oral Pathol 51:221CrossRefPubMed
18.
Nordenram A, Hultin M, Kjellman O et al (1987) Indication for surgical removal of the mandibular third molar. Swed Dent J 11:23PubMed
19.
Guidance on the extraction of wisdom teeth. In: NICE technology appraisal guidance 1. 2000. guidance.nice.org.uk/ta Accessed 1 March 2000
20.
Berge TI (1997) Inability to work after surgical removal of mandibular third molar. Acta Odontol Scand 55(1):64–69CrossRefPubMed
21.
Adeyemo WL (2006) Do pathologies associated with impacted lower third molar justify prophylactic removal? A critical review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102(4):448–452CrossRefPubMed
22.
Greeshma GW, Shridhar V, Shyla HN (2012) A study on dentigerous cystic changes with radiographically normal impacted mandibular third molars. J Maxillofac Oral Surg 11(4):458–465CrossRef
23.
Lindauer SJ, Laskin DM, Tufekci E, Taylor RS, Cushing BJ, Best AM (2007) Orthodontist’s and surgeon’s opinion on the role of third molar as a cause of dental crowding. Am J Orthod Dentofac Orthop 132:43–48CrossRef
24.
Richardson ME (2002) Late lower arch crowding: the aetiology reviewed. Dent Update 29(5):234–238PubMed
25.
Ash M. Nelson J (2003) Development and eruption of the teeth. In: Dolan JJ (ed) Wheelers dental anatomy, physiology and occlusion, 8th edn. Elsevier, Missouri, p 53
26.
Deshpande P, Guledgud MV, Patil K (2013) Proximity of impacted mandibular third molar to the inferior alveolar canal and its radiographic predictors: a panoramic radiographic study. J Maxillofac Oral Surg 12(2):145–151CrossRefPubMed
27.
Niedzielska IA, Drugacz J, Kus N, Kreska J (2006) Panoramic radiographic predictors of mandibular third molar eruption. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:154–158CrossRefPubMed
28.
Yamalık K, Bozkaya S (2008) The predictivity of mandibular third molar position as a risk indicator for pericoronitis. Clin Oral Invest 12:9–14CrossRef
29.
Ash MM, Nelson SJ (2003) The permanent mandibular third molar. In: Dolan JJ (ed) Wheelers dental anatomy, physiology and occlusion. 8th edn Saunders, Elsevier, Missouri, pp 297–331
30.
Chukwuneke FN, Saheeb BD (2008) The effect of patient’s age and length of surgical intervention on postoperative morbidity following lower third molar surgery. J Maxillofac Oral Surg 7(4):420–423
31.
Mwaniki D, Guthua SW (1996) Incidence of impacted mandibular third molar among dental patients in Nairobi, Kenya. Trop Dent J. 19(74):17–19
32.
33.
Hellman MO (1961) Our third molar teeth: their eruption, presence and absence. J Dent Cosmos 78:750–762
34.
Tay ABG, Go WS (2004) Effects of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars. J Oral Maxillofac Surg 63:592–600CrossRef
Metadata
Title
Impacted Mandibular Third Molars: A Retrospective Study of 1198 Cases to Assess Indications for Surgical Removal, and Correlation with Age, Sex and Type of Impaction—A Single Institutional Experience
Authors
Shital Patel
Saloni Mansuri
Faizan Shaikh
Taksh Shah
Publication date
01-03-2017
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery / Issue 1/2017
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-016-0929-z

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