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Clinical Oral Investigations

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01-06-2024 | Orthopantomogram | Research

Risk factors associated with the severity of pericoronitis of mandibular third molar

Authors: Bao-Ngoc Thi Nguyen, Chi-Tam Nguyen-Le, Bich-Ly Thi Nguyen, Son Hoang Le

Published in: Clinical Oral Investigations | Issue 6/2024

Abstract

Purpose

The factors related to pericoronitis severity are unclear, and this study aimed to address this knowledge gap.

Materials and methods

In total, 113 patients with pericoronitis were included, and their demographic, clinical, and radiographic characteristics were recorded. The Patient–Clinician Pericoronitis Classification was used to score and categorize the severity of pericoronitis. Statistical analysis was conducted to examine the participants’ characteristics, validity of the Patient–Clinician Pericoronitis Classification, and risk factors associated with the severity of pericoronitis.

Results

The demographic, clinical, and radiographic characteristics of males and females were similar, except for Winter’s classification, pain, and intraoral swelling. The constructive validity of the Patient–Clinician Pericoronitis Classification was confirmed with three latent factors, including infection level, patient discomfort, and social interference. Ordinal logistic multivariate regression analysis revealed that upper respiratory tract infection was the sole risk factor associated with pericoronitis severity in males (odds ratio = 4.838). In females, pericoronitis on the right side (odds ratio = 2.486), distal radiolucency (odds ratio = 5.203), and menstruation (odds ratio = 3.416) were significant risk factors.

Conclusion

This study demonstrated the constructive validity of the Patient–Clinician Pericoronitis Classification. Among females, pericoronitis in mandibular third molars on the right side with radiolucency in menstruating individuals was more severe. In males, upper respiratory tract infection was the sole risk factor associated with pericoronitis severity.

Clinical relevance

Individuals with risk factors should be aware of severe pericoronitis in the coming future.

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Title: Risk factors associated with the severity of pericoronitis of mandibular third molar
Authors: Bao-Ngoc Thi Nguyen
Chi-Tam Nguyen-Le
Bich-Ly Thi Nguyen
Son Hoang Le
Publication date: 01-06-2024
Publisher: Springer Berlin Heidelberg
Keyword: Orthopantomogram
Published in: Clinical Oral Investigations / Issue 6/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05714-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors associated with the severity of pericoronitis of mandibular third molar

Abstract

Purpose

Materials and methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

Clinical relevance

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