Mesioangular Pozisyondaki Mandibular Üçüncü Molar Dişlerin Eğimi ve Komşu İkinci Molar Dişlerin Distalinde Çürük Varlığı Arasındaki İlişki: Retrospektif Bir Çalışma
Abstract
Amaç:
Bu çalışmanın amacı; mezioangular pozisyondaki mandibular üçüncü molar dişlerin
eğimi ile komşu ikinci molar dişlerin distal yüzeyindeki çürük varlığı
arasındaki ilişkiyi incelemektir.
Gereç ve Yöntem:
Bu retrospektif çalışmada, alt çenede kısmen sürmüş mesioangular pozisyonda gömülü
dişi olan, 617 hastanın (328 kadın, 289 erkek) panoramik radyografları incelendi.
Mandibular okluzal düzlem ve mandibular üçüncü moların oklüzal yüzeyi
arasındaki açı ölçüldü. 11 ° ila 30 ° arasında bir değere sahip mezioangular
üçüncü molar dişler Grup 1 olarak, 31 ° ve 50 ° arasındakiler Grup 2 olarak, 51
° ve 70 ° arasındakiler Grup 3 olarak sınıflandırıldı. Ardından komşu ikinci
molar dişin distal temas noktasındaki çürük varlığı tespit edildi.
Bulgular:
Mesioangular pozisyonda toplam 816 adet mandibular üçüncü molar diş analiz
edildi. Bunlardan 439'u (% 53,8) kadınlarda, 377'si (% 46.2) erkeklerde görüldü.
İkinci molar dişin distalinde çürük prevalansı erkeklerde % 34.5, kadınlarda %
21.4 idi (p <0.001). Açısal değerlere göre oluşturulan gruplar arasında
istatistiksel olarak anlamlı bir fark görüldü (p <0.05). Sonuçlar, 51 ° ila
70 ° arasında bir eğime sahip mandibular üçüncü molar dişlerin, ikinci molar
dişlerin distal yüzeyinde çürük oluşumu için daha yüksek bir risk arzettiğini
gösterdi.
Sonuç:
51 ° ila 70 ° arasında bir eğime sahip gömülü mandibular üçüncü molar dişlerin profilaktik
olarak erken çekimi, komşu ikinci molar dişlerin distal yüzeyinde çürük
oluşumunu önleyebilir.
Keywords
References
- 1. Polat HB, Ozan F, Kara I, Ozdemir H, Ay S. Prevalence of commonly found pathoses associated with mandibular impacted third molars based on panoramic radiographs in Turkish population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105, e41-47.2. Gaddipati R, Ramisetty S, Vura N, Kanduri RR, Gunda VK. Impacted mandibular third molars and their influence on mandibular angle and condyle fractures-a retrospective study. J Craniomaxillofac Surg 2014; 42, 1102-1105.3. Shiller WR. Positional changes in mesio-angular impacted mandibular third molars during a year. J Am Dent Assoc 1979; 99,460-464.4. Damlar İ, Altan A, Tatlı U, Arpağ OF. Retrospective Investigation of the Prevalence of Impacted Teeth in Hatay. Cukurova Med Journal 2014; 39, 559-565.5. McArdle LW, Renton TF. Distal cervical caries in the mandibular second molar: an indication for the prophylactic removal of the third molar? Br J Oral Maxillofac Surg 2006; 44, 42-45.6. Pepper T, Grimshaw P, Konarzewski T, Combes J. Retrospective analysis of the prevalence and incidence of caries in the distal surface of mandibular second molars in British military personnel. Br J Oral Maxillofac Surg 55, 2017; 160-163.7. Chu FC, Li TK, Lui VK, Newsome PR, Chow RL, Cheung LK. Prevalence of impacted teeth and associated pathologies--a radiographic study of the Hong Kong Chinese population. Hong Kong Med J 2003; 9, 158-163.8. Chang SW, Shin SY, Kum KY, Hong J. Correlation study between distal caries in the mandibular second molar and the eruption status of the mandibular third molar in the Korean population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108, 838-843.9. Ozec I, Herguner Siso S, Tasdemir U, Ezirganli 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, 1279-1282.10. Song F, Landes DP, Glenny AM, Sheldon TA. Prophylactic removal of impacted third molars: an assessment of published reviews. Br Dent J 1997; 182, 339-346.11. Adeyemo WL. Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102, 448-452.12. 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; 7, 15-19.13. van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79, 142-145.14. 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, 1270-1274.15. Clark HC, Curzon ME. A prospective comparison between findings from a clinical examination and results of bitewing and panoramic radiographs for dental caries diagnosis in children. Eur J Paediatr Dent 2004; 5, 203-209.16. Akarslan ZZ, Akdevelioglu M, Gungor K, Erten H. A comparison of the diagnostic accuracy of bitewing, periapical, unfiltered and filtered digital panoramic images for approximal caries detection in posterior teeth. Dentomaxillofac Radiol 2008; 37, 458-463.
The Relationship Between the Slope of the Mesioangular Lower Third Molars and the Presence of Second Molar Distal Caries: A Retrospective Study
Abstract
Objective: The purpose of this study was to examine the
relationship between the degree of mesioangular mandibular third molar teeth and
the presence of distal caries in the second molar teeth.
Materials and Methods: In this retrospective study, panoramic radiographs of
617 patients (328 females, 289 males) with impacted teeth in partially erupted
mesioangular position were examined. The angle between the mandibular occlusal
plane and the occlusal surface of the mandibular third molar was measured. Third
molar teeth in mesioangular positions with an angle between 11° and 30° were
classified as Group 1, an angle between 31° and 50° as Group 2, and an angle
between 51° and 70° as Group 3. For each group, the presence of caries in the
distal contact point of adjacent second molar teeth was detected.
Results: A total of 816 mandibular third molar teeth in the mesioangular
position were analyzed. Of these, 439 (53.8%) were in females and 377 (46.2%)
were in males. The prevalence of caries in the distal aspect of the second
molar teeth was 34.5% in males and 21.4% in females (p<0.001). A
statistically significant difference was found between the groups (p<0.05).
The results showed that a slope of 51° to 70° in mandibular third molar
presents a higher risk for caries formation in the distal aspect of second
molar teeth.
Conclusions: Early prophylactic extraction of impacted mandibular
teeth with a slope between 51° and 70° may prevent caries formation in the distal
aspect of adjacent second molar teeth.
Keywords
References
- 1. Polat HB, Ozan F, Kara I, Ozdemir H, Ay S. Prevalence of commonly found pathoses associated with mandibular impacted third molars based on panoramic radiographs in Turkish population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105, e41-47.2. Gaddipati R, Ramisetty S, Vura N, Kanduri RR, Gunda VK. Impacted mandibular third molars and their influence on mandibular angle and condyle fractures-a retrospective study. J Craniomaxillofac Surg 2014; 42, 1102-1105.3. Shiller WR. Positional changes in mesio-angular impacted mandibular third molars during a year. J Am Dent Assoc 1979; 99,460-464.4. Damlar İ, Altan A, Tatlı U, Arpağ OF. Retrospective Investigation of the Prevalence of Impacted Teeth in Hatay. Cukurova Med Journal 2014; 39, 559-565.5. McArdle LW, Renton TF. Distal cervical caries in the mandibular second molar: an indication for the prophylactic removal of the third molar? Br J Oral Maxillofac Surg 2006; 44, 42-45.6. Pepper T, Grimshaw P, Konarzewski T, Combes J. Retrospective analysis of the prevalence and incidence of caries in the distal surface of mandibular second molars in British military personnel. Br J Oral Maxillofac Surg 55, 2017; 160-163.7. Chu FC, Li TK, Lui VK, Newsome PR, Chow RL, Cheung LK. Prevalence of impacted teeth and associated pathologies--a radiographic study of the Hong Kong Chinese population. Hong Kong Med J 2003; 9, 158-163.8. Chang SW, Shin SY, Kum KY, Hong J. Correlation study between distal caries in the mandibular second molar and the eruption status of the mandibular third molar in the Korean population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108, 838-843.9. Ozec I, Herguner Siso S, Tasdemir U, Ezirganli 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, 1279-1282.10. Song F, Landes DP, Glenny AM, Sheldon TA. Prophylactic removal of impacted third molars: an assessment of published reviews. Br Dent J 1997; 182, 339-346.11. Adeyemo WL. Do pathologies associated with impacted lower third molars justify prophylactic removal? A critical review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 102, 448-452.12. 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; 7, 15-19.13. van der Linden W, Cleaton-Jones P, Lownie M. Diseases and lesions associated with third molars. Review of 1001 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79, 142-145.14. 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, 1270-1274.15. Clark HC, Curzon ME. A prospective comparison between findings from a clinical examination and results of bitewing and panoramic radiographs for dental caries diagnosis in children. Eur J Paediatr Dent 2004; 5, 203-209.16. Akarslan ZZ, Akdevelioglu M, Gungor K, Erten H. A comparison of the diagnostic accuracy of bitewing, periapical, unfiltered and filtered digital panoramic images for approximal caries detection in posterior teeth. Dentomaxillofac Radiol 2008; 37, 458-463.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | October 17, 2018 |
| Submission Date | July 16, 2018 |
| Published in Issue | Year 2018 |
Cited By
Prevalence Of Pathologies Caused By Mandibular Third Molar Tooth Positions
Harran Üniversitesi Tıp Fakültesi Dergisi
https://doi.org/10.35440/hutfd.1372174
Do Third Molars Play a Role in Second Molars Undergoing Endodontic Treatment?
Cumhuriyet Dental Journal
Betül Aycan UYSAL
https://doi.org/10.7126/cumudj.875049
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