Öz
OBJECTIVES: The aim of this study is to evaluate position and relationship
between adjacent anatomic structures of impacted third molar and canine and pathological
alterations associated with these teeth with cone beam computed tomography (CBCT)
and in the light of the obtained data to raise awareness in clinicians so as to
determine prevalence of these features, decide appropriate management of
impacted teeth and avoid possible complications in surgical operations.
METHODS: In this study, 316 impacted third molars and
canines were examined on 200 CBCT images. Impacted third molars and canines
were assessed according to position, resorption of adjacent tooth and cyctic
lesion. Impacted mandibular third molars were examined relationship with
mandibular canal, impacted maxillary third molars were examined relationship
with maxillary sinus.
RESULTS:
Most of impacted teeth were in mandible. All
impacted canines were in maxilla. Mostly mandibular third molars were impacted
mesioangular, maxillary third molars were impacted distoangular, the canines
were impacted mesial-palatally position. 52% impacted mandibular third molars
had no bone tissue between mandibular canal. Impacted maxillary third molars
had no bone septa between maxillary sinus and they were localized border of the
maxillary sinus frequently. Only impacted canines caused resorption of the
adjacent teeth.
CONCLUSION: Impacted teeth that influenced extensive population
on the world is a common problem. In order to determine appropriate management
of impacted teeth and avoid complications that may occur during or after treatment,
localization and relations with adjacent anatomic structures of impacted teeth
should be evaluated in detail.
Anahtar Kelimeler
Impacted third molar Impacted canine Cone beam computed tomography
Kaynakça
- 1. Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey. Oral surgery, oral medicine, oral pathology and oral radiology. 2013;116(3):e161-6.
- 2. Hashemipour MA, Tahmasbi-Arashlow M, Fahimi-Hanzaei F. Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population. Med Oral Patol Oral Cir Bucal. 2013;18(1):e140-5.
- 3. Kumar Pillai A, Thomas S, Paul G, Singh SK, Moghe S. Incidence of impacted third molars: A radiographic study in People's Hospital, Bhopal, India. Journal of oral biology and craniofacial research. 2014;4(2):76-81.
- 4. Richardson G, Russell K A. A review of impacted permanent maxillary cuspids--diagnosis and prevention. J Can Dent Assoc. 2000;Oct;66(9):497-501.
- 5. Yavuz M S, Aras M H, Büyükkurt M C, Tozoglu S. Impacted Mandibular Canines J Contemp Dent Pract 2007;8:78-85.
- 6. Santosh P. Impacted Mandibular Third Molars: Review of Literature and a Proposal of a Combined Clinical and Radiological Classification. Annals of medical and health sciences research. 2015;5(4):229-34.
- 7. Peker I, Sarikir C, Alkurt MT, Zor ZF. Panoramic radiography and cone-beam computed tomography findings in preoperative examination of impacted mandibular third molars. BMC oral health. 2014;14:71.
- 8. Mah JK, Alexandroni S. Cone-Beam Computed Tomography in the Management of Impacted Canines. Seminars in Orthodontics. 2010;16(3):199-204.
- 9. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2008;105(1):91-8.
- 10. Bouquet A, Coudert JL, Bourgeois D, Mazoyer JF, Bossard D. Contributions of reformatted computed tomography and panoramic radiography in the localization of third molars relative to the maxillary sinus. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2004;98(3):342-7.
- 11. White SC, Pharoah MJ, Oral Radiology: Principles and Interpretation. Eds. 7th Ed., St. Louis: Elsevier Health Sciences, 2014, p.338.
- 12. Tantanapornkul W, Okouchi K, Fujiwara Y, Yamashiro M, Maruoka Y, Ohbayashi N, Kurabayashi T. A comparative study of cone-beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2007;103(2):253-9.
- 13. Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2005;128(4):418-23.
- 14. Fanourakis J, Kamberos S, Kolokoudias M, J. Z. Topographic evaluation of the impacted mandibular third molar. Radiographic study. Hell Period Stomat Gnathopathoprosopike Cheir. 1990 Sep;5(3):115-9.
- 15. Yıldırım G, Ataoğlu H, Bulut T, Menziletoğlu D, Özkan BT. Is it different in Turkish population?: Evaluation of impacted third molars. SÜ Dişhek Fak Derg. 2009;18:55-62.
- 16. Hazza’a A, Bataineh A, Odat A. Angulation of Mandibular Third Molars as a Predictive Factor for Pericoronitis. J Contemp Dent Pract. 2009 May;(10)3:051-058.
- 17. de Andrade PF, Silva JNN, Sotto-Maior BS, Ribeiro CG, Devito KL, Assis N. Three-dimensional analysis of impacted maxillary third molars: A cone-beam computed tomographic study of the position and depth of impaction. Imaging science in dentistry. 2017;47(3):149-55.
- 18. Kocaelli H, Balcioglu HA, Erdem TL. Displacement of a maxillary third molar into the buccal space: anatomical implications apropos of a case. International journal of oral and maxillofacial surgery. 2011;40(6):650-3.
- 19. Ghaeminia H, Meijer GJ, Soehardi A, Borstlap WA, Mulder J, Berge SJ. Position of the impacted third molar in relation to the mandibular canal. Diagnostic accuracy of cone beam computed tomography compared with panoramic radiography. International journal of oral and maxillofacial surgery. 2009;38(9):964-71.
- 20. de Melo Albert DG, Gomes AC, do Egito Vasconcelos BC, de Oliveira e Silva ED, Holanda GZ. Comparison of orthopantomographs and conventional tomography images for assessing the relationship between impacted lower third molars and the mandibular canal. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2006;64(7):1030-7.
- 21. Maegawa H, Sano K, Kitagawa Y, Ogasawara T, Miyauchi K, Sekine J, Inokuchi T. Preoperative assessment of the relationship between the mandibular third molar and the mandibular canal by axial computed tomography with coronal and sagittal reconstruction. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2003;Nov;96(5):639-46.
- 22. Miller CS, Nummikoski PV, Barnett DA, Langlais RP. Cross-sectional tomography. A diagnostic technique for determining the buccolingual relationship of impacted mandibular third molars and the inferior alveolar neurovascular bundle. Oral Surg Oral Med Oral Pathol. 1990 Dec;70(6):791-7.
- 23. da Silva Santos LM, Bastos LC, Oliveira-Santos C, da Silva SJ, Neves FS, Campos PS. Cone-beam computed tomography findings of impacted upper canines. Imaging science in dentistry. 2014;44(4):287-92.
- 24. Lai CS, Bornstein MM, Mock L, Heuberger BM, Dietrich T, Katsaros C. Impacted maxillary canines and root resorptions of neighbouring teeth: a radiographic analysis using cone-beam computed tomography. European journal of orthodontics. 2013;35(4):529-38.
- 25. Jung YH, Liang H, Benson BW, Flint DJ, Cho BH. The assessment of impacted maxillary canine position with panoramic radiography and cone beam CT. Dentomaxillofac Radiol. 2012;Jul;41(5):356-60.
- 26. Almuhtaseb E, Mao J, Mahony D, Bader R, Zhang ZX. Three-dimensional localization of impacted canines and root resorption assessment using cone beam computed tomography. J Huazhong Univ Sci Technolog Med Sci. 2014;Jun;34(3):425-30.
- 27. Shin SM, Choi EJ, Moon SY. Prevalence of pathologies related to impacted mandibular third molars. SpringerPlus. 2016;5:915-20.
- 28. Patil S, Halgatti V, Khandelwal S, Santosh BS, Maheshwari S. Prevalence of cysts and tumors around the retained and unerupted third molars in the Indian population. J Oral Biol Craniofac Res. 2014 May-Aug;4(2):82-7.
- 29. Glosser JW, Campbell JH. Pathologic change in soft tissues associated with radiographically “normal” third molar impactions. Br J Oral Maxillofac Surg. 1999;37:259-60.
- 30. Saravana GH, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg.2008 Oct;46(7):552-3.
- 31. Slater LJ. Comments on “pathologic changes in the soft tissues associated with asymptomatic impacted third molars”. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.2009;107(1):5.
- 32. Brkić A. Dental follicle: role in development of odontogenic cysts and tumours. İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2014;48(1):89-96.
Öz
AMAÇ:
Bu çalışmanın amacı; gömülü üçüncü molar ve kanin
dişlerin lokalizasyonlarını, komşu anatomik yapılarla ilişkilerini ve bu
dişlerle ilişkili patolojik değişiklikleri KIBT ile değerlendirmek ve elde
edilen veriler ışığında; bu özelliklerin prevalansını saptamak, tedavi
planlamasının belirlenmesinde ve cerrahi operasyonlarda olası
komplikasyonlardan kaçınmak amacıyla klinisyenlerde farkındalık oluşturmaktır.
YÖNTEM:
Çalışmada 200 hastadan alınan KIBT görüntülerinde
316 gömülü kanin ve üçüncü molar diş incelendi. Gömülü üçüncü molar ve kanin
dişlerin pozisyonları, komşu dişlerin kök veya kronunda rezorpsiyon oluşturup
oluşturmadığı, gömülü dişlerin follikülünde kistik değişimin olup olmadığı,
mandibular üçüncü molarların mandibular kanalla, maksiller üçüncü molarların
maksiller sinüsle olan ilişkisi değerlendirildi.
BULGULAR:
Gömülü molarların çoğunluğu mandibuladayken, gömülü
kanin dişlerin hepsi maksilladaydı. Mandibular üçüncü molarların çoğunlukla
mezyoanguler, maksiller üçüncü molarların çoğunlukla distoanguler, kaninlerin
ise çoğunlukla mezyopalatinal pozisyonda gömülü olduğu saptandı. Gömülü
mandibular molar dişlerin %52’sinde mandibular kanalla gömülü diş arasında
kemik dokusunun olmadığı belirlendi. Gömülü maksiller üçüncü molar dişlerin
çoğunluğunda maksiller sinüsle arasında kemik septa olmadığı ve dişin maksiller
sinüs sınırında olduğu tespit edildi. Komşu dişte rezorpsiyona neden olan
dişlerin hepsi gömülü kanin dişlerdi.
SONUÇ:
Gömülü dişler dünya üzerinde geniş bir populasyonu
etkileyen yaygın bir problemdir. Gömülü dişlerin uygun tedavi yönteminin
belirlenmesi, tedavi esnasında veya sonrasında meydana gelebilecek
komplikasyonların önüne geçilmesi için gömülü dişlerin çene içerisindeki konumlarının,
komşu anatomik yapılarla olan ilişkilerinin ayrıntılı olarak değerlendirilmesi
gerekir.
Anahtar Kelimeler
Gömülü üçüncü molar dişler Gömülü kanin dişler Konik ışınlı bilgisayarlı tomografi
Kaynakça
- 1. Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey. Oral surgery, oral medicine, oral pathology and oral radiology. 2013;116(3):e161-6.
- 2. Hashemipour MA, Tahmasbi-Arashlow M, Fahimi-Hanzaei F. Incidence of impacted mandibular and maxillary third molars: a radiographic study in a Southeast Iran population. Med Oral Patol Oral Cir Bucal. 2013;18(1):e140-5.
- 3. Kumar Pillai A, Thomas S, Paul G, Singh SK, Moghe S. Incidence of impacted third molars: A radiographic study in People's Hospital, Bhopal, India. Journal of oral biology and craniofacial research. 2014;4(2):76-81.
- 4. Richardson G, Russell K A. A review of impacted permanent maxillary cuspids--diagnosis and prevention. J Can Dent Assoc. 2000;Oct;66(9):497-501.
- 5. Yavuz M S, Aras M H, Büyükkurt M C, Tozoglu S. Impacted Mandibular Canines J Contemp Dent Pract 2007;8:78-85.
- 6. Santosh P. Impacted Mandibular Third Molars: Review of Literature and a Proposal of a Combined Clinical and Radiological Classification. Annals of medical and health sciences research. 2015;5(4):229-34.
- 7. Peker I, Sarikir C, Alkurt MT, Zor ZF. Panoramic radiography and cone-beam computed tomography findings in preoperative examination of impacted mandibular third molars. BMC oral health. 2014;14:71.
- 8. Mah JK, Alexandroni S. Cone-Beam Computed Tomography in the Management of Impacted Canines. Seminars in Orthodontics. 2010;16(3):199-204.
- 9. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2008;105(1):91-8.
- 10. Bouquet A, Coudert JL, Bourgeois D, Mazoyer JF, Bossard D. Contributions of reformatted computed tomography and panoramic radiography in the localization of third molars relative to the maxillary sinus. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2004;98(3):342-7.
- 11. White SC, Pharoah MJ, Oral Radiology: Principles and Interpretation. Eds. 7th Ed., St. Louis: Elsevier Health Sciences, 2014, p.338.
- 12. Tantanapornkul W, Okouchi K, Fujiwara Y, Yamashiro M, Maruoka Y, Ohbayashi N, Kurabayashi T. A comparative study of cone-beam computed tomography and conventional panoramic radiography in assessing the topographic relationship between the mandibular canal and impacted third molars. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2007;103(2):253-9.
- 13. Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. 2005;128(4):418-23.
- 14. Fanourakis J, Kamberos S, Kolokoudias M, J. Z. Topographic evaluation of the impacted mandibular third molar. Radiographic study. Hell Period Stomat Gnathopathoprosopike Cheir. 1990 Sep;5(3):115-9.
- 15. Yıldırım G, Ataoğlu H, Bulut T, Menziletoğlu D, Özkan BT. Is it different in Turkish population?: Evaluation of impacted third molars. SÜ Dişhek Fak Derg. 2009;18:55-62.
- 16. Hazza’a A, Bataineh A, Odat A. Angulation of Mandibular Third Molars as a Predictive Factor for Pericoronitis. J Contemp Dent Pract. 2009 May;(10)3:051-058.
- 17. de Andrade PF, Silva JNN, Sotto-Maior BS, Ribeiro CG, Devito KL, Assis N. Three-dimensional analysis of impacted maxillary third molars: A cone-beam computed tomographic study of the position and depth of impaction. Imaging science in dentistry. 2017;47(3):149-55.
- 18. Kocaelli H, Balcioglu HA, Erdem TL. Displacement of a maxillary third molar into the buccal space: anatomical implications apropos of a case. International journal of oral and maxillofacial surgery. 2011;40(6):650-3.
- 19. Ghaeminia H, Meijer GJ, Soehardi A, Borstlap WA, Mulder J, Berge SJ. Position of the impacted third molar in relation to the mandibular canal. Diagnostic accuracy of cone beam computed tomography compared with panoramic radiography. International journal of oral and maxillofacial surgery. 2009;38(9):964-71.
- 20. de Melo Albert DG, Gomes AC, do Egito Vasconcelos BC, de Oliveira e Silva ED, Holanda GZ. Comparison of orthopantomographs and conventional tomography images for assessing the relationship between impacted lower third molars and the mandibular canal. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2006;64(7):1030-7.
- 21. Maegawa H, Sano K, Kitagawa Y, Ogasawara T, Miyauchi K, Sekine J, Inokuchi T. Preoperative assessment of the relationship between the mandibular third molar and the mandibular canal by axial computed tomography with coronal and sagittal reconstruction. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2003;Nov;96(5):639-46.
- 22. Miller CS, Nummikoski PV, Barnett DA, Langlais RP. Cross-sectional tomography. A diagnostic technique for determining the buccolingual relationship of impacted mandibular third molars and the inferior alveolar neurovascular bundle. Oral Surg Oral Med Oral Pathol. 1990 Dec;70(6):791-7.
- 23. da Silva Santos LM, Bastos LC, Oliveira-Santos C, da Silva SJ, Neves FS, Campos PS. Cone-beam computed tomography findings of impacted upper canines. Imaging science in dentistry. 2014;44(4):287-92.
- 24. Lai CS, Bornstein MM, Mock L, Heuberger BM, Dietrich T, Katsaros C. Impacted maxillary canines and root resorptions of neighbouring teeth: a radiographic analysis using cone-beam computed tomography. European journal of orthodontics. 2013;35(4):529-38.
- 25. Jung YH, Liang H, Benson BW, Flint DJ, Cho BH. The assessment of impacted maxillary canine position with panoramic radiography and cone beam CT. Dentomaxillofac Radiol. 2012;Jul;41(5):356-60.
- 26. Almuhtaseb E, Mao J, Mahony D, Bader R, Zhang ZX. Three-dimensional localization of impacted canines and root resorption assessment using cone beam computed tomography. J Huazhong Univ Sci Technolog Med Sci. 2014;Jun;34(3):425-30.
- 27. Shin SM, Choi EJ, Moon SY. Prevalence of pathologies related to impacted mandibular third molars. SpringerPlus. 2016;5:915-20.
- 28. Patil S, Halgatti V, Khandelwal S, Santosh BS, Maheshwari S. Prevalence of cysts and tumors around the retained and unerupted third molars in the Indian population. J Oral Biol Craniofac Res. 2014 May-Aug;4(2):82-7.
- 29. Glosser JW, Campbell JH. Pathologic change in soft tissues associated with radiographically “normal” third molar impactions. Br J Oral Maxillofac Surg. 1999;37:259-60.
- 30. Saravana GH, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg.2008 Oct;46(7):552-3.
- 31. Slater LJ. Comments on “pathologic changes in the soft tissues associated with asymptomatic impacted third molars”. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.2009;107(1):5.
- 32. Brkić A. Dental follicle: role in development of odontogenic cysts and tumours. İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2014;48(1):89-96.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 2 Sayı: 2 |