EVALUATION OF THE POSITION AND MANDIBULAR CANAL CONDITIONS OF THIRD MOLAR TEETH IN PANORAMIC RADIOGRAPHIES
Öz
OBJECTIVE: In this study; it was aimed to retrospectively evaluate the position, eruption level and impaction status of impacted third molars according to Winter, Archer, Pell
and Gregory classifications of patients who applied to Gazi University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery between 2018-2019.
MATERIALS AND METHOD: 5523 impacted third molars detected in panoramic films taken from 1548 patients with a mean age of 25.78 were evaluated according to demographic characteristics such as age and gender. All impacted third molars were classified according to their positions and the results were compared with the literature.
RESULTS: According to the analysis results; there was a statistically significant relationship between gender and the positions of teeth 18, 38 and 48 according to the
Winter classification, between gender and the levels of teeth 18, 28 and 48 according to the Archer classification, between gender and the relationship of impacted teeth
with the mandibular canal (p=0.000), however there was no statistically significant relationship between gender and M3 distance according to Pell and Gregory classification
(p>0.05).
CONCLUSION: There are some risks in the extraction of impacted third molars. These risks may arise from the impacted state and position of the teeth. Preoperative evaluation is essential in order to identify and minimize possible risks, especially in terms of the relationship of impacted lower third molar roots with the mandibular canal.
Anahtar Kelimeler
Demographic analysis Mandibular canal Panoramic radiography Third molar tooth
Kaynakça
- Referans1. Levy IRD. Impaction of maxillary permanent second molars by the third molars. J Paediatr Dent 1989;5:31–4.
- Referans2. Raghoebar GM, Boering G, Vissink A, Stegenga B. Eruption disturbances of permanent molars: a review. J Oral Pathol Med 1991;20:159-66.
- Referans3. Vallecillo C, Rivas MV, Galvez R, Capilla MV, Gaya MVO. Analgesic efficacy of tramadol/dexketoprofen vs ibuprofen after impacted lower third molar extraction: a randomized controlled clinical trial. J Evid Based Dent Pract 2021;21:101618.
- Referans4. Göksu VC, Ersoy HE, Ulutürk H, Yücel ZE. Gömülü Mandibular Üçüncü Molar Diş Pozisyonlarının Demografik Olarak İncelenmesi: Retrospektif Çalışma. ADO Klinik Bilimler Dergisi 2021;3:165-171.
- Referans5. Pell GJ, Gregory GT. Report on a ten-year study of a tooth division technique for the removal of impacted teeth. Am J Orthod Dentofac Orthop 1942;28:660-6.
- Referans6. George B Winter. Principles of exodontia as applied to the impacted mandibular third molar: a complete treatise on the operative technic with clinical diagnoses and radiographic interpretations St. Louis, Mo., American Medical Book Company, 1926.
- Referans7. Archer WH. Oral and Maxillofacial Surgery: W.B. Saunders; 1975.
- Referans8. Barreiro-Torres J, Diniz-Freitas M, Lago-Mendez L, Gude-Sampedro F, Gandara-Rey JM, et al. Evaluation of the surgical difficulty in lower third molar extraction. Med Oral Patol Oral Cir Bucal 2010;15:869-74.
- Referans9. Flygare L, Ohman A. Preoperative imaging procedures for lower wisdom teeth removal. Clin Oral Investig 2008;12:291-302.
- Referans10. Venta I, Ylipaavalniemi P, Turtola L. Clinical Outcome of Third Molars in Adults Followed During 18 Years. J Oral Maxillofac Surg 2004;62:182-5.
- Referans11. 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;25:169-175.
- Referans12. Eshghpour M, Nezadi A, Moradi A, Shamsabadi RM, Rezaei NM, Nejat A. Pattern of mandibular third molar impaction: A cross-sectional study in northeast of Iran Niger J Clin Pract 2014;17:673-7.
- Referans13. Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:161-6.
- Referans14. 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;105:41-7.
- Referans15. 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;18:140-5.
- Referans16. Al-Anqudi SM, Al-Sudairy S, Al-Hosni A, Al-Maniri A. Prevalence and Pattern of Third Molar Impaction: A retrospective study of radiographs in Oman Sultan Qaboos Univ Med J 2014;14:388-92.
- Referans17. Jerjes W, El-Maayath M, Swinson B, Thompson G, Gittelmon S, Baldwin D, et al. Inferior alveolar injury and surgical difficulty prediction in third molar surgery: the role of dental panoramic tomography. J Clin Dent 2006;17:122–30.
- Referans18. Blaeser BF, August MA, Donoff RB, Kaban LB, Dodson TB. Panoramic radiographic risk factors for inferior alveolar nerve injury during third molar extraction. J Oral Maxillofac Surg 2003;61:417–21.
- Referans19. Goyal S, Verma P, Raj SS. Radiographic Evaluation of the Status of Third Molars in Sriganganagar Population – A Digital Panoramic Study. Malays J Med Sci 2016;23:103–12.
- Referans20. Xu GZ, Yang C, Fan XD, Yu CQ, Cai XY, Wang Y, et al. Anatomic relationship between impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve injury. Br J Oral Maxillofac Surg 2013;51:215-9.
PANORAMİK RADYOGRAFİLERDE ÜÇÜNCÜ MOLAR DİŞLERİN GÖMÜKLÜLÜK VE MANDİBULAR KANAL İLE İLİŞKİ DURUMLARININ DEĞERLENDİRİLMESİ
Öz
AMAÇ: Bu çalışmada; 2018-2019 yılları arasında Gazi Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’na başvuran hastaların gömülü üçüncü molar dişlerinin; Winter, Archer ile Pell ve Gregory sınıflandırmalarına göre pozisyonlarının, sürme seviyelerinin ve gömüklülük durumlarının retrospektif olarak değerlendirilmesi amaçlanmıştır.
GEREÇ VE YÖNTEM: Yaş ortalaması 25.78 olan 1548 hastadan alınan panoramik filmlerde tespit edilen 5523 gömülü üçüncü molar dişi, yaş ve cinsiyet özelliklerine göre
değerlendirilmiştir. Tüm gömülü üçüncü molar dişlerin pozisyonlarına göre sınıflandırılması yapılmış ve elde edilen sonuçlar literatür ile karşılaştırılmıştır.
BULGULAR: Analiz sonuçları doğrultusunda; cinsiyet ile Winter sınıflamasına göre 18, 38 ve 48 nolu dişlerin pozisyonları arasında, cinsiyet ile Archer sınıflamasına
göre 18, 28 ve 48 nolu dişlerin sürme seviyeleri arasında; cinsiyet ve 38-48 nolu gömülü dişlerin mandibular kanal ile olan ilişkisi arasında istatistiksel olarak anlamlı bir ilişki
olduğu (p=0.000), cinsiyet ile Pell & Gregory sınıflamasına göre 38-48 nolu gömülü dişlerin M3 mesafesi arasında istatistiksel olarak anlamlı bir ilişki olmadığı tespit
edilmiştir (p>0.05).
SONUÇ: Gömülü üçüncü molar dişlerin çekiminde bazı riskler bulunmaktadır. Bu riskler dişlerin gömüklülük durumundan ve pozisyonlarından kaynaklanabilir. Özellikle gömülü alt üçüncü molar diş köklerinin mandibular kanal ile olan ilişkisi açısından olası risklerin tespit edilerek en aza indirilmesi amacıyla preoperatif değerlendirme yapılması elzemdir.
Anahtar Kelimeler
Demografik analiz Mandibular kanal Panoramik radyografi Üçüncü büyük azı dişi
Kaynakça
- Referans1. Levy IRD. Impaction of maxillary permanent second molars by the third molars. J Paediatr Dent 1989;5:31–4.
- Referans2. Raghoebar GM, Boering G, Vissink A, Stegenga B. Eruption disturbances of permanent molars: a review. J Oral Pathol Med 1991;20:159-66.
- Referans3. Vallecillo C, Rivas MV, Galvez R, Capilla MV, Gaya MVO. Analgesic efficacy of tramadol/dexketoprofen vs ibuprofen after impacted lower third molar extraction: a randomized controlled clinical trial. J Evid Based Dent Pract 2021;21:101618.
- Referans4. Göksu VC, Ersoy HE, Ulutürk H, Yücel ZE. Gömülü Mandibular Üçüncü Molar Diş Pozisyonlarının Demografik Olarak İncelenmesi: Retrospektif Çalışma. ADO Klinik Bilimler Dergisi 2021;3:165-171.
- Referans5. Pell GJ, Gregory GT. Report on a ten-year study of a tooth division technique for the removal of impacted teeth. Am J Orthod Dentofac Orthop 1942;28:660-6.
- Referans6. George B Winter. Principles of exodontia as applied to the impacted mandibular third molar: a complete treatise on the operative technic with clinical diagnoses and radiographic interpretations St. Louis, Mo., American Medical Book Company, 1926.
- Referans7. Archer WH. Oral and Maxillofacial Surgery: W.B. Saunders; 1975.
- Referans8. Barreiro-Torres J, Diniz-Freitas M, Lago-Mendez L, Gude-Sampedro F, Gandara-Rey JM, et al. Evaluation of the surgical difficulty in lower third molar extraction. Med Oral Patol Oral Cir Bucal 2010;15:869-74.
- Referans9. Flygare L, Ohman A. Preoperative imaging procedures for lower wisdom teeth removal. Clin Oral Investig 2008;12:291-302.
- Referans10. Venta I, Ylipaavalniemi P, Turtola L. Clinical Outcome of Third Molars in Adults Followed During 18 Years. J Oral Maxillofac Surg 2004;62:182-5.
- Referans11. 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;25:169-175.
- Referans12. Eshghpour M, Nezadi A, Moradi A, Shamsabadi RM, Rezaei NM, Nejat A. Pattern of mandibular third molar impaction: A cross-sectional study in northeast of Iran Niger J Clin Pract 2014;17:673-7.
- Referans13. Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:161-6.
- Referans14. 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;105:41-7.
- Referans15. 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;18:140-5.
- Referans16. Al-Anqudi SM, Al-Sudairy S, Al-Hosni A, Al-Maniri A. Prevalence and Pattern of Third Molar Impaction: A retrospective study of radiographs in Oman Sultan Qaboos Univ Med J 2014;14:388-92.
- Referans17. Jerjes W, El-Maayath M, Swinson B, Thompson G, Gittelmon S, Baldwin D, et al. Inferior alveolar injury and surgical difficulty prediction in third molar surgery: the role of dental panoramic tomography. J Clin Dent 2006;17:122–30.
- Referans18. Blaeser BF, August MA, Donoff RB, Kaban LB, Dodson TB. Panoramic radiographic risk factors for inferior alveolar nerve injury during third molar extraction. J Oral Maxillofac Surg 2003;61:417–21.
- Referans19. Goyal S, Verma P, Raj SS. Radiographic Evaluation of the Status of Third Molars in Sriganganagar Population – A Digital Panoramic Study. Malays J Med Sci 2016;23:103–12.
- Referans20. Xu GZ, Yang C, Fan XD, Yu CQ, Cai XY, Wang Y, et al. Anatomic relationship between impacted third mandibular molar and the mandibular canal as the risk factor of inferior alveolar nerve injury. Br J Oral Maxillofac Surg 2013;51:215-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Diş Hekimliği, Ağız ve Çene Cerrahisi |
| Bölüm | Özgün Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 40 Sayı: 3 |
