Impacted Mandibular Third Molars, A Nuisance to Neighbouring Mandibular Molars; A Radiographic Study

Authors

  • Shafi Ullah Khan Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan
  • Khalid Mahmood Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan
  • Muqaddas Rukhsar Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan
  • Imran Khan Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan
  • Aqeel Ibrahim Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan
  • Kanza Iqbal Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan
  • Maryum Umar Combined Military Hospital Lahore/National University of Medical Science(NUMS)Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i1.8313

Keywords:

Distal caries, Mesioangular impaction, Orthopantomograms, Radiographic study, Surgical extraction

Abstract

Objective: To know the distal caries in mandibular second molars due to impacted mandibular third molars and their association with the type of impaction of patients who visited a tertiary care dental centre in Lahore, Pakistan.

Study Design: Cross-sectional study.

Place and Duration of Study: 28 Military Dental Centre, Combined Military Hospital, Lahore Pakistan from Dec 2020 to Nov 2021.

Methodology: The dental records of 378 patients reported at 28 Military Dental Centres were retrieved from the data bank,then decoded and analysed.

Results: Out of 378 patients, 242(64%) males and 136(36%) females were referred to Oral and Maxillofacial clinics of 28 MDC to undergo surgical extraction of mandibular third molar teeth. Mesio-angular 242(64%), depth Class-B 281(74.3%), and Ramal relationship I 224(59.3) were the most common impactions referred for surgical removal. 289(76.5%) impactions of all categories were unilateral. 178(73.6%) mesioangular impactions had neighbouring second molar distal caries on Orthopentomogram while none of the transverse impactions had neighbouring second molar caries. A significant association between angulation of impaction and neighbouring second molar caries has been noted (p<0.001).

Conclusion: Increased mandibular second molar distal caries were noted adjacent to Mesioangular, depth B, Class 1 Ramal relationship mandibular wisdom tooth impaction.
Keywords: Distal caries, Mesioangular impaction, Orthopantomograms, Radiographic study, Surgical extraction.

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Published

23-02-2023

Issue

Section

Original Articles

How to Cite

1.
Khan SU, Mahmood K, Rukhsar M, Khan I, Ibrahim A, Iqbal K, et al. Impacted Mandibular Third Molars, A Nuisance to Neighbouring Mandibular Molars; A Radiographic Study. Pak Armed Forces Med J [Internet]. 2023 Feb. 23 [cited 2024 Oct. 7];73(1):115-18. Available from: https://pafmj.org/PAFMJ/article/view/8313