TY - JOUR AU - Khan, Shafi Ullah AU - Mahmood, Khalid AU - Rukhsar, Muqaddas AU - Khan, Imran AU - Ibrahim, Aqeel AU - Iqbal, Kanza AU - Umar, Maryum PY - 2023/02/23 Y2 - 2024/03/28 TI - Impacted Mandibular Third Molars, A Nuisance to Neighbouring Mandibular Molars; A Radiographic Study JF - Pakistan Armed Forces Medical Journal JA - PAFMJ VL - 73 IS - 1 SE - Original Articles DO - 10.51253/pafmj.v73i1.8313 UR - https://pafmj.org/PAFMJ/article/view/8313 SP - 115-18 AB - <p><strong>Objective:</strong> 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.</p><p><strong>Study Design:</strong> Cross-sectional study.</p><p><strong>Place and Duration of Study:</strong> 28 Military Dental Centre, Combined Military Hospital, Lahore Pakistan from Dec 2020 to Nov 2021.</p><p><strong>Methodology:</strong> The dental records of 378 patients reported at 28 Military Dental Centres were retrieved from the data bank,then decoded and analysed.</p><p><strong>Results:</strong> 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&lt;0.001).</p><p><strong>Conclusion:</strong> Increased mandibular second molar distal caries were noted adjacent to Mesioangular, depth B, Class 1 Ramal relationship mandibular wisdom tooth impaction.<br>Keywords: Distal caries, Mesioangular impaction, Orthopantomograms, Radiographic study, Surgical extraction.</p> ER -