scholarly journals Age features of the teething of wisdom at persons of military age

2018 ◽  
Vol 20 (1) ◽  
pp. 121-126
Author(s):  
N V Korovin ◽  
G A Grebnev ◽  
A K Iordanishvili

Pathology of an eruption of wisdom teeth is importance for a military odontology because the vast majority of the military contingents on age coincides with time of their physiological eruption (16-40 years). In work, on the basis of clinic-radial methods of a research, features of a teething of wisdom at young people of military age are studied and analyzed 3D-tomograms and orthopantomograms of 325 servicemen aged from 18 up to 27 years. During work estimated existence of wisdom teeth on top and lower jaws, extent of their eruption, existence of a retention (or dystopias) and also an adentia or loss of wisdom teeth. It was established that most often eruption of the third molar teeth of jaws at recruits occurs at the age of 23-27 years, at the same time at a series of recruits eruption of the lower wisdom teeth usually is followed by various complications, such as pericoronitis, an acute purulent periostitis of a mandible, a false «acute periodontitis» of the lower second molar tooth that becomes perceptible at mesial shift of a wisdom tooth and dense contact of its coronal part with a distal root of the second molar tooth. The essential value for a full-fledged teething of wisdom has their situation in an alveolar process (part) of a jaw, and further - in dentition. It in many respects defines a clinical picture of the shown eruption complications and also tactics of stomatologic treatment - orthodontic treatment, surgical treatment or their combinations. The infectious and inflammatory complications bound to the complicated their eruption (85,93% of cases) served as the reasons of an exodontia of wisdom. In 14,07% of cases wisdom teeth on both jaws were extracted in a planned order in connection with the forthcoming orthodontic treatment on elimination of dentoalveolar anomalies. Thus, terms and features of a teething of wisdom at recruits need to be considered in clinical practice of a military odontology as their military service can pass in specific living conditions and activity of troops and health service, and at complications of a teething of wisdom the acute stomatologic surgical management, including stationary is in most cases necessary.

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 406-410
Author(s):  
Louis W McArdle

Distal Cervical Caries (DCC) of the mandibular second molar has become a more frequent complication of third molar impaction as a direct consequence of the introduction of NICE's guidance on the management of wisdom teeth. NICE's tenet that disease free impacted third molars can be retained is contradicted by the development of DCC on the second molar as its diagnosis asks the simple question of why the impacted third molar was not removed before DCC occurred. This paper aims to address the features of DCC associated with the second molar and outlines how dentists should address its diagnosis but, more importantly, how to recognize those at risk and how patients should be managed. CPD/Clinical Relevance: Clinical management of impacted third molar teeth.


Background and Aim: The third molar tooth lies with symptoms such as periodontal problems, caries, crowding, root resorption, cyst and tumor formation of the adjacent second molar. This study was to evaluate the position of mandibular third molar teeth and its effect on second adjacent molar teeth. Materials and Methods: Panoramic radiography was obtained from 264 patients with mandibular third molar hidden teeth referred to the Birjand School of Dentistry in 2018. The material and direction of their placement and the vertical position of the third molar tooth (based on the PELL & Gregory classification) and its placement angle (based on Winter classification) were determined. Also, the prevalence of distal caries, external root resorption, the amounts of displacement, t inflammatory lesions and the cystic was examined in the adjacent second molar tooth. Data were analyzed using SPSS software (Version 19), and Chi-square statistical test, p-values less than 0.05 were considered as statistically significant. Results: The data from this study showed that most of the wisdom hidden teeth were in Class B and III of Pell and Gregory classification, had Mesial angle based on Winter classification. In 20.8% of patients with caries, there was 3% root canal resorption and 1.1% displacement of the second molar tooth, while no cases of inflammatory and cystic lesions in the second molar tooth were found due to the hidden third molar tooth. The Mesial and horizontal angles of impacted wisdom teeth were associated with increased risk of caries and root resorption of the second molar. Also, Class B's third molar teeth increased caries in second molar teeth. Conclusion: Most pathological problems were observed in Mesial, horizontal, and class B impaction. According to the observed relationship, it seems that the angle and depth of the hidden third molar should be taken into account c when deciding whether or not to extract it.


2015 ◽  
Vol 86 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Christos Livas ◽  
Nikolaos Pandis ◽  
Johan Willem Booij ◽  
Demetrios J. Halazonetis ◽  
Christos Katsaros ◽  
...  

ABSTRACT Objective:  To assess the maxillary second molar (M2) and third molar (M3) inclination following orthodontic treatment of Class II subdivision malocclusion with unilateral maxillary first molar (M1) extraction. Materials and Methods:  Panoramic radiographs of 21 Class II subdivision adolescents (eight boys, 13 girls; mean age, 12.8 years; standard deviation, 1.7 years) before treatment, after treatment with extraction of one maxillary first molar and Begg appliances and after at least 1.8 years in retention were retrospectively collected from a private practice. M2 and M3 inclination angles (M2/ITP, M2/IOP, M3/ITP, M3/IOP), constructed by intertuberosity (ITP) and interorbital planes (IOP), were calculated for the extracted and nonextracted segments. Random effects regression analysis was performed to evaluate the effect on the molar angulation of extraction, time, and gender after adjusting for baseline measurements. Results:  Time and extraction status were significant predictors for M2 angulation. M2/ITP and M2/IOP decreased by 4.04 (95% confidence interval [CI]: −6.93, 1.16; P  =  .001) and 3.67 (95% CI: −6.76, −0.58; P  =  .020) in the extraction group compared to the nonextraction group after adjusting for time and gender. The adjusted analysis showed that extraction was the only predictor for M3 angulation that reached statistical significance. M3 mesial inclination increased by 7.38° (95% CI: −11.2, −3.54; P < .001) and 7.33° (95% CI: −11.48, −3.19; P  =  .001). Conclusions:  M2 and M3 uprighting significantly improved in the extraction side after orthodontic treatment with unilateral maxillary M1 extraction. There was a significant increase in mesial tipping of maxillary second molar crowns over time.


2017 ◽  
Vol 6 (2) ◽  
pp. 131
Author(s):  
Amalina Ahmad ◽  
Dudi Aripin ◽  
Lutfi Yondri

The skeleton of Pawon Man’s that lived in Mesolitic era aged 5,660±170 BP - 9,500± 200 BP (Before Present) years before Christ (BC) has been used for forensic odontology research.  However, there has not been any research on dental caries of Pawon Man. The aim of this research was to describe the dental caries in skulls of Pawon Man. The type of the research was descriptive by using purposive sampling. The samples were from four Pawon Man skulls and their teeth. The research was conducted by using clinical examination. All aspects were recorded, collected and presented in tabular form. The result shows that 12.5% of the samples from 32 teeth of skulls of Pawon Man I, III, IV and V had experienced dental caries. Clinical examination shows presence of dental caries in samples of Pawon Man III of  permanent mandibular third molar tooth of region 4(48) in lingual area and buccal lesion of lower left third molar (38). In Pawon IV, lingual lesion of lower left permanent second molar (37) and in lower left permanent third molar (38). All lesions are only in enamel which is code 1 according to ICDAS code. In conclusion, the dental caries in skulls of Pawon Man was low due to their low sugar diets from fruits and sugar-rich plants (fructose sugars). Consumption of hard foods and evidence of presence of animal teeth and mollusks had contributed to the higher percentage of dental attrition compared to dental caries. Keywords: dental caries, clinical, pawon man


2014 ◽  
Vol 13 (2) ◽  
pp. 95
Author(s):  
Nurlailia DS ◽  
Mei Syafriadi

At the beginning of the growth, tooth inclination is mesioangular, then move gradually to come into contact with thedistal surface of the second molar and further commit to sliding movement parallel to second molar axis. This positionwill be retained to achieve the eruption way to oral cavity. However, the last decade reported incidence increasedimpaction of the third molar teeth in the lower jaw. This study was aimed to study the level of pre-eruption of mandibularthird molar in the population group aged 14-17 years to predict the risk of tooth impaction or not. Differentiatedpopulations on cluster I, age 14-15 years old; group II, 15.1-16 years old; and group III 16.1-17 years old. Researchcarried out by clinical observation and measurement of at Department of Radiology in Jember University with 48people selected based on predetermined criteria. X-ray projection was exposed by paralleling technique on the lowerthird molar teeth, left and right. The results showed 43.75% of 14-15 year old group had the third molar angle interval50-56°; 15.1-16 year age group, 80% have 57-70° angle interval, and 16.1-17 years age group, 46.67% has angularinterval 64-70°. It was concluded that a large interval of the third molar angle increase due to the increased of age,and the angle is different between groups based on gender.


2021 ◽  
Vol 10 (02) ◽  
pp. 116-119
Author(s):  
Chandrashekhar Pandey ◽  
Bishwa Prakash Bhattarai ◽  
Manop Khanijou ◽  
Pimolmas Na Songkla ◽  
Natthamet Wongsirichat ◽  
...  

AbstractThere have been infrequent case reports of bilateral root resorption in the lower second molar secondary from impacted third molar removal with bone regeneration without pain. Root resorption is commonly observed during third molar surgical impaction that affects mandibular second molars. The bone regeneration into the adjacent affected tooth is evident simply after the surgical extraction of the impacted tooth. However, there have been a few previous reports on the prognosis of the remaining resorbed tooth. Most dentists often choose to extract them when damaged if root resorption is observed. This report case involved bilateral root resorption of the lower second molar due to lower adjacent impacted third molar teeth and bone regeneration without pain sensation. After surgical extraction of bilateral lower impacted third molar teeth, the remaining teeth retained vital pulp and survived as functional teeth.


Dental Update ◽  
2020 ◽  
Vol 47 (4) ◽  
pp. 342-344
Author(s):  
Leah Finan ◽  
Ahmed Jebril ◽  
Anand Kumar ◽  
Dilip Srinivasan

Lingual displacement of lower third molar teeth is a well-recognized complication of extraction. The purpose of this article is to report the case of a displaced lower third molar tooth into the parapharyngeal space during extraction. A 44-year-old man was referred to the Oral and Maxillofacial Department by his dentist immediately after the event. The case was managed intra-orally under general anaesthetic. Clinicians must be aware of the possibility of lower third molars being displaced during extraction. This article outlines how clinicians should plan the procedure appropriately, take steps to prevent displacements, and how to manage the situation should it arise. CPD/Clinical Relevance: Displacement is a risk associated with extraction of lower third molar teeth. This risk can be minimized with proper planning and careful execution of the extraction. It is important that the clinician knows this and how to deal with a displaced tooth in practice.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Nabil Khzam ◽  
Adam Fell ◽  
Anthony Fisher ◽  
Paul Kim ◽  
Usman A. Khan ◽  
...  

Periodontal disease is a chronic inflammation of the tooth supporting structures. It leads to bone and attachment loss which is irreversible. Extraction of horizontally impacted lower third molar (L3M) teeth may result in localized periodontal pockets at the distal aspect of the adjacent lower second molars (L2M). We present a case of a 21-year-old male who suffered from a swelling and pain around his lower right second molar following surgical removal of a mesioangular impacted lower right third molar. We showed that oral hygiene measures, surgical access, mixture of autogenous and synthetic bone graft, and guided tissue regeneration (GTR) were enough to control the problem.


2021 ◽  
Vol 10 (16) ◽  
pp. 3614
Author(s):  
Grzegorz Trybek ◽  
Magda Aniko-Włodarczyk ◽  
Olga Preuss ◽  
Aleksandra Jaroń

Despite the frequent discussion of complications associated with surgical removal of wisdom teeth in the scientific literature, increased mobility of the second molar, which can affect the clinical status of the pulp, is often downplayed or overlooked. This study aimed to evaluate surgical removal of an impacted third molar on the change in the electrosensitivity of the pulp of the mandibular second molar. Sixty patients consecutively presenting to the Department of Oral Surgery to remove an impacted mandibular third molar were included in the study. Clinical examinations of pulp sensitivity of second molars in both the study and control groups were evaluated before the procedure, seven days after the procedure, and eight weeks after the procedure. The surgical removal of an impacted mandibular third molar significantly affected the pulp sensitivity of the second molar.


2011 ◽  
Vol 121-126 ◽  
pp. 1214-1219 ◽  
Author(s):  
Aisyah Omar ◽  
Muhammad Ikman Ishak ◽  
Muhamad Noor Harun ◽  
Eshamsul Sulaiman ◽  
Noor Hayaty Abu Kasim

Orthodontic is one of the treatments in dentistry field which concerned on malocclusion treatments such as improper bites, tooth irregularity and disproportionate jaw relationships. The mini-implant (OMI) is one of the components used in the orthodontic treatment, besides braces and spring. The application of OMI has been well accepted in orthodontic treatment. However, one of the main factors of OMI failures is the implant insertion procedure in which the clinician find it difficult to obtain the best angle to insert the OMI. Therefore, this study aims to evaluate stress in an OMI and bones using the finite element analysis (FEA) with variations of insertion angles and to identify their optimal angle for the implant placement. The three dimensional (3D) model of a left maxillary posterior bone section was constructed based on CT image dataset. That 3D model consists of cortical bone, cancellous bone, second premolar, first molar and second molar teeth. The 3D model of OMI was placed between root of second premolar and first molar teeth. The OMI was simulated with seven different angles of insertions: 30˚, 40˚, 50˚, 60˚, 70˚, 80˚ and 90˚. Within the seven different insertion angles, the results showed that the increase of insertion angle reduced the maximum equivalent von Mises stress in cortical bone, cancellous bone and OMI. Based on this FEA study, the optimal angle placement of OMI is when the implant positioned at vertical angle (90˚) to the bone surface.


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